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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

Insights

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

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.
Abstract

Keywords:
Acquired strabismusCongenital hydrocephalusEsotropiaVentriculoperitoneal shunt

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