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Risk of strabismus and ambylopia in children with hydrocephalus
Ozgül Altintas1, Volkan Etus, Hande Etus
1Deparment of Ophthalmology, School of Medicine, University of Kocaeli, Izmit, Turkey. ozgulaltintas@yahoo.com
Insights
Children with hydrocephalus have a high risk of strabismus and amblyopia, especially after shunt revision. Regular eye exams are crucial for monitoring and treating visual defects in these patients.
Area of Science:
- Ophthalmology
- Pediatric Neurology
- Neurosurgery
Background:
- Hydrocephalus is a condition characterized by excess cerebrospinal fluid in the brain.
- Surgical intervention, such as shunt placement, is common for managing hydrocephalus.
- Potential complications of hydrocephalus and its treatment can affect visual development.
Purpose of the Study:
- To assess the incidence of strabismus and amblyopia in children treated for hydrocephalus.
- To compare the risk of these visual impairments with existing literature.
- To identify factors associated with increased risk of visual defects.
Main Methods:
- Comprehensive ophthalmological and orthoptic examinations were conducted.
- Cycloplegic refraction was performed on all participants.
- Patient data regarding hydrocephalus treatment, including shunt revisions, were collected.
Main Results:
- 40% of patients (10/25) exhibited manifest strabismus (4 esotropia, 6 exotropia).
- Amblyogenic refractive errors were identified in 20% of patients (5/25).
- Shunt revision was significantly associated with a higher risk of strabismus and amblyopia (P<0.05).
Conclusions:
- Children with hydrocephalus require vigilant monitoring for acquired visual defects like amblyopia and strabismus.
- Early detection and treatment of visual impairments are essential for optimal vision outcomes.
- Regular ophthalmic supervision is recommended for children with hydrocephalus to maintain visual health.
Objectives:
The present study was undertaken to determine the risk of strabismus and ambylopia in children who underwent operation for hydrocephalus and to compare our results with those in previous studies.
Methods:
Full orthoptic and ophthalmological examinations, including cycloplegic refraction, were performed in all subjects.
Results:
Ten of 25 patients (40%) were found to have manifest squint. Four of these had esotropia and six had exotropia. No paretic squint or alphabetic pattern strabismus was determined. Refraction measurements revealed amblyogenic refractive errors (significant refractive errors that cause amblyopia) in five of the 25 (20%) patients in this study. Strabismus and the risk of amblyopia were found to be significantly higher in patients who experienced shunt revision than those who had not (P<0.05).
Conclusion:
Amblyopia, strabismus, and other acquired defects in the visual system related to hydrocephalus should be closely monitored and treated when indicated. Regular ophthalmic supervision will provide and help to maintain the best possible standard of vision in children with hydrocephalus.
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