Important to evaluate children with visual impairment

Congenital optic disc malformations can cause visual impairment. Diagnostics can be challenging during early infancy and childhood and visual prognosis difficult to predict; optical coherence tomography may be of value. The children often have coexisting comorbidities like pituitary hormone deficiency, neurodevelopmental disorders, and neurological impairments, and evaluation by a pediatrician should be performed. Also, genetic analyses should be considered. Co-operation in multidisciplinary teams is of value for correct diagnosis, visual habilitation and treatment of hormonal and neurological dysfunctions.