Ophthalmologic findings in a pediatric cochlear implant population

To report ocular findings in a cohort of children requiring pediatric cochlear implant and to evaluate the usefulness of routine ophthalmologic examination in such children. This was a prospective study of ophthalmologic assessment of 47 consecutive children aged 10 months to 12 years from the cochl...

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Bibliographic Details
Published in:	European journal of ophthalmology Vol. 24; no. 2; pp. 254 - 257
Main Authors:	Nikolaos, Ziakas, Georgios, Psillas, Angeliki, Chranioti, Theodoros, Lalias, Mattheos, Antoniadis, Iosif, Vital
Format:	Journal Article
Language:	English
Published:	United States 01-03-2014
Subjects:	Blepharoptosis - diagnosis Blepharoptosis - epidemiology Blepharoptosis - surgery Child Child, Preschool Cochlear Implantation - statistics & numerical data Cochlear Implants - statistics & numerical data Eyeglasses Female Greece - epidemiology Hearing Loss, Sensorineural - epidemiology Hearing Loss, Sensorineural - therapy Humans Infant Male Oculomotor Muscles - surgery Ophthalmologic Surgical Procedures Prevalence Prospective Studies Refractive Errors - diagnosis Refractive Errors - epidemiology Refractive Errors - therapy Strabismus - diagnosis Strabismus - epidemiology Strabismus - surgery Visual Acuity Greece
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Summary:	To report ocular findings in a cohort of children requiring pediatric cochlear implant and to evaluate the usefulness of routine ophthalmologic examination in such children. This was a prospective study of ophthalmologic assessment of 47 consecutive children aged 10 months to 12 years from the cochlear implant program of our hospital. All children underwent complete ocular assessment consisting of orthoptic and ophthalmo-logic examination, including cycloplegic refraction. A total of 18 children (38.3%) had some form of ocular abnormality, with the majority (14 patients, 29.8%) having refractive errors. Hypermetropia was the most common refractive error (21.3%), followed by astigmatism (8.5%). Strabismus was found in 6 patients, with esotropia being the most common type. Other ocular findings included ptosis (1 patient) and epicanthal folds (3 patients). During the follow-up period, 9 children were fitted with glasses, 3 underwent occlusion therapy, 2 underwent strabismus surgery, and 1 underwent ptosis surgery. Thorough orthoptic and ophthalmologic examination is useful for ensuring optimal visual function in children undergoing cochlear implantation.
ISSN:	1120-6721 1724-6016
DOI:	10.5301/ejo.5000346