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[Ophthalmological symptoms of infantile cerebral palsy]
Insights
Strabismus is common in children with cerebral palsy (C.P.), affecting over half of those studied. This eye condition, particularly divergent strabismus, occurs significantly more often in C.P. patients than in typically developing children.
Area of Science:
- Ophthalmology
- Neurology
- Pediatrics
Context:
- Infantile cerebral palsy (C.P.) presents complex challenges, including visual impairments.
- Ophthalmological examinations are crucial for understanding the full spectrum of disabilities in C.P. patients.
Purpose:
- To investigate the prevalence and characteristics of strabismus in children with infantile cerebral palsy (C.P.).
- To compare the incidence of strabismus in C.P. patients with that of normally developing children.
Summary:
- A study of 136 patients with infantile cerebral palsy (C.P.) found strabismus in 56%.
- Divergent strabismus was over three times more common than in typically developing children, often accompanied by nystagmus or squint angle variations.
- No correlation was found between C.P. types and strabismus forms, or between strabismus and refractive error stages.
Impact:
- Highlights the high prevalence of strabismus in infantile cerebral palsy (C.P.), necessitating specialized ophthalmological screening.
- Provides insights into the specific types of strabismus and associated conditions like nystagmus in C.P. patients.
- Informs clinical practice and future research on visual management strategies for children with C.P.
Abstract:
136 patients with infantile cerebral palsy (C.P.) aged between 9 months and 24 years were examined in a special ophthalmology clinic for disabled children. 56% revealed strabismus, which was accompanied by variation in the concomitant squint angle and/or nystagmus in over two thirds of the cases. Strabismus divergens is over 3 times more frequent than in normally developed children. Strabismus in C.P. is more or less independent of the stage of refraction. There is no connection between the different types of C.P. and the various forms of strabismus. 6% of the cerebral paretic children showed gaze palsy combined with nystagmus on attempting to look down.