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NR 4-5/2004
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Ciężkie zaburzenia
widzenia u dzieci z wodogłowiem i chorobami towarzyszącymi
Severe visual impairment of
children with hydrocephalus and concomitant diseases
Dorota Pojda-Wilczek1,
Aleksandra Kicińska2, Nina Krupińska2
1Z Katedry i Oddziału Klinicznego Okulistyki Śląskiej
Akademii Medycznej w Katowicach, Szpital Specjalistyczny nr 1 w
Bytomiu
2Z Koła STN przy Katedrze i Oddziale Klinicznym
Okulistyki Śląskiej Akademii Medycznej w Katowicach
Kierownik: prof. dr hab. n. med. Stefan M. Pojda |
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| Summary: |
Purpose: The aim of
this study is to assess the condition of the sight organ
among small children suffering from hydrocephalus and
accompanying diseases.
Patients and methods: The results of the
examination done upon fifteen children (five girls and
ten boys) suffering from hydrocephalus and accompanying
diseases have been analysed. The accompanying diseases
were as follows: cerebral palsy, epilepsy, retrolental
fibroplasia, microphthalmia and congenital cataract. The
average age of a child was 3,7 months. The examination
concerned: visual acuity, the setting of the eyeballs,
ocular fundus and flash visual evoked potentials (FVEP).
Evans' Index was calculated from MRI or TK examinations.
Results: The following distortions have been
noticed: bilateral optic atrophy (14), bilateral
nystagmus (4), bilateral strabismus (5), bilateral loss
of pupils' reaction (2). The latency of FVEP was like in
control group, but the amplitude was markedly lowered.
Conclusions: Optic atrophy is the main cause of
low vision in children with hydrocephalus. Severe visual
disorders might be a serious problem of rehabilitation
of those children. Objective examination in patient, who
do not co-operate, is FVEP. Evans' Index is not
prognostic value about blindness in children with
hydrocephalus. |
| Słowa kluczowe: |
wodogłowie, potencjały
wywołane wzrokowe, wzrok, zaburzenia. |
| Key words: |
hydrocephalus, visual
evoked potentials, vision, abnormalities. |
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