Wieser D
Universitäts-Augenklinik, Basel.
Klin Monbl Augenheilkd. 1993 May;202(5):412-6. doi: 10.1055/s-2008-1045616.
The clinical evaluation of children under one year of age suspected of blindness or severe visual impairment is discussed. Etiology of childhood blindness has shown a marked decrease of acquired causes. A marked increase occurs of the group of combined visually and generally handicapped children. This is due mainly to the increase in cerebral visual disturbances in cerebral palsies. Differentiation between visual handicap on one side and psychomotor handicap on the other side is difficult. Non visual stimulation of motor activities and observation of the level of development may be helpful. The important question to be answered is whether the actual visual capacity is sufficient for the stimulation of the development of the psychomotor potential.
本文讨论了对疑似失明或严重视力损害的一岁以下儿童的临床评估。儿童失明的病因显示后天性病因显著减少。视力和全身残疾合并的儿童群体显著增加。这主要是由于脑瘫患儿脑性视觉障碍的增加。区分一侧的视力障碍和另一侧的精神运动障碍很困难。对运动活动进行非视觉刺激并观察发育水平可能会有所帮助。需要回答的重要问题是，实际视力是否足以刺激精神运动潜能的发展。
