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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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Strabismus in hydrocephalus patients.

Bengu Ekinci Koktekir1, E Koktekir2, G Ozcan3

  • 1Department of Ophthalmology, Selcuk University Faculty of Medicine, Konya, Turkey. benguekinci@hotmail.com.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|May 23, 2019
PubMed
Summary
This summary is machine-generated.

Children with hydrocephalus often develop esotropia (inward eye turning). Surgical correction and glasses can improve ocular alignment in these patients, though outcomes vary.

Keywords:
Acquired strabismusCongenital hydrocephalusEsotropiaVentriculoperitoneal shunt

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Area of Science:

  • Ophthalmology
  • Pediatrics
  • Neurology

Background:

  • Strabismus is a common condition affecting eye alignment.
  • Hydrocephalus is a neurological condition characterized by excess cerebrospinal fluid in the brain.
  • The relationship between hydrocephalus and strabismus requires further investigation, particularly in pediatric populations.

Purpose of the Study:

  • To investigate the characteristics of strabismus in pediatric patients diagnosed with hydrocephalus.
  • To evaluate the outcomes of strabismus management in patients with hydrocephalus.

Main Methods:

  • A retrospective chart review was conducted.
  • Data were collected from pediatric ophthalmology patients diagnosed with both strabismus and hydrocephalus between 2012 and 2018.
  • Patient demographics, hydrocephalus type, strabismus type, and treatment interventions were analyzed.

Main Results:

  • Seventeen patients (6 months to 13 years) with strabismus and hydrocephalus were identified.
  • All patients had developmental delay, and 5 were premature.
  • Esotropia was the predominant form of strabismus (14/17 patients).
  • 13 patients received glasses (12 for hyperopia, 1 for myopia).
  • 5 patients underwent surgical correction (bimedial recession), with 4 achieving successful ocular alignment.

Conclusions:

  • Esotropia is the most common type of strabismus observed in children with hydrocephalus.
  • While surgical intervention can lead to successful ocular alignment in some cases, glasses may also be beneficial.
  • Comprehensive management strategies are essential for addressing strabismus in patients with hydrocephalus.