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Ocular findings in patients with attention deficit and hyperactivity
P B Ulucan Atas1, O M Ceylan2, Y E Dönmez3
1Department of Ophtalmology, Elazig Fethi Sekin City Hospital, Elazig, Turkey. pamuk.b@hotmail.com.
Insights
Children with attention-deficit/hyperactivity disorder (ADHD) exhibit reduced contrast sensitivity and thinner nasal retinal nerve fiber layer (RNFL) thickness. These findings suggest potential visual processing differences in ADHD and may inform environmental adjustments.
Area of Science:
- Ophthalmology
- Neuroscience
- Pediatrics
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder.
- Ocular characteristics in children with ADHD are not fully understood.
- Previous research has not extensively explored visual functions like contrast sensitivity and retinal structure in ADHD.
Purpose of the Study:
- To investigate ocular findings, contrast sensitivity, color perception, and macular and retinal nerve fiber layer (RNFL) thickness in children with ADHD.
- To compare these visual parameters between children with ADHD and healthy controls.
Main Methods:
- A prospective study involving 37 children aged 6-16 diagnosed with combined ADHD and 37 age-matched healthy controls.
- Ophthalmological examinations including Ishihara color vision testing and Functional Acuity Contrast Test.
- Spectral-domain optical coherence tomography (SD-OCT) for macular and RNFL thickness measurements.
Main Results:
- No significant differences in ocular findings, color vision, or convergence insufficiency were observed.
- Children with ADHD showed significantly lower contrast sensitivity at four spatial frequencies (1.5, 3, 12, 18 cpd).
- The ADHD group had significantly thinner nasal quadrant RNFL and macular thickness compared to controls.
Conclusions:
- Children with ADHD demonstrate significantly reduced contrast sensitivity and thinner nasal RNFL thickness.
- These visual alterations may be associated with ADHD pathophysiology.
- Recommendations include enhancing contrast in daily tools and environments for individuals with ADHD.
Aim:
To evaluate ocular findings, contrast sensitivity, color perception, and macular and retinal nerve fiber layer (RNFL) thickness in patients with attention-deficit/hyperactivity disorder (ADHD).
Materials And Methods:
This prospective study included a group of 37 patients aged 6-16 years diagnosed with combined ADHD and a healthy control group of 37 children. The participants underwent an ophthalmological examination. Color vision testing was administered using the Ishihara plates test. Contrast sensitivity test was performed using the Functional Acuity Contrast Test. Macular thickness and RNFL thickness were measured by spectral-domain optical coherence tomography.
Results:
No significant difference was found between the patient and control groups with regard to ocular findings, color vision, and convergence insufficiency (p > 0.05). Contrast sensitivity level was significantly lower at four out of five spatial frequencies (1.5, 3, 12, and 18 cpd) in the patient group compared to the control group. The RNFL thickness in nasal quadrant and macular thickness was significantly higher in the healthy control group compared to the ADHD group.
Conclusion:
Contrast sensitivity levels and the nasal quadrant RNFL thickness were significantly lower in the patient group compared to the control group. Based on the findings of the study, we suggest that the level of contrast in the tools used by ADHD patients in daily life settings should be enhanced.
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