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NR. 2(II)/2005

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Znaczenie objawów
ocznych w diagnostyce i monitorowaniu leczenia wodogłowia u
dzieci i młodzieży
Hydrocephalus Diagnosis and Treatment Monitoring in Children and
Adolescents – Significance of Ocular Manifestation
Anna Groblewska, Janusz Czajkowski
Klinika Okulistyki Instytutu „Centrum Zdrowia Matki Polki” w
Łodzi
Kierownik: prof. dr hab. med. Janusz Czajkowski |
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| Summary: |
Hydrocephalus indicates
increased accumulation of fluid within the cranium, with
the abnormal enlargement of the cerebral ventricles that
results from increased intracranial pressure. The unique
anatomic location of the visual sensory pathway and all
the ocular motion nerves in the brain has made the
ophthalmic system vulnerable to increased intracranial
pressure. The results of ophthalmologic examination of
426 children with hydrocephalus are presented. Patients
were divided into 5 groups according to the age and
hydrocephalus cause. Visual acuity, refractive error,
eye movement, anterior segment, optic disc appearance,
visual field were examined. Ophthalmologic disorders
were markedly more frequent in hydrocephalic children
than in general population. Squint was the most common
visual abnormality, the second one was abnormal optic
disc appearance. Ocular disorders depend on shunt
placement or replacement. |
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| Key words: |
hydrocephalus, eye
abnormalities. |
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