Neurol. praxi. 2011;12(4):234-238

Cerebral palsy as seen by an ophthalmologist

MUDr.Anna Zobanová
Soukromá oční ordinace, Praha
Děti s dětskou mozkovou obrnou (DMO) by měly být v České republice vyšetřovány dětskými oftalmology. Oční vyšetření dětí v preverbálním

In the Czech Republic, children with cerebral palsy (CP) should be evaluated by paediatric ophthalmologists. Ophthalmological examination

in children of preverbal age or in verbally non-communicating patients with multiple disability must, in addition to describing

squint and the findings at the anterior segment of the eye and eye fundus, invariably include an evaluation of the quality of visual acuity,

size of refraction, ability of accommodation, visual field defects and the quality of contrast sensitivity. Based on these data, it is possible

to propose a therapeutic and vision rehabilitation plan for developing visual function, sometimes long before the definitive ophthalmological

diagnosis is established. The critical stages of vision development make us insist on providing maximum available treatment

always at the right age of the child. Early referral of the child to an eye specialist is essential for the success of possible treatment.

Keywords: cerebral palsy (CP), squint, visual acuity, refraction, accommodation, visual field, contrast sensitivity

Published: July 29, 2011  Show citation

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Zobanová A. Cerebral palsy as seen by an ophthalmologist. Neurol. praxi. 2011;12(4):234-238.
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References

  1. Duckman RH. Accommodation in cerebral palsy: function and remediation. J Am Optom Assoc. 1984; 55(4): 281-283. Go to PubMed...
  2. Jacobson L, Rydberg A, Eliasson AC, Kits A, Flodmark O. Visual field function in school-aged children with spastic unilateral cerebral palsy related to different patterns of brain damage. Dev Med Child Neurol. 2010; 52(8): e184-7. Epub 2010 Apr 30. Go to original source... Go to PubMed...
  3. Ghasia F, Brunstrom J, Gordon M, Tychsen L. Frequency and severity of visual sensory and motor deficits in children with cerebral palsy: gross motor function classification scale. Invest Ophthalmol Vis Sci. 2008; 49(2): 572-580. Go to original source... Go to PubMed...
  4. Ghasia F, Brunstom J, Tychsen L. Visual acuity and visually evoked responses in children with cerebral palsy: Gross Motor Function Classification Scale. Br J Ophthalmol. 2009; 93(8): 1068-1072. Epub 2009 May 7. Go to original source... Go to PubMed...
  5. McClelland JF, Parkes J, Hill N, Jackson AJ, Saunders KJ. Accommodative dysfunction in children with cerebral palsy: a population-based study. Invest Ophthalmol Vis Sci. 2006; 47(5): 1824-1830. Go to original source... Go to PubMed...
  6. Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: incidence, impairments and risk factors Disabil Rehabil. 2006; 28(4): 183-191. Go to original source... Go to PubMed...
  7. Porro G, van der Linden D, van Nieuwenhuizen O, WittebolPost D. Role of visual dysfunction in postural control in children with cerebral palsy. Neural Plast. 2005; 12(2-3): 205-210; discussion 263-272. Go to original source... Go to PubMed...
  8. Saavedra S, Joshi A, Woollacott M, van Donkelaar P. Eye hand coordination in children with cerebral palsy. Exp Brain Res. 2009; 192(2): 155-165. Epub 2008 Oct 2. Go to original source... Go to PubMed...
  9. Saunders KJ, McClelland JF, Richardson PM, Stevenson M. Clinical judgement of near pupil responses provides a useful indicator of focusing ability in children with cerebral palsy. Dev Med Child Neurol. 2008; 50(1): 33-37. Go to original source... Go to PubMed...
  10. Saunders KJ, Little JA, McClelland JF, Jackson AJ. Profile of refractive errors in cerebral palsy: impact of severity of motor impairment (GMFCS) and CP subtype on refractive outcome. Invest Ophthalmol Vis Sci. 2010; 51(6): 2885-2890. Epub 2010 Jan 27. Go to original source... Go to PubMed...
  11. van den Broek EG, Janssen CG, van Ramshorst T, Deen L. Visual impairments in people with severe and profound multiple disabilities: an inventory of visual functioning. J Intellect Disabil Res. 2006; 50(Pt 6): 470-475. Go to original source... Go to PubMed...
  12. Zobanová A. Fyziologický vývoj vidění u dětí během prvních let života. Neonatologické listy; 1997; 3(4): 292-296.
  13. Zobanová A. Metody preventivního vyšetřování zraku, Příloha časopisu Postgraduální med. Manuál preventivních prohlídek; 2005; 2(7): 37-42.
  14. Zobanová A, Modlingerová E, Zobanová B. Použití silikonhydrogelových kontaktních čoček s prodlouženým režimem nošení u dětského pacienta, Sborník abstrakt, Všeobecný sjezd České oftalmologické společnosti; 2009, Praha.




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