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Ophthalmic Abnormalities among Children Treated with Cochlear Implants
Ziya Ayhan1, Serpil Mungan Durankaya2, Gül Arıkan1
1Department of Ophthalmology, Dokuz Eylul University School of Medicine, İzmir, Turkey.
The Journal of International Advanced Otology
|November 2, 2020
Summary
A significant number of children receiving cochlear implants have ocular abnormalities. Early ophthalmic consultation is crucial for identifying and managing these vision issues in pediatric cochlear implant recipients.
Area of Science:
- Ophthalmology
- Pediatrics
- Otolaryngology
Background:
- Cochlear implantation is a common treatment for severe to profound hearing loss in children.
- Ocular abnormalities may coexist with hearing loss and impact overall development.
Purpose of the Study:
- To investigate the prevalence and types of ocular abnormalities in children undergoing cochlear implant surgery.
- To emphasize the importance of comprehensive eye examinations in this patient population.
Main Methods:
- Prospective study of 51 children under 18 years old with severe to profound hearing loss receiving cochlear implants.
- Detailed ophthalmic examinations including visual acuity, refraction, motility, slit-lamp, and fundus evaluations were performed.
Main Results:
- 25.4% of children had at least one ophthalmic abnormality.
- Common findings included refractive errors (hyperopia, astigmatism), strabismus, amblyopia, nystagmus, microcornea, and cataracts.
- Congenital syndromes associated with ocular and auditory deficits were also noted.
Conclusions:
- Children undergoing cochlear implantation are at risk for various ocular abnormalities.
- Routine ophthalmological consultation is recommended to detect and treat potentially vision-impairing conditions.

