ISTANBUL escrs

Refractive surgery for children and young adults with cerebral palsy

Session Details

Session Title: Refractive
Session Date/Time: Sunday 22/02/2015 | 08:30-11:00
Paper Time: 08:30
Venue: Sadirvan A
First Author: : M.Kamel SAUDI ARABIA
Co Author(s): :                  

Abstract Details

Purpose:

Many children with cerebral palsy (CP) and ametrtopia have chronic difficulties with spectacle/ contact lens wear due to cephalotruncal instability, gaze deviations, tactile aversion, or marked reflex blepharospasm. We report the results of refractive surgery in a series of CP patients exhibiting these impediments.

Setting:

Magrabi hospital Aseer KSA

Methods:

Clinical course and outcome data were collected prospectively in 30 patients (57 eyes; mean age 12.8 yrs, range 3-28 yrs). CP spanned mild to severe using the gross motor function classification system. Refractive correction for isoametropia or anisometropia was achieved using the excimer laser (42 eyes), phakic IOL implantation (8 eyes), or refractive lens exchange (7 eyes). Mean follow-up was 19.7 mos (range 5-41 mos).

Results:

Results: Spherical refractive error in 54 myopic eyes ranged - 3.0to -22.5 D(mean -8.3 D) and in 3 hyperopic eyes +4.75 to +5 D (mean +4.9 D).Myopia correction averaged 8.3 D and hyperopia correction 3.3 D. Uncorrected visual acuity improved substantially in all 57 eyes (on average 10-fold; from a mean 20/460 to a mean 20/50; average Snellenfraction gain =0.37).Ocular comorbidities accounted for residual post-operative, subnormal acuity (e.g. amblyopia, nystagmus, optic neuropathy, ROP). Visual behavioral functions improved in 91% (based on survey of caregivers). 2 eyes treated using excimer laser had delayed re-epithelialization; no other complications have been encountered to date.

Conclusions:

Discussion: Refractive surgery is effective for improving visual function in patients with CP who have ametropia and difficulties wearing glasses or contact lenses. Conclusion: Refractive surgery is effective for improving visual function in patients with CP who have ametropia and difficulties wearing glasses or contact lenses.

Financial Disclosure:

NONE

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