Erasmus MC, department of Neuroscience, Molewaterplein 40, 3015 GD Rotterdam, the Netherlands; Royal Dutch Visio, Amersfoorstestraatweg 180, 1272 RR Huizen, the Netherlands.
University of Münster, Insitute of Psychology, Fliednerstr. 21, 48149 Münster, NRW, Germany.
Res Dev Disabil. 2024 Aug;151:104767. doi: 10.1016/j.ridd.2024.104767. Epub 2024 Jun 10.
Visual search problems are often reported in children with Cerebral Visual Impairment (CVI). To tackle the clinical challenge of objectively differentiating CVI from other neurodevelopmental disorders, we developed a novel test battery. Visual search tasks were coupled with verbal and gaze-based measurements. Two search tasks were performed by children with CVI (n: 22; mean age (SD): 9.63 (.46) years) ADHD (n: 32; mean age (SD): 10.51 (.25) years), dyslexia (n: 28; mean age (SD): 10.29 (.20) years) and neurotypical development (n: 44; mean age (SD): 9.30 (.30) years). Children with CVI had more impaired search performance compared to all other groups, especially in crowded and unstructured displays and even when they had normal visual acuity. In-depth gaze-based analyses revealed that this group searched in overall larger areas and needed more time to recognize a target, particularly after their initial fixation on the target. Our gaze-based approach to visual search offers new insights into the distinct search patterns and behaviours of children with CVI. Their tendency to overlook targets whilst fixating on it, point towards higher-order visual function (HOVF) deficits. The novel method is feasible, valid, and promising for clinical differential-diagnostic evaluation between CVI, ADHD and dyslexia, and for informing individualized training.
视觉搜索问题在患有脑性视觉障碍(CVI)的儿童中经常被报告。为了解决客观地区分 CVI 与其他神经发育障碍的临床挑战,我们开发了一种新的测试组合。视觉搜索任务与言语和基于注视的测量相结合。两名患有 CVI 的儿童(n:22;平均年龄(SD):9.63(0.46)岁)、ADHD 儿童(n:32;平均年龄(SD):10.51(0.25)岁)、阅读障碍儿童(n:28;平均年龄(SD):10.29(0.20)岁)和神经典型发育儿童(n:44;平均年龄(SD):9.30(0.30)岁)进行了两项搜索任务。与所有其他组相比,患有 CVI 的儿童的搜索表现更差,尤其是在拥挤和无结构的显示中,即使他们的视力正常。深入的基于注视的分析表明,该组在整体上搜索更大的区域,并且需要更多的时间来识别目标,尤其是在最初注视目标之后。我们基于注视的视觉搜索方法为患有 CVI 的儿童的独特搜索模式和行为提供了新的见解。他们在注视目标时忽略目标的倾向表明存在高级视觉功能(HOVF)缺陷。这种新方法对于 CVI、ADHD 和阅读障碍之间的临床鉴别诊断评估以及为个性化训练提供信息是可行、有效和有前途的。