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Ophthalmological symptoms in children with intracranial cysts
Anna Gotz Wieckowska1, Lidia Glowka1, Agata Brazert1
1Department of Ophthalmology University of Medical Sciences Dluga ½, Poznan, 61-848, Poland.
Insights
Children with intracranial cysts often experience visual disorders. Enhanced ophthalmological diagnostics are crucial for early detection and management of these vision problems in pediatric patients.
Area of Science:
- Ophthalmology
- Pediatric Neurology
- Neuroimaging
Background:
- Intracranial cysts can impact neurological development in children.
- Ophthalmological abnormalities are frequently associated with various neurological conditions.
Purpose of the Study:
- To conduct ophthalmological assessments in children diagnosed with intracranial cysts.
- To investigate the relationship between intracranial cysts and the presence of visual disorders in pediatric patients.
Main Methods:
- Retrospective analysis of 26 children with intracranial cysts.
- Ophthalmological examinations including best-corrected visual acuity (BCVA), eye alignment, and visual evoked potentials (VEP).
- Additional tests to rule out other causes of visual impairment.
Main Results:
- Visual disorders were prevalent, with decreased BCVA in 13 children and abnormal VEP in 13.
- Strabismus affected 14 patients (53.9%), nystagmus in 5 (19.2%), and double vision in 2 (7.7%).
- Arachnoid cysts in the posterior cranial fossa were most frequently associated with visual disturbances.
Conclusions:
- Children with intracranial cysts exhibit a high incidence of visual disorders.
- Comprehensive ophthalmological evaluation is essential for children with intracranial cysts.
- Posterior fossa arachnoid cysts show a significant correlation with visual impairments.
Abstract:
The purpose of this study was to perform an ophthalmological assessment in children with intracranial cysts and to assess the correlation between the occurrence of cysts and visual disorders. The documentation of 46 children with intracranial cysts, monitored by the Children's Outpatient Ophthalmology Clinic, Poznan, Poland was analysed. The best corrected visual acuity (BCVA), the alignment of the eyes, visual evoked potentials (VEP), comprehensive eye examination were performed in all patients. Additional ophthalmological tests were conducted to eliminate other causes of decreased visual acuity.Included in the final analysis were 26 children (52 eyes). The average age at the last visit was 10.3 years. Sixteen children (61.5%) had arachnoid cysts located in the posterior cranial fossa, 3 children (11.5%) in the middle cranial fossa, while 7 children (27%) had a pineal cyst. Decreased BCVA was found in 13 children, abnormal VEP in 13, strabismus in 14 patients (53.9%), nystagmus in 5 patients (19.2%), and double vision in 2 patients (7.7%). Numerous visual disorders in children with intracranial cysts suggest the necessity to carry out enhanced ophthalmological diagnostics in these patients. In the examined patient group, visual disorders occurred mostly in the case of arachnoid cysts of the posterior fossa.
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