Saif Saleh AlObaisi, Bashair Nasser Alnasser, Hana Abdulaziz Almuhawas, Saja Abdulrahmn Alhoshan, Modhi Abdullah Alamer, Rana Mohammad Alshaye, Sulaiman Abdulaziz Aldakhil, Manal Mosaad Alabdulmunem
{"title":"脑积水合并脑室-腹膜分流的儿童斜视患病率和视力结局:医疗记录回顾","authors":"Saif Saleh AlObaisi, Bashair Nasser Alnasser, Hana Abdulaziz Almuhawas, Saja Abdulrahmn Alhoshan, Modhi Abdullah Alamer, Rana Mohammad Alshaye, Sulaiman Abdulaziz Aldakhil, Manal Mosaad Alabdulmunem","doi":"10.5144/0256-4947.2022.391","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Many ophthalmological complications have been associated with hydrocephalus (HC), including ocular motility disorders, visual field defects, optic atrophy, and loss of visual acuity. No studies have investigated the prevalence of strabismus and visual outcomes of children with congenital HC after ventriculoperitoneal (VP) shunt in Saudi Arabia.</p><p><strong>Objectives: </strong>Estimate the frequency of strabismic children diagnosed with HC who underwent a VP shunt procedure.</p><p><strong>Design: </strong>Medical record review SETTING: Tertiary care center PATIENTS AND METHODS: We reviewed the files of all pediatric patients diagnosed with hydrocephalus before the age of 2 years and treated with shunts during the period 2010 to 2020 at our institution.</p><p><strong>Main outcome measures: </strong>Strabismus types and ophthalmic assessment (visual state, outcomes, and ocular motility state).</p><p><strong>Sample size and characteristics: </strong>190 children; 98 (51.5%) males.</p><p><strong>Results: </strong>Eighty-nine (46.8%) had congenital HC followed by intraventricular hemorrhage 36 (18.9%); 74 (38.9%) patients had regular follow-ups in ophthalmology. Sixty-five (34.2%) patients had no ophthalmic assessment or fundus examination records, while 63 (33.1%) were diagnosed with strabismus. At the initial assessment, 26 (13.6%) patients had exotropia (XT). At the final assessment, 7 (3.6%) patients had XT. The association between VP shunt and strabismus was statistically significant, (χ<sup>2</sup>=6.534, df=1, <i>P</i><.01).</p><p><strong>Conclusion: </strong>More than one-third of children diagnosed with HC who had surgical treatment in a tertiary hospital did not have any records of ophthalmic assessment, which highlights the need to implement a specific ophthalmological examination protocol in patients with HC. Further studies are needed to analyze the association between VP shunt and strabismus.</p><p><strong>Limitations: </strong>Evaluating the ocular state and visual function before and after VP shunt was not possible.</p><p><strong>Conflict of interest: </strong>None.</p>","PeriodicalId":8016,"journal":{"name":"Annals of Saudi Medicine","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fb/e2/0256-4947.2022.391.PMC9706712.pdf","citationCount":"1","resultStr":"{\"title\":\"The prevalence of strabismus and visual outcomes in children with hydrocephalus and a ventriculoperitoneal shunt: medical record review.\",\"authors\":\"Saif Saleh AlObaisi, Bashair Nasser Alnasser, Hana Abdulaziz Almuhawas, Saja Abdulrahmn Alhoshan, Modhi Abdullah Alamer, Rana Mohammad Alshaye, Sulaiman Abdulaziz Aldakhil, Manal Mosaad Alabdulmunem\",\"doi\":\"10.5144/0256-4947.2022.391\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Many ophthalmological complications have been associated with hydrocephalus (HC), including ocular motility disorders, visual field defects, optic atrophy, and loss of visual acuity. No studies have investigated the prevalence of strabismus and visual outcomes of children with congenital HC after ventriculoperitoneal (VP) shunt in Saudi Arabia.</p><p><strong>Objectives: </strong>Estimate the frequency of strabismic children diagnosed with HC who underwent a VP shunt procedure.</p><p><strong>Design: </strong>Medical record review SETTING: Tertiary care center PATIENTS AND METHODS: We reviewed the files of all pediatric patients diagnosed with hydrocephalus before the age of 2 years and treated with shunts during the period 2010 to 2020 at our institution.</p><p><strong>Main outcome measures: </strong>Strabismus types and ophthalmic assessment (visual state, outcomes, and ocular motility state).</p><p><strong>Sample size and characteristics: </strong>190 children; 98 (51.5%) males.</p><p><strong>Results: </strong>Eighty-nine (46.8%) had congenital HC followed by intraventricular hemorrhage 36 (18.9%); 74 (38.9%) patients had regular follow-ups in ophthalmology. Sixty-five (34.2%) patients had no ophthalmic assessment or fundus examination records, while 63 (33.1%) were diagnosed with strabismus. At the initial assessment, 26 (13.6%) patients had exotropia (XT). At the final assessment, 7 (3.6%) patients had XT. The association between VP shunt and strabismus was statistically significant, (χ<sup>2</sup>=6.534, df=1, <i>P</i><.01).</p><p><strong>Conclusion: </strong>More than one-third of children diagnosed with HC who had surgical treatment in a tertiary hospital did not have any records of ophthalmic assessment, which highlights the need to implement a specific ophthalmological examination protocol in patients with HC. Further studies are needed to analyze the association between VP shunt and strabismus.</p><p><strong>Limitations: </strong>Evaluating the ocular state and visual function before and after VP shunt was not possible.</p><p><strong>Conflict of interest: </strong>None.</p>\",\"PeriodicalId\":8016,\"journal\":{\"name\":\"Annals of Saudi Medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2022-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fb/e2/0256-4947.2022.391.PMC9706712.pdf\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Saudi Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.5144/0256-4947.2022.391\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Saudi Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5144/0256-4947.2022.391","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
The prevalence of strabismus and visual outcomes in children with hydrocephalus and a ventriculoperitoneal shunt: medical record review.
Background: Many ophthalmological complications have been associated with hydrocephalus (HC), including ocular motility disorders, visual field defects, optic atrophy, and loss of visual acuity. No studies have investigated the prevalence of strabismus and visual outcomes of children with congenital HC after ventriculoperitoneal (VP) shunt in Saudi Arabia.
Objectives: Estimate the frequency of strabismic children diagnosed with HC who underwent a VP shunt procedure.
Design: Medical record review SETTING: Tertiary care center PATIENTS AND METHODS: We reviewed the files of all pediatric patients diagnosed with hydrocephalus before the age of 2 years and treated with shunts during the period 2010 to 2020 at our institution.
Main outcome measures: Strabismus types and ophthalmic assessment (visual state, outcomes, and ocular motility state).
Sample size and characteristics: 190 children; 98 (51.5%) males.
Results: Eighty-nine (46.8%) had congenital HC followed by intraventricular hemorrhage 36 (18.9%); 74 (38.9%) patients had regular follow-ups in ophthalmology. Sixty-five (34.2%) patients had no ophthalmic assessment or fundus examination records, while 63 (33.1%) were diagnosed with strabismus. At the initial assessment, 26 (13.6%) patients had exotropia (XT). At the final assessment, 7 (3.6%) patients had XT. The association between VP shunt and strabismus was statistically significant, (χ2=6.534, df=1, P<.01).
Conclusion: More than one-third of children diagnosed with HC who had surgical treatment in a tertiary hospital did not have any records of ophthalmic assessment, which highlights the need to implement a specific ophthalmological examination protocol in patients with HC. Further studies are needed to analyze the association between VP shunt and strabismus.
Limitations: Evaluating the ocular state and visual function before and after VP shunt was not possible.
期刊介绍：
The Annals of Saudi Medicine (ASM) is published bimonthly by King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. We publish scientific reports of clinical interest in English. All submissions are subject to peer review by the editorial board and by reviewers in appropriate specialties. The journal will consider for publication manuscripts from any part of the world, but particularly reports that would be of interest to readers in the Middle East or other parts of Asia and Africa. Please go to the Author Resource Center for additional information.
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