Pediatric VIEW brochure

Pediatric VIEW Supporting children with

Cortical Visual Impairment (CVI)

IS CVI? WHATWHAT IS CVI?

Visual Impairment CorticalCortical Visual Impairment (CVI) (CVI is the leading is the leading cause ofcause visualof visual impairment in all developed impairment in all developed countries.

Individuals countries. Individuals with CVIwith CVI often have eyes that function often have eyes that function normally the message normally but the but message that is that i in the brain receivedreceived in the brain from thefrom the eyes is not able to be processed eyes is not able to be processed normally.

It is an invisible normally.

It is an invisible form of form o visual impairment that is often visual impairment that is often not identified early childhood. not identified in early in childhood.

CVI CAUSES CVI CAUSES

CVI is caused by conditions that the impact the structure or function of CVI is caused by conditions that impact structure or function of theprocessing visual processing of theConditions brain. Conditions mayatoccur the visual areas ofareas the brain. may occur birth at bir or be acquired later through Some specific causes or be acquired later through trauma.trauma.

Some specific causes of CVI of CVI Hypoxia/asphyxia, whitedisorders, matter disorders, include:include: Hypoxia/asphyxia, white matter stroke, stroke, intraventricular hemorrhage, genetic/chromosomal disorders, and intraventricular hemorrhage, genetic/chromosomal disorders, and seizures. areofatmisdiagnosis risk of misdiagnosis with condition seizures.

ChildrenChildren with CVIwith are CVI at risk with conditions thatCVI, mask CVI, as and autism and attention deficit disorders. that mask such assuch autism attention deficit disorders. .

.

BENEFITS PEDIATRIC WHO WHO BENEFITS FROMFROM PEDIATRIC VIEW?VIEW?

Appointments can be scheduled for individuals from to age 2 Appointments can be scheduled for individuals from birth to birth age 21.

If you have concerns about youruse child’s use ofplease vision, contact please conta If you have concerns about your child’s of vision, us*today. * Financial assistance and scholarships are available * us today.

Financial assistance and scholarships are available *

The following visual and behavior The following visual and behavioral char 10 SIGNS OF CVI: 10 SIGNS OF CVI: Color preferences (often red,saturated) yellow, saturated) 1. Color 1. preferences (often red, yellow, for movement (to elicit/sustain attention) 2. Need 2. forNeed movement (to elicit/sustain attention) Visual (processing latency (processing 3. Visual3.latency time) time) Visual field preferences 4. Visual4.field preferences

5. Difficulty with visual complexity (array, target/object, multisensory, 5. Difficulty with visual complexity (array, target/object, multisensory, faces) fa

IS THE HATWHAT IS THE PEDIATRIC EDIATRIC VIEWVIEW PROGRAM? ROGRAM?

PEDIATRIC VIEW OFFERS: PEDIATRIC VIEW OFFERS: The CVIfunctional Range functional • The CVI• Range vision vision assessment assessment protocol.protocol.

VIEWinbegan in 1999 as diatricPediatric VIEW began 1999 as an extension NICU follow-up• Developmental extension of NICU of follow-up • Developmental and educational and educational perspectives and collaboration with and collaboration with programs in a Pittsburgh-basedperspectives grams in a Pittsburgh-based providers (Dr. Roman-Lantzy has an providers (Dr. Roman-Lantzy has an It has been continually spital.hospital.

It has been continually background extensiveextensive background in both in both administered

by Dr. Christine areas). areas). ministered

by Dr. Christine Roman-Lantzy, man-Lantzy, growinggrowing from a from a local program to one that serves al program to one that serves • Consultations with families • Consultations with families beyond beyond the assessment, if requested the assessment, if requested worldwide. miliesfamilies worldwide.

Most Most seek a CVIwhich Range, which miliesfamilies seek a CVI Range, • Consultation and collaboration with • Consultation and collaboration with is a functional vision assessment a functional vision assessment medical providers, if requested. medical providers, if requested. designed to determine the signed to determine the impact CVI. Areport writtenisreport •isOpportunities pact of CVI. Aofwritten • Opportunities for in training for training CVI in CVI then developed as anplan action plan n developed as an action assessment and intervention for assessment and intervention for educational and therapeutic and therapeutic of targeted interventions and educational argeted interventions and providers. accommodations to support useproviders. commodations to support use of functional visionaacross a unctional vision across • A resource for families to help with • A resource for families to help with child’s daily routines. ld’s daily routines. integration of CVI supports integration of CVI supports across across daily routines. daily routines.

• A program support program to connect • A support to connect families with the greater CVI families with the greater CVI community. . . community.

racteristics aretoused to identify the potential presence stics are used identify the potential presence of CVI.of CVI.

Need for/attraction Need 6. for/attraction to light to light

7. Difficulty with distance Difficulty with distance viewing viewing

8. Atypical visual reflexes Atypical visual reflexes

9. Difficulty with visual (easier noveltywith (easier with objects, familiar objects, people, settings) Difficulty with visual novelty familiar people, settings)

10. Difficulty with guided visuallyreach guided reach (looking and reaching at the same time) Difficulty with visually (looking and reaching at the same time)

Who is Dr. Christine Roman-Lantzy?

Christine Roman-Lantzy, Ph.D. was raised in Michigan and received degrees in elementary education and special education/visual impairment from Michigan State University.

She worked as an itinerant teacher of the visually impaired in the greater Pittsburgh area for 17 years prior to becoming a research assistant in the Vision Studies program at the University of Pittsburgh. While at Pitt, she completed studies in orientation and mobility and received a master’s degree in medically fragile/high-risk infants.

Her doctoral studies were also completed at Pitt; her dissertation, Validation of an Interview Instrument to Identify Behaviors Characteristic of Cortical Visual Impairment in Infants, revealed that caregivers of infants can reliably report regarding the presence or absence of the characteristics of CVI. Dr. Roman Lantzy is the director of the Pediatric VIEW Program at The Children’s Home & Lemieux Family Center and a former project leader of the CVI Project at The American Printing House for the Blind in Louisville, KY. She has lectured extensively regarding the CVI materials she has developed. These materials include: The CVI Range, an assessment of functional vision, and .

The CVI Resolution Chart & CVI/O&M Resolution Chart, used to plot and monitor progress. She is the author of Cortical Visual Impairment: An Approach to Assessment and Intervention and Cortical Visual Impairment: Advanced Principles.

5324 Penn Avenue Pittsburgh, PA 15224 phone: 412.441.4884 toll free: 1.800.961.7704 fax: 412.441.0167 e-mail: PediatricVIEW@chomepgh.org www.childrenshomepgh.org www.facebook.com/ChildrensHomePgh ©2021 The Children’s Home of Pittsburgh & Lemieux Family Center. We pledge equal access to services and employment regardless of race, color, religious creed, disability, ancestry, national origin, age or sex.