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Ocular findings in patients with spastic type cerebral palsy

Cited 9 time in Web of Science Cited 12 time in Scopus
Authors
Park, Myung Jin; Yoo, Yung Ju; Chung, Chin Youb; Hwang, Jeong-Min
Issue Date
2016-11-08
Publisher
BioMed Central
Citation
BMC Ophthalmology, 16(1):195
Keywords
Spastic typeCerebral palsyOcular findingsStrabismus
Abstract
Abstracts

Background
Refractive errors, strabismus, nystagmus, amblyopia, and cortical visual impairment are observed in 50 to 90 % of patients with cerebral palsy. Ocular abnormalities are known to differ according to cerebral palsy type, and spastic type has been reported to be more likely to be associated with ocular defects than the athetoid and ataxic types.


Methods
A retrospective review of medical records was performed on 105 consecutive children with spastic type of cerebral palsy who underwent ophthalmologic examination between July 2003 and March 2006. The complete ophthalmological examination included measurement of visual acuity, ocular motility, stereoacuity, binocular vision, cycloplegic refraction along with the evaluation of the anterior segment and the posterior segment.


Results
The most common ocular abnormality was strabismus (70.5 %) followed by refractive errors (53.3 %). Exodeviation was more commonly found than esodeviation (46 vs 27 patients), and hyperopia was much more prevalent than myopia. A considerable number of patients with strabismus had abnormal ocular motility wherein 16 patients showed inferior oblique overaction and ten superior oblique overaction. Whereas inferior oblique overaction was accompanied similarly in exotropia and esotropia, superior oblique overaction was accompanied more by exotropia.


Conclusions
Children with spastic type cerebral palsy have a high prevalence of strabismus and refractive errors. Exotropia and hyperopia are the most common ocular abnormalities. All children with spastic type of cerebral palsy may require a detailed ophthalmologic evaluation.
Language
English
URI
https://hdl.handle.net/10371/100581
DOI
https://doi.org/10.1186/s12886-016-0367-1
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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