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vision
Children with hemiplegia may have vision abnormalities. In a study conducted in Italy in 2001, 80% of children with congenital or early acquired hemiplegic cerebral palsy showed abnormal results in at least one visual test (1)
Hemianopia, sometimes called hemianopsia, is a blindness in one half of the visual field. This can affect the right or left side and will affect both eyes.
Tips for dealing with visual field cuts
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When reading, mark materials so that the reader will know where to stop or start. If the reader has right vision loss, you might draw a blue line along the right margin of the page.
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Once the child realizes that he or she can only see to one side, they may be able to learn to physically turn to the other side in order to see objects. If the child is unable to learn this, the parent might consider making accommodations such as placing food on the visual side of the plate.
(1) Visual function in children with hemiplegia in the first years of life
Vision and Brain Injury: Post-Trauma Vision Syndrome Part I
Vision
and Brain Injury: Post-Trauma Vision Syndrome Part II
Vision Related Side Effects
following head injury or stroke
Asymmetries in visual-spatial processing following childhood stroke. April 2004. South Carolina
Neonatal cerebral infarction and visual function at school age. Nov. 2003. London. Mercuri, Anker, Guzzetta, Barnett, Haataja, Rutherford, Cowan, Dubowitz, Braddick, Atkinson
Visual function in children with hemiplegia in the first years of life. May 2001. Italy. These results indicate that visual abnormalities are common in children with hemiplegia, and that they cannot always be predicted by MRI. All children with hemiplegia need a detailed assessment of visual function.
Case study: 14 month of with homonymous hemianopia to the right... post-partial infarction
Visual function and perinatal focal cerebral infarction. Sept. 1996. London.
Visual
outcome in children with congenital hemiplegia: correlation with MRI findings.
Aug. 1996. Italy. Results would suggest that all the children with congenital
hemiplegia need to be investigated irrespective of the clinical severity or of
the type or the extent of the lesion. This would help to identify children with
minor visual abnormalities which can affect everyday life performance.
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The information contained in this Children's Hemiplegia and Stroke
Association (CHASA) Web site is not a substitute for medical advice or treatment, and
CHASA recommends consultation with your doctor or health care professional.