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[Eye disorders in children and adolescents]
F Mouriaux1, S Defoort-Dhellemmes, F Kochman
1Service d'Explorations Fonctionnelles de la Vision, CHRU, Hôpital B, Lille.
Journal Francais D'Ophtalmologie
|January 1, 1997
Summary
Non-organic visual disorders in children, often affecting young girls, present with rapid, bilateral vision loss. Diagnosis is confirmed by normal eye exams and electrophysiology, ruling out severe conditions.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Neuro-ophthalmology
Context:
- Non-organic visual disorders (NOVD) are functional conditions affecting vision.
- These disorders are often challenging to diagnose in pediatric populations.
- Characterizing NOVD is crucial for differentiating from organic pathologies.
Purpose:
- To characterize the clinical, perimetric, and electrophysiological features of non-organic ocular disorders in children and adolescents.
- To identify key diagnostic indicators for NOVD in this age group.
- To differentiate NOVD from more severe underlying ocular diseases.
Summary:
- A prospective study of 25 pediatric cases over 16 months identified NOVD predominantly in young girls (9-11 years).
- Common presentations included bilateral, symmetrical, rapid visual loss with variable symptoms responding to suggestion; ocular exams were normal.
- Visual field abnormalities (spiral, tubular constriction) were noted in 52%, and 7' pattern visual evoked potentials were present in 88%.
Impact:
- Ophthalmic and electrophysiological evaluations confirmed the diagnosis of NOVD.
- This study aids in accurate diagnosis and management of functional visual loss in children.
- It helps to avoid unnecessary investigations for severe organic eye diseases.