Visual Impairment Secondary to Congenital Glaucoma in Children: Visual Responses, Optical Correction and Use of Low Vision Aids

INTRODUCTION: Congenital glaucoma is frequently associated with visual impairment due to optic nerve damage, corneal opacities, cataracts and amblyopia. Poor vision in childhood is related to global developmental problems, and referral to vision habilitation/rehabilitation services should be without...

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Autores principales: Haddad, Maria Aparecida Onuki, Sampaio, Marcos Wilson, Oltrogge, Ernst Werner, Kara-José, Newton, Betinjane, Alberto Jorge
Formato: Texto
Lenguaje:English
Publicado: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2728183/
https://www.ncbi.nlm.nih.gov/pubmed/19690654
http://dx.doi.org/10.1590/S1807-59322009000800003
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author Haddad, Maria Aparecida Onuki
Sampaio, Marcos Wilson
Oltrogge, Ernst Werner
Kara-José, Newton
Betinjane, Alberto Jorge
author_facet Haddad, Maria Aparecida Onuki
Sampaio, Marcos Wilson
Oltrogge, Ernst Werner
Kara-José, Newton
Betinjane, Alberto Jorge
author_sort Haddad, Maria Aparecida Onuki
collection PubMed
description INTRODUCTION: Congenital glaucoma is frequently associated with visual impairment due to optic nerve damage, corneal opacities, cataracts and amblyopia. Poor vision in childhood is related to global developmental problems, and referral to vision habilitation/rehabilitation services should be without delay to promote efficient management of the impaired vision. OBJECTIVE: To analyze data concerning visual response, the use of optical correction and prescribed low vision aids in a population of children with congenital glaucoma. METHOD: The authors analyzed data from 100 children with congenital glaucoma to assess best corrected visual acuity, prescribed optical correction and low vision aids. RESULTS: Fifty-five percent of the sample were male, 43% female. The mean age was 6.3 years. Two percent presented normal visual acuity levels, 29% mild visual impairment, 28% moderate visual impairment, 15% severe visual impairment, 11% profound visual impairment, and 15% near blindness. Sixty-eight percent received optical correction for refractive errors. Optical low vision aids were adopted for distance vision in 34% of the patients and for near vision in 6%. A manual monocular telescopic system with 2.8 × magnification was the most frequently prescribed low vision aid for distance, and for near vision a +38 diopter illuminated stand magnifier was most frequently prescribed. DISCUSSION AND CONCLUSION: Careful low vision assessment and the appropriate prescription of optical corrections and low vision aids are mandatory in children with congenital glaucoma, since this will assist their global development, improving efficiency in daily life activities and promoting social and educational inclusion.
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spelling pubmed-27281832009-08-18 Visual Impairment Secondary to Congenital Glaucoma in Children: Visual Responses, Optical Correction and Use of Low Vision Aids Haddad, Maria Aparecida Onuki Sampaio, Marcos Wilson Oltrogge, Ernst Werner Kara-José, Newton Betinjane, Alberto Jorge Clinics (Sao Paulo) Clinical Sciences INTRODUCTION: Congenital glaucoma is frequently associated with visual impairment due to optic nerve damage, corneal opacities, cataracts and amblyopia. Poor vision in childhood is related to global developmental problems, and referral to vision habilitation/rehabilitation services should be without delay to promote efficient management of the impaired vision. OBJECTIVE: To analyze data concerning visual response, the use of optical correction and prescribed low vision aids in a population of children with congenital glaucoma. METHOD: The authors analyzed data from 100 children with congenital glaucoma to assess best corrected visual acuity, prescribed optical correction and low vision aids. RESULTS: Fifty-five percent of the sample were male, 43% female. The mean age was 6.3 years. Two percent presented normal visual acuity levels, 29% mild visual impairment, 28% moderate visual impairment, 15% severe visual impairment, 11% profound visual impairment, and 15% near blindness. Sixty-eight percent received optical correction for refractive errors. Optical low vision aids were adopted for distance vision in 34% of the patients and for near vision in 6%. A manual monocular telescopic system with 2.8 × magnification was the most frequently prescribed low vision aid for distance, and for near vision a +38 diopter illuminated stand magnifier was most frequently prescribed. DISCUSSION AND CONCLUSION: Careful low vision assessment and the appropriate prescription of optical corrections and low vision aids are mandatory in children with congenital glaucoma, since this will assist their global development, improving efficiency in daily life activities and promoting social and educational inclusion. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2009-08 /pmc/articles/PMC2728183/ /pubmed/19690654 http://dx.doi.org/10.1590/S1807-59322009000800003 Text en Copyright © 2009 Hospital das Clínicas da FMUSP
spellingShingle Clinical Sciences
Haddad, Maria Aparecida Onuki
Sampaio, Marcos Wilson
Oltrogge, Ernst Werner
Kara-José, Newton
Betinjane, Alberto Jorge
Visual Impairment Secondary to Congenital Glaucoma in Children: Visual Responses, Optical Correction and Use of Low Vision Aids
title Visual Impairment Secondary to Congenital Glaucoma in Children: Visual Responses, Optical Correction and Use of Low Vision Aids
title_full Visual Impairment Secondary to Congenital Glaucoma in Children: Visual Responses, Optical Correction and Use of Low Vision Aids
title_fullStr Visual Impairment Secondary to Congenital Glaucoma in Children: Visual Responses, Optical Correction and Use of Low Vision Aids
title_full_unstemmed Visual Impairment Secondary to Congenital Glaucoma in Children: Visual Responses, Optical Correction and Use of Low Vision Aids
title_short Visual Impairment Secondary to Congenital Glaucoma in Children: Visual Responses, Optical Correction and Use of Low Vision Aids
title_sort visual impairment secondary to congenital glaucoma in children: visual responses, optical correction and use of low vision aids
topic Clinical Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2728183/
https://www.ncbi.nlm.nih.gov/pubmed/19690654
http://dx.doi.org/10.1590/S1807-59322009000800003
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