Madalagi Sheetal, Malasane Kalyani, Joshi Deepti, Krishnaprasad R
Pediatric Ophthalmology and Strabismus, MM Joshi Eye Institute, Gokul Road, Hubli, Karnataka, 580021, India.
Head of Department, Pediatric Ophthalmology and Strabismus, MM Joshi Eye Institute, Gokul Road, Hubli, Karnataka, 580021, India.
Indian Pediatr. 2025 May 5. doi: 10.1007/s13312-025-00079-5.
This study aimed to describe the ophthalmological and neuro-ophthalmological manifestations of mumps in children.
This cross-sectional study included 41 children aged < 18 years who were clinically diagnosed with mumps by a pediatrician and referred to a tertiary eye hospital. Comprehensive ophthalmic evaluation included visual acuity testing, slit-lamp biomicroscopy, fundus examination, ocular movement assessment, and squint measurement.
The mean time from onset of parotitis to ocular symptoms was 7 days. Out of 41 children, 15 (36.85%) had follicular conjunctivitis. Other ophthalmic findings included acute non-granulomatous uveitis (17.07%), acute acquired esotropia (17.07%), optic neuritis (9.75%), sixth nerve palsy (9.75%), encephalitis (4.87%), dacryoadenitis (2.43%), myasthenia gravis (2.43%), and accommodative insufficiency (2.43%).
Apart from causing systemic involvement, mumps causes varied ocular manifestations which highlight the importance of a unified role of pediatricians and ophthalmologists in managing children with mumps.
本研究旨在描述儿童腮腺炎的眼科和神经眼科表现。
这项横断面研究纳入了41名年龄小于18岁的儿童，这些儿童由儿科医生临床诊断为腮腺炎，并被转诊至一家三级眼科医院。全面的眼科评估包括视力测试、裂隙灯生物显微镜检查、眼底检查、眼球运动评估和斜视测量。
从腮腺炎发作到出现眼部症状的平均时间为7天。在41名儿童中，15名（36.85%）患有滤泡性结膜炎。其他眼科表现包括急性非肉芽肿性葡萄膜炎（17.07%）、急性后天性内斜视（17.07%）、视神经炎（9.75%）、第六脑神经麻痹（9.75%）、脑炎（4.87%）、泪腺炎（2.43%）、重症肌无力（2.43%）和调节功能不全（2.43%）。
腮腺炎除了引起全身受累外，还会导致多种眼部表现，这突出了儿科医生和眼科医生在管理腮腺炎患儿方面统一作用的重要性。
