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Clinical Spectrum of Ocular Manifestations of Mumps in Children: A Cross-Sectional Study
Sheetal Madalagi1, Kalyani Malasane2, Deepti Joshi2
1Pediatric Ophthalmology and Strabismus, MM Joshi Eye Institute, Gokul Road, Hubli, Karnataka, 580021, India. sheetalsmadalagi@gmail.com.
Insights
Mumps in children can cause various eye problems, including conjunctivitis and optic neuritis. Early detection and collaboration between pediatricians and ophthalmologists are crucial for managing these mumps-related ocular complications.
Area of Science:
- Ophthalmology
- Pediatrics
- Infectious Diseases
Background:
- Mumps is a viral illness typically causing parotitis.
- Ophthalmological complications of mumps in children are not widely documented.
- Understanding these manifestations is key for comprehensive patient care.
Purpose of the Study:
- To detail the spectrum of ophthalmological and neuro-ophthalmological issues in children with mumps.
- To inform clinical practice regarding mumps-related eye conditions.
Main Methods:
- Cross-sectional study of 41 children under 18 with diagnosed mumps.
- Referral to a tertiary eye hospital for evaluation.
- Ophthalmic assessment included visual acuity, slit-lamp biomicroscopy, fundus examination, ocular motility, and squint measurement.
Main Results:
- Ocular symptoms appeared a median of 7 days after parotitis onset.
- Common findings: follicular conjunctivitis (36.85%), uveitis (17.07%), esotropia (17.07%).
- Other significant findings: optic neuritis (9.75%), sixth nerve palsy (9.75%), and encephalitis (4.87%).
Conclusions:
- Mumps presents with diverse ocular and neuro-ophthalmological manifestations in children.
- Highlights the need for a coordinated approach between pediatricians and ophthalmologists.
- Emphasizes the importance of ophthalmological screening in pediatric mumps cases.
Objective:
This study aimed to describe the ophthalmological and neuro-ophthalmological manifestations of mumps in children.
Methods:
This cross-sectional study included 41 children aged < 18 years who were clinically diagnosed with mumps by a pediatrician and referred to a tertiary eye hospital. Comprehensive ophthalmic evaluation included visual acuity testing, slit-lamp biomicroscopy, fundus examination, ocular movement assessment, and squint measurement.
Results:
The mean time from onset of parotitis to ocular symptoms was 7 days. Out of 41 children, 15 (36.85%) had follicular conjunctivitis. Other ophthalmic findings included acute non-granulomatous uveitis (17.07%), acute acquired esotropia (17.07%), optic neuritis (9.75%), sixth nerve palsy (9.75%), encephalitis (4.87%), dacryoadenitis (2.43%), myasthenia gravis (2.43%), and accommodative insufficiency (2.43%).
Conclusion:
Apart from causing systemic involvement, mumps causes varied ocular manifestations which highlight the importance of a unified role of pediatricians and ophthalmologists in managing children with mumps.
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