Ocular characteristics of patients with cerebral palsy
| dc.contributor.author | Uludag, Huseyin Avni | |
| dc.contributor.author | Guven, Soner | |
| dc.contributor.author | Kucukevcilioglu, Murat | |
| dc.contributor.author | Mutlu, Fatih Mehmet | |
| dc.date.accessioned | 2022-03-15T06:13:19Z | |
| dc.date.available | 2022-03-15T06:13:19Z | |
| dc.date.issued | 2020 | |
| dc.department | İnönü Üniversitesi | en_US |
| dc.description.abstract | Aim: The purpose of this study is to report the ophthalmic characteristics and treatment results of our cerebral palsy (CP) patients. Materials and Methods: We explored the charts of 62 CP patients who were followed by our tertiary referral pediatric ophthalmology and strabismus department between 1998-2018 retrospectively. Patient demographics, strabismus type, preoperative deviation, type of surgery, visual acuities (VA), fundus findings, first surgery time, additional surgeries and anomalies and follow-up time were recorded. Results: Mean age and follow-up time were 34.1 and 42.6 months respectively. Most of the subjects (80.6%) had bilateral VA less than 20/200. The ratio of patients without fixation and follow was 11.2% in right eye and 14.5% in left eye. Fifty eight percent of patients had normal fundus findings. The most leading finding was bilateral optic disc pallor in abnormal fundus patients (33.8%). Fifty-six (90.1%) patients had strabismus (esotropia (ET) (50%), exotropia (XT) (35.5%), vertical deviation (4.8%). Mean horizontal deviation was 25.64±8.41 (8-40) prism diopter (PD) in ET and 25.4±9.39 (12-40) PD in XT. We performed strabismus surgery to 20.9% of patients. The most frequent surgery type was bilateral medial rectus recessions. Mean first surgery time was 35.6 months. Four (30.7%) patients who had previous strabismus surgery needed additional surgery. The most frequent additional surgery types were medial rectus advancement (50%) and inferior oblique myectomy (50%). Prematurity (19.3%), epilepsy (12.9%) and corpus callosum dysplasia and periventricular leukomalacia (12.9%) were the leading encountered additional anomalies. Conclusions: CP patients are mostly accompanied with esotropia. The management of CP patients may be challenging due to need of additional surgeries. | en_US |
| dc.identifier.citation | Guven, S., Avni Uludag, H., Kucukevcilioglu, M., & Mehmet Mutlu, F. (2021). Ocular characteristics of patients with cerebral palsy . Annals of Medical Research | en_US |
| dc.identifier.uri | https://hdl.handle.net/11616/55508 | |
| dc.language.iso | en | en_US |
| dc.relation.ispartof | Annals of Medical Research | en_US |
| dc.rights | info:eu-repo/semantics/openAccess | en_US |
| dc.title | Ocular characteristics of patients with cerebral palsy | en_US |
| dc.type | Article | en_US |
