Longterm oculomotor and visual function in spina bifida cystica: a population-based study
2007 (English)In: Acta Ophthalmologica Scandinavica, ISSN 1395-3907, E-ISSN 1600-0420, Vol. 85, no 6, 662-666 p.Article in journal (Refereed) Published
PURPOSE: To document and describe the development from birth of visual and oculomotor functions in a group of children with spina bifida cystica (myelomeningocele and myeloschisis [MMC]). The emphasis in this study is on findings at 12-14 year follow-up. METHODS: Twenty children aged 12-14 years with myelomeningocele and Chiari-related malformations were examined by an orthoptist and a paediatric ophthalmologist. A further child who did not wish to participate actively in the study is also reported. Visual acuity for near and distance, refractometer readings in cycloplegia, the presence of ocular motility disorders and nystagmus were recorded. Accommodation, convergence, colour vision and stereo acuity were assessed and the fundus and media were examined. RESULTS: Six children (29%) in the study group had subnormal vision, although no child was visually impaired. Eleven (52%) showed manifest strabismus and 17 (81%) had a significant refractive error. Near visual acuity was normal in nearly all the children, but accommodation was defective in 10. Nine children had nystagmus and two had optic atrophy. No visual field defects were found. CONCLUSIONS: The high incidence of ocular disturbances in children with spina bifida highlights the importance of regular ophthalmological investigation and follow-up.
Place, publisher, year, edition, pages
2007. Vol. 85, no 6, 662-666 p.
Arnold Chiari, Hydrocephalus, Myelomeningocele (MMC), Spina bifida cystica, Visual function
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-14224DOI: 10.1111/j.1600-0420.2007.00905.xISI: 000248922800016PubMedID: 17403023OAI: oai:DiVA.org:uu-14224DiVA: diva2:41994