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Documenta Ophthalmologica

, Volume 39, Issue 1, pp 213–341 | Cite as

Causes of severe visual impairment in children and their prevention

  • The Committee for Special Study of Severe Visual Impairment in Children of The International Association for Prevention of Blindness (I.A.P.B.)
Article

Summary

Concerning the fact that regarding causes of congenital visual impairment or visual impairment occurring during the first years of life, especially on the aetiology many problems have never been resolved, on instigation of The Netherlands a ‘Committee for the special study of severe visual impairment in children’ has been founded by the International Association for Prevention of Blindness.

The intention was that provisionally in this committee only 5 small West European countries should be represented, having more or less the same social and hygienic conditions, so that one could expect that comparison of the gained information in these countries should give some results concerning the aetiology. The contributing countries were: Belgium, Denmark, Sweden, Norway and The Netherlands.

For this purpose criteria for definition of severe visual impairment, a questionnaire and a codinglist were drawn up.

The classification scheme of causes of blindness and partial sightedness of the I.A.P.B. was utilized for answering the questions ‘by site and type and by aetiology’ of the eye affections.

The total number of children who were involved in the investigation was 4306. The investigation confirmed that heredity still occupies the first place in the aetiology of the congenital severe visual impairment.

Moreover, the investigation could prove that besides the already known role of rubella, toxoplasmosis and dysoxygenation, probably also other affections occuring during pregnancy, prematurity, and too low birth weight (dysmaturity) and birth injuries, like asphyxia of the new-born child, are of great importance. Probably there is a correlation with certain eye affections (cataracta congenita and optic nerve atrophy).

Attention is paid to the possibilities of prevention.

From the results it appears that a renewed investigation is necessary where one should have to dispose of more and especially more reliable information concerning pregnancy and delivery. Suggestions in this direction are given.

Keywords

Birth Weight Optic Nerve Classification Scheme Blindness Visual Impairment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Van Balen, A.Th.M. & Regensburg, N.I. Electro-ophthalmological diagnosis in children with defective vision. Parma 1974 (in press).Google Scholar
  2. Colenbrander jr., A. Partial draft for a classification of disorders of the eye and nomenclature of ophthalmology (to be published).Google Scholar
  3. Copper, A.C. & Schappert-Kimmijser, J. The causes of blindness in 156 visually and mentally defective children.Ophthalmologica 160:292 (1970).Google Scholar
  4. Cross, K.W. Cost of preventing retrolental fibroplasia.The Lancet 2/78 35:954–956 (1973).Google Scholar
  5. Delthil, S. & Crouzet, J. Cataractes et malformations congénitales du segment antérieur chez les écoliers des classes d'amblyopes de Paris.Bull. Soc. Franc. Ophtal. 72:352–360 (1959).Google Scholar
  6. Deutman, A.F. The hereditary dystrophies of the posterior pole of the eye. Thesis 1971, van Gorcum, Assen.Google Scholar
  7. Fine, S.R. Blind and partially sighted children. London: Her Majesty's Stationary Office, 1968. Education Survey 4. Department of Education and Science HMSO, London.Google Scholar
  8. Fontaine, Martine. Les cécités de l'enfance. Rapp. présenté à la Soc. Franc. Ophtal. le 6 mai 1969. Masson et Cie., Paris, ed.Google Scholar
  9. François, J., Verriest, G. & Renard, G. L'achromatopsie congénitale typique et son diagnostic clinique.Arch. d'Ophtalmologie 19:245–256 (1959).Google Scholar
  10. Fraser, G.R. Genetic aspects of severe visual impairment in children.J. Med. Genetics 7:257 (1970).Google Scholar
  11. Fraser, G.R. & Friedmann, A.J., The causes of blindness in childhood. The John Hopkins Press (Baltimore, 1967).Google Scholar
  12. Goldberg, I.D., Goldstein, H., Quade, D. & Rogot, E. Association of perinatal factors with blindness in children.U.S. Publ. Hlth. Rep. 82:519–531 (1967).Google Scholar
  13. Goldberg, M.F. Genetic and Metabolic Eye Diseases. Little, Brown and Co, Boston (1974).Google Scholar
  14. Goldstein, H. Incidence, prevalence and causes of blindness.Publ. Health Rev. 3 (1):5–37 (1974).Google Scholar
  15. Goodman, G., Ripps, H. & Siegel, I. Cone dysfunction syndromes.Arch. Ophthal. 70:214–231 (1963).Google Scholar
  16. Henkes, H.E. Use of the electroretinogram for differential diagnosis.Adv. Ophthal. 15:267–269 (Karger, Basel/New York, 1964).Google Scholar
  17. Henkes, H.E. & Legein, Ch.P. Electrodiagnostic procedures in the blind and partially sighted young child.Int. Ophthal. Clin. 9:921–933 (1969).Google Scholar
  18. The Hunterdon Study, Chronic illness in the United States, Vol. III, Harvard University Press (Massachusetts, 1957).Google Scholar
  19. The International Association for Prevention of Blindness. Standard classification of causes of blindness for international use.J. of Soc. Ophthal. 35 (1964).Google Scholar
  20. Jerndal, T., Lindstedt, E., Svensson, T. & Akerskog, G. Retinoblastoma in Sweden.Acta Ophthalm. 51:543–550 (1973).Google Scholar
  21. Kakalik, J.S., Brewer, G.D., Dougharty, L.A. & Fleischer, P.D., Genensky, S.M. Services of handicapped youth: a program overview. The Rand Co. (Santa Monica, 1973).Google Scholar
  22. Koppe, J.G., Kloosterman, G.J., De Roever-Bonnet, H., Eckert-Stroink, J.A., Loewer Sieger, D.H. & De Bruijne, J.I. Toxoplasmosis and pregnancy, with a long-term follow-up of the children.Europ. J. Obstet. Gynec. Reprod. Biol. 4 (3):101–110 (1974).Google Scholar
  23. Krill, A.E. Personal communication (1970).Google Scholar
  24. Legein, Ch.P., Henkes, H.E. & van Balen, A.Th.M. Examination under general anaesthesia of children with defective vision. Doc. Ophthal. Proc. Ser. Vol. 4: 419–423 (1974).Google Scholar
  25. Lindstedt, E. (1) Eye injury in Sweden.Acta Ophthal. 44:590–606 (1966).Google Scholar
  26. Lindstedt, E. (2) Blind people in Sweden, a medical study.Acta Ophthal. 45:1146–1158 (1968).Google Scholar
  27. Lindstedt, E. (3) Congenital malformations of the eye.Acta Ophthal. 46:355–359 (1968).Google Scholar
  28. Lindstedt, E. (4) Causes of blindness in Sweden. Diss. Acta Ophthal. Suppl. 104, (Munksgaard, Copenhagen, 1969).Google Scholar
  29. Lindstedt, E. (5) Severe visual impairment in Swedish children.Doc. Ophthal. 31 (1):173–204 (1972).Google Scholar
  30. Lindstedt, E. (6) Partially sighted Swedish schoolchildren.Doc. Ophthal. this volume:351–364 (1975).Google Scholar
  31. Mac Donald, A.E. Causes of blindness in Canada.Canad. Med. Ass. J. 92:264–279 (Toronto, 1965).Google Scholar
  32. Merin, S., Crawford, J.S. The etiology of congenital cataract.Canad. J. Ophthalm. 6:178 (1971).Google Scholar
  33. Merin, S., Lapithis, D., Horowitz & Michaelson, J.C. Childhood blindness in Cyprus.Amer. J. Ophthalm. 74 (3) (1972).Google Scholar
  34. Merin, S., Shapira, Y., Szabo, G. & Auerbach, E. Electrophysiological studies of the visual system in mentally retarded children. Part 1: The electroretinogram. Publ. by Ch.B. Slack Inc. Med. Publ. (1973).Google Scholar
  35. Nizetic, B. Causes of blindness in the world.Rev. Int. Trachom. 50 (4):75–87 (1973).Google Scholar
  36. Rintelen, F. Uber Erblindungsursachen in der Schweiz.Ophthalmologica 154:228–238 (1967).Google Scholar
  37. Robinson, G.C., Watt, J.A. & Scott, E. A study of congenital blindness in British Columbia. Epidemiological findings.Canad. J. Ophthalm. 4:152 (1969).Google Scholar
  38. Schappert-Kimmijser, J. Causes of blindness in The Netherlands. Thesis (van Gorcum, Assen Holland, 1959).Google Scholar
  39. Schappert-Kimmijser, J. Les dégénérescences tapéto-rétiniennes du type X-chromosomal aux Pays-Bas. Extraits des Bull. et Mémoires de la Soc. Franc. d'Ophtalmologie, 76e année, 122–129 (1963).Google Scholar
  40. Schappert-Kimmijser, J. The heredity of retinoblastoma. 2nd Congress Europ. Soc. Ophthal. Vienna 1964.Ophthalmologica 151 (1966).Google Scholar
  41. Schappert-Kimmijser, J. Retinoblastoma problems in The Netherlands.Ophthalmologica 163:12–14 (1971).Google Scholar
  42. Schappert-Kimmijser, J. Problems concerning the visually handicapped child.Ophthalmologica 167:383–386 (1973).Google Scholar
  43. Schappert-Kimmijser, J. Problems of differential diagnosis in the visually handicapped child.J. Pediat. Ophthal. 10:3 (1973).Google Scholar
  44. Seedorff, T. Retrolental fibroplasia.Acta Ophthalmologica 46:500–505 (1968).Google Scholar
  45. Svedbergh, B., Lindstedt, E. Retrolental fibroplasia in Sweden.Acta Paedr. Scand. 62:458–464 (1973).Google Scholar
  46. Visseau, J. Contribution à l'étude des causes de cécités et d'amblyopie chez l'enfant. Thèse 1970.Google Scholar
  47. Warburg, M. Diseases of the eye among mental defectives.Acta Ophthal. 41:157 (1963).Google Scholar
  48. Warburg, M. Tracing and training of blind and partially sighted patients in institutions for mentally retarded.Dan. Med. Bull. 17:148 (1970).Google Scholar
  49. Warburg, M. Eye malformations in the mentally retarded. Proc. of the third Europ. Conf. on Genetic Counselling (1974), in press).Google Scholar
  50. Warburg, M. Prevention of blindness in the mentally retarded.The Sight-Saving Review 44(4):165–170 (1975).Google Scholar
  51. Warburg, M. Blindness in mentally retarded children.Doc. Ophthal. this volume:343–349 (1975).Google Scholar
  52. World Health Organization. Prevention of blindness. Report of a WHO study group. Technical Report Series, no. 518 (Geneva, 1973).Google Scholar

Copyright information

© Dr. W. Junk bv Publishers 1975

Authors and Affiliations

  • The Committee for Special Study of Severe Visual Impairment in Children of The International Association for Prevention of Blindness (I.A.P.B.)

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