Sasmal Nirmal Kumar, Maiti Prasenjit, Mandal Radhakrishna, Das Debabrata, Sarkar Subhra, Sarkar Piyali, Biswas Mukul Chandra, Dey Asim Kumar, Chatterjee Sanjay
Department of Ophthalmology, NRS Medical College, Kolkata 700014.
J Indian Med Assoc. 2011 May;109(5):318, 323.
To evaluate the prevalence of ocular abnormalities among children with cerebral palsy, 140 patients with age between 6 months and 16 years were selected and the overall incidence of ocular abnormalities in this study was 42.1%. Two major ocular abnormalities identified in these cases were strabismus in 36.4%. Myopia was detected in 12.9% children while hypermetropia in 8.6% and astigmatism in 3.6% cases. Non-glaucomatous optic atrophy was present in 10.7% cases and nystagmus in 9.3% cases. Raised intra-ocular pressure was detected in 2.1% cases. Cortical visual impairment was seen in 20.7% children. Ocular abnormalities are frequent manifestations in cerebral palsy patients. Therefore, evaluation of all cerebral palsy cases emphasises the need for a full ophthalmological examination in order to detect ocular problems and to institute necessary therapy of the abnormalities for better livelihood of these physically challenged patients.
为评估脑瘫患儿眼部异常的患病率，选取了140例年龄在6个月至16岁之间的患者，本研究中眼部异常的总体发生率为42.1%。这些病例中确定的两大主要眼部异常为斜视，占36.4%。12.9%的儿童检测出近视，8.6%的儿童有远视，3.6%的病例有散光。10.7%的病例存在非青光眼性视神经萎缩，9.3%的病例有眼球震颤。2.1%的病例检测出眼压升高。20.7%的儿童有皮质视力损害。眼部异常是脑瘫患者常见的表现。因此，对所有脑瘫病例进行评估强调了全面眼科检查的必要性，以便发现眼部问题并对异常情况进行必要的治疗，从而改善这些身体残疾患者的生活质量。
