You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 112 No. 4, April 1994 TABLE OF CONTENTS
  Archives
  •  Online Features
  ARTICLE
 This Article
 • Reply to article
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal

Pattern reversal visual evoked potentials following early treatment of unilateral, congenital cataract

D. L. McCulloch and B. Skarf
Department of Ophthalmology, Hospital for Sick Children, Toronto, Ontario.

OBJECTIVE: To describe the pattern reversal visual evoked potentials (VEPs) that were used to monitor and quantify early visual development following treatment for dense, unilateral, congenital cataract. DESIGN: Longitudinal prospective study. PATIENTS: Six infants who underwent surgery and contact lens correction before age 5 months and who had good compliance with occlusion therapy throughout the first 3 years of life. RESULTS: Initially, VEPs from aphakic eyes showed marked abnormalities, including small amplitudes, prolonged latencies, missing components, and absent VEPs to small check sizes. Threshold check size was elevated by 3 octaves or more. With part-time occlusion of the opposite eye, VEPs normalized rapidly in the first year, but residual deficits remained to age 4 years when visual acuities were between 20/50 and 20/120 in aphakic eyes. Threshold check size clearly differentiated between aphakic and normal eyes and was the only VEP parameter that was correlated with single-letter visual acuity. Thus, threshold check size had greater clinical use than measures of pattern VEPs based on latency, amplitude, or waveform. CONCLUSIONS: Patients treated for unilateral congenital cataract, who have early surgery and contact lens correction and comply with occlusion therapy, show a period of rapid VEP maturation and have a good visual prognosis.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Monitoring Visual Function in Children With Syndromic Craniosynostosis: A Comparison of 3 Methods.
Liasis et al.
Arch Ophthalmol 2006;124:1119-1126.
ABSTRACT | FULL TEXT  

Should we aggressively treat unilateral congenital cataracts?
Taylor et al.
Br. J. Ophthalmol. 2001;85:1120-1126.
FULL TEXT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1994 American Medical Association. All Rights Reserved.