May 2007
Volume 48, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2007
Visual and Motility Disorders vs. Brain MRI Findings in Cerebral Palsied Children
Author Affiliations & Notes
  • A. Vardarinos
    Ippokration General Hospital, Thessaloniki, Greece
    Eye Department,
  • N. Kozeis
    Ippokration General Hospital, Thessaloniki, Greece
    1st Paediatric Eye Department,
  • D. Kokkinou
    Ippokration General Hospital, Thessaloniki, Greece
    Eye Department,
  • A. Felekidis
    Ippokration General Hospital, Thessaloniki, Greece
    Eye Department,
  • D. Zafeiriou
    Ippokration General Hospital, Thessaloniki, Greece
    Eye Department,
  • N. Georgiadis
    1st University Eye Department, AHEPA University Hospital, Thessaloniki, Greece
  • Footnotes
    Commercial Relationships A. Vardarinos, None; N. Kozeis, None; D. Kokkinou, None; A. Felekidis, None; D. Zafeiriou, None; N. Georgiadis, None.
  • Footnotes
    Support None.
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 934. doi:
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      A. Vardarinos, N. Kozeis, D. Kokkinou, A. Felekidis, D. Zafeiriou, N. Georgiadis; Visual and Motility Disorders vs. Brain MRI Findings in Cerebral Palsied Children. Invest. Ophthalmol. Vis. Sci. 2007;48(13):934.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose:: Cerebral palsy is a non progressive brain lesion. Various brain functions are affected including vision, motility, etc. This study was planned to investigate if reduced visual resolution and strabismus in cerebral palsied (CP) children are related to the kinetic severity and certain brain magnetic resonance imaging (MRI) findings.

Methods:: 80 children participated in this study. Gross motor functional classification system (GMFCS), brain MRI and eye testing with visual resolution and strabismus assessment by visual functional assessment - K test (VFA - K test) were performed. Children with epilepsy or severe eye operations were excluded.

Results:: MRI showed that 91.2% of the children appeared with mild to severe periventricular leucomalacia (PVL) or PVL with cortical atrophy; GMFCS showed that 77.5% of the children appeared with moderate to very severe kinetic disability. Normal visual resolution appeared in 50% of children, 50.1% children with orthophoria and the rest with strabismus.

Conclusions:: Children with mild to moderate disability appeared with better visual level and reduced incidence of strabismus. In contrast children with moderate to severe PVL, or PVL and cortical atrophy, appeared with the highest incidence of visual dysfunction.

Keywords: neuro-ophthalmology: cortical function/rehabilitation • neuro-ophthalmology: diagnosis 
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