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Related Experiment Videos

Vision in children with hydrocephalus.

Susann Andersson1, Eva-Karin Persson, Eva Aring

  • 1Department of Ophthalmology, Institute of Clinical Neuroscience, The Sahlgrenska Academy of Göteborg University, Göteborg, Sweden. susann.andersson@oft.gu.se

Developmental Medicine and Child Neurology
|September 19, 2006
PubMed
Summary
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Surgically treated hydrocephalus in children frequently causes visual and cognitive visual dysfunction, impacting areas like depth perception and orientation. Children with myelomeningocele showed fewer visual issues.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Neurology

Background:

  • Hydrocephalus in children can lead to various ophthalmic and visual disorders.
  • Surgical treatment is common for hydrocephalus, but its impact on visual function requires detailed assessment.

Purpose of the Study:

  • To detect and quantify visual and visuoperceptual dysfunction in children with surgically treated hydrocephalus.
  • To compare visual outcomes between children with hydrocephalus (with and without myelomeningocele) and a control group.
  • To correlate visual deficits with specific diagnoses and comorbidities.

Main Methods:

  • Comprehensive ophthalmologic examinations were performed on 75 school-aged children with surgically treated hydrocephalus and 140 age- and sex-matched controls.
  • Visual acuity, refractive errors, strabismus, and cognitive visual functions were assessed.

Related Experiment Videos

  • Statistical analysis was used to compare outcomes between groups and identify correlations.
  • Main Results:

    • 83% of children with hydrocephalus exhibited visual function deficits.
    • Significant increases in visual impairment, strabismus (69%), refractive errors (67%), and cognitive visual dysfunction (59%) were observed compared to controls.
    • Children with hydrocephalus and myelomeningocele had the lowest incidence of visual disorders; those with epilepsy, cerebral palsy, or cognitive disability had the highest.

    Conclusions:

    • Surgically treated hydrocephalus is associated with a high prevalence of visual and visuoperceptual disorders in children.
    • Cognitive visual dysfunctions, including impaired depth perception and orientation, are common.
    • Early and comprehensive visual assessment is crucial for children with hydrocephalus, especially those with comorbidities.