OPHTHALMOLOGY

What Is Cerebral/Cortical Visual Impairment and Why Do We Need a New Definition?
Gordon S, Kerr A, Wiggs C and Chiang MF
Special Commentary: Cerebral/Cortical Visual Impairment Working Definition: A Report from the National Institutes of Health CVI Workshop
Chang MY, Merabet LB and
Cerebral/cortical visual impairment (CVI), a brain-based condition, has emerged as a leading cause of pediatric visual impairment in the United States and other industrialized nations. The National Eye Institute (NEI) recognized CVI as a priority area for research as part of their 2021 NEI Vision for the Future Strategic Plan and partnered with the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the National Institute of Neurologic Disorders and Stroke within the National Institutes of Health (NIH) to sponsor a CVI Workshop in November 2023. A panel consisting of a group of clinicians with expertise in diagnosing CVI convened to draft a working definition for this condition. Five key elements were identified: (1) CVI encompasses a spectrum of visual impairments caused by an underlying brain abnormality that affects the development of visual processing pathways and is characterized by deficits in visual function and functional vision; (2) the visual dysfunction in CVI is greater than expected by any comorbid ocular conditions alone; (3) the visual dysfunction in CVI may manifest as lower-order or higher-order afferent visual deficits, or both, leading to characteristic behaviors in affected individuals; (4) although CVI may be comorbid with other neurodevelopmental disorders, CVI is not primarily a disorder of language, learning, or social communication; and (5) the underlying neurologic insult of the developing brain may go unrecognized or undiagnosed until later in life. Future work is needed to achieve consensus on nomenclature, diagnostic criteria, and strategies for early identification and intervention. The NIH is developing a CVI registry to collect relevant demographic and clinical data prospectively and longitudinally to help inform future research questions and to provide insight into considerations for future clinical trials in the field of CVI.
Corrigendum
Is Patching After Age 4 Beneficial for Children Born with a Unilateral Congenital Cataract?
Drews-Botsch CD, Cotsonis G, Celano M, Zaidi J, Hartmann EE and Lambert SR
The goal of these analyses is to provide evidence that can help parents and health care providers determine whether or not to continue occlusion therapy once a reliable measure of optotype acuity can be obtained in children who are born with a unilateral congenital cataract.
Reply
Lin MX and Akpek EK
Intravitreal Melphalan for Vitreous Metastases from Cutaneous Melanoma
Cain RE, Chou YB and Shields CL
Re: Lin et al.: Dexamethasone intracanalicular insert for clinically significant aqueous-deficient dry eye: a randomized controlled trial. (Ophthalmology. 2024;131:1033-1044)
Feifei H and Guangsen L
Reply
Israilevich RN and Hsu J
Nationwide prevalence and geographic variation of idiopathic intracranial hypertension among women in the United States
Fraz MA, Kim BM, Chen JJ, Lum F, Chen J, Liu GT, Hamedani AG and
The prevalence of idiopathic intracranial hypertension (IIH) is increasing, but this has not been examined on a nationwide scale. Our objective was to determine the nationwide prevalence and geographic distribution of IIH among women in the U.S.
Retinopathy in Mucopolysaccharidoses
Noor M, Mehana O, de la Mata G, Aslam T, Parry N, McGrath O, Sornalingam K, Ghosh A, Jones S and Ashworth J
To determine the pattern(s) of onset, variation, and progression of retinopathy in patients with Mucopolysaccharidosis (MPS).
Subconjunctival Iris Incisional Herniation
Xie W
Concentric Macular Rings Sign in a Patient with Variant Turner Syndrome
Surl D, Lee H and Han J
Hurricane Keratopathy Induced by Anticancer Drug S-1
Chang Y and Chen D
Dandelion-like Retinal Capillary Hamartoma
Lin Y and Gong Y
Demographic and Ocular Comorbidities in Elderly Individuals with Corneal Ulcers
Hwang J, Li G, Sommi A, Klawe J, Akpek E and Ahmad S
Nerve Growth Factor Treatment for Neurotrophic Keratopathy in IRIS® Registry
Zidan AA, Gilbert JB, Goldberg E, Ross C, Elze T, Lorch AC, Miller JW, Dana R, Yin J and
Nerve growth factor treatment significantly improved visual acuity and non-visual outcomes and reversed the trend of visual decline in 1,476 patients with neurotrophic keratopathy within the IRIS Registry.
Associations between School-Based Vision Program Outcomes and School Characteristics in 410 Schools
Kallem M, Guo X, Dai X, Ambrosino C, Nguyen A, Friedman DS, Repka MX, Kourgialis N and Collins M
School-based vision programs (SBVPs) deliver vision care services directly to students at school, helping address disparities in access to pediatric vision care. We aim to evaluate the associations between SBVP outcomes and school-level characteristics.
A 5-year-old Down Syndrome Patient with a Pseudo-Soemmering Ring
Wang J, Petersen J and Chang TCP
Risk of uveitis among E-Cigarette Users: a multi-institutional TriNetX study
Hsu AY, Wang YH, Hsia NY, Lai CT, Kuo HT, Wu BQ, Lin CJ, Chiang CC, Shao YC, Chen HS, Tsai YY and Wei JC
To determine the risk of uveitis among e-cigarette users METHODS: The TriNetX database was used to recruit adult patients with and without a history of e-cigarette usage. The primary outcome was the incidence of new-onset uveitis.
Recurrent Corneal Metallic Foreign Bodies after Indoor Swinging
Biermann J and Lücking-Lenkitsch S
Ultrawidefield Imaging of Nanophthalmos with Choroidal Congestion
Li X, Gu Y and Zhu K