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Esotropia in Children with Ventricular-Peritoneal Shunts
Caroline N DeBenedictis1, Steven E Rubin1, Sylvia R Kodsi1
1a Department of Ophthalmology , North Shore - Long Island Jewish Health System , Great Neck , NY , USA.
Strabismus
|November 13, 2015
Summary
Children with hydrocephalus and ventricular-peritoneal shunts often have congenital esotropia. Despite developmental delays, successful ocular alignment is achievable through strabismus surgery or glasses.
Area of Science:
- Ophthalmology
- Pediatric Neurology
- Neurosurgery
Background:
- Strabismus is more prevalent in individuals with hydrocephalus compared to the general population.
- Esotropia, a form of strabismus, is a common concern in pediatric patients with hydrocephalus requiring shunt placement.
Purpose of the Study:
- To investigate the characteristics and treatment outcomes of pediatric patients diagnosed with esotropia who have undergone ventricular-peritoneal shunt placement for hydrocephalus.
Main Methods:
- A retrospective chart review was conducted on pediatric patients with esotropia and a history of ventricular-peritoneal shunt placement.
- Data were collected from January 2000 to December 2010.
Main Results:
- Sixteen pediatric patients (age 3 months to 5.6 years) were included. Nine were premature, and most had developmental delay.
- Hydrocephalus, often diagnosed before esotropia, was linked to intraventricular hemorrhage or congenital causes in 75% of cases.
- Successful ocular alignment (<10 prism diopters) was achieved in 56% of patients; 78% of those undergoing strabismus surgery had successful alignment.
Conclusions:
- Children with ventricular-peritoneal shunts may have a higher incidence of congenital esotropia compared to acquired forms.
- Despite frequent developmental delays, effective ocular alignment is attainable in this patient group.
