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with occipital cortical volume loss, 8% with optic nerve atrophy, and 8% with chiasmal atrophy. Our results suggest that cortical visual impairment related to structural abnormalities of the occipital cortex is likely an important cause of visual impairment in children with CZS with normal eye examinations. Our results suggest that cortical visual impairment related to structural abnormalities of the occipital cortex is likely an important cause of visual impairment in children with CZS with normal eye examinations. To describe the ocu