Neuro-ophthalmological disorders in cerebral palsy and cortical visual impairment patients.

Authors

  • Javaria Mustafa COAVS
  • Ajmal Chaudhary Children Hospital Lahore

Abstract

OBJECTIVE: To find the types & proportion of various Neuro ophthalmological disorders in cerebral palsy patients. To find the proportion of nystagmus, fundus findings, refractive error and type of deviations.

STUDY DESIGN AND METHOD: It is descriptive cross sectional study. Data were collected by clinical examination and by self-designed Proforma. Visual acuity on Log Mar chart for distance Vision. For Fundoscopy use ophthalmoscope, refractive error by Retinoscope, and strabismus by cover test.

RESULTS: Study included total 113 patients were involved. Out of 113 patients, 33 (29.20%) were males and 80 (70.80%) were females. Ocular history of the patients. 39 (34.51%) have visual inattention, 54 (47.79%) have no eye contact and 20 (17.70%) have searching eyes. Visual response: 33 (29.20%) have good visual response and 80 (70.80%) have poor visual response. 90 (79.65%) have nystagmus and 23 (20.35%) have no nystagmus. Type of deviation: 44 (38.94%) have esotropia, 35 (30.97%) have exotropia and 34 (30.09%) were orthotropic.

CONCLUSION: It is concluded that patients of cerebral palsies have a significant chance of having strabismus, refractive error, nystagmus and squint; all related with poor visual response. Hence, these patients must have complete ophthalmic examination.

KEY WORDS: Cerebral palsy, Cortical visual impairment, Strabismus.

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Published

2017-10-01

Issue

Vol. 7 No. 04 (2017): October

Section

Original Article

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