VISUAL FIELD DEFECTS 2



I had meant to send some information for parents of the Schiz Kids with visual problems.

Some of the children have visual problems ranging from SOD to nystagmus (eye muscle control related to cerebral lpalsy type of tightness or weakness). Trying to understand what is causing particular problems for a parent can sometimes be hard when the child isn't verbal enough to say what they do or do not see.

For us, the optic nerves are fine, but visual muscle control has been a necessary therapeutic intervention.

I believe that due to the nature of the large empty cleft in the upper left portion of the brain that equates to a severe stroke, Evan has had visual problems relating to some described for stroke victims with major visual field defects, known as homoymous hemianopia. Basically one side of the visual field (this is where the hemi word comes in) is blocked. You get a visual effect of looking through a keyhole, where parts of the view are obstructed.

Here is a site that shows you what the left field defect would look like (it can also be right field depending on where the brain damage has occurred, I believe Evan's is a right field defect). (click on the link below and scroll to homonymous hemianopia)

Simulations

Evan isn't sufficiently verbal to say what her visual fields are but she holds her head slightly to the right when needing to view particular objects directly in front of her. I believe she is simply compensating her head movement to bring the object into the left visual field that does exist for her. She consistly moves her head this way to see objects, which leads me to believe that the right side of her left eye has a lack of vision, due to the affected area of her brain.

This has been some helpful information for me and might be something of interest for other parents trying to understand what might be causing visual problems for their Schiz Kids.

Sincerely,
Joan