Abnormal optic disc and retinal vessels in children with surgically treated hydrocephalus
| Autor: | Ann Hellström, Susann Andersson |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Adolescent genetic structures Fundus Oculi Population Gestational Age Central nervous system disease Ophthalmoscopy Young Adult Cellular and Molecular Neuroscience chemistry.chemical_compound Ophthalmology Image Processing Computer-Assisted medicine Humans Prospective Studies Child education Intracranial pressure Sweden education.field_of_study medicine.diagnostic_test business.industry Infant Newborn Retinal Vessels Retinal medicine.disease eye diseases Sensory Systems Hydrocephalus Surgery Optic Atrophy medicine.anatomical_structure chemistry Child Preschool Optic nerve Female sense organs business Optic disc |
| Zdroj: | British Journal of Ophthalmology. 93:526-530 |
| ISSN: | 0007-1161 |
| DOI: | 10.1136/bjo.2008.142315 |
| Popis: | Aims: To investigate the morphology of the optic disc and retinal vessels in children with surgically treated hydrocephalus. Methods: A prospective, population-based study was performed in 69 children (median age 9.6 years) with early surgically treated hydrocephalus. All children were examined by ophthalmoscopy. Additionally, optic disc and retinal vessel morphology was evaluated in 55 children by digital image analysis of ocular fundus photographs. Results: Optic atrophy was found in 10 of 69 children (14%). In comparison with a reference group, the median optic-disc area was significantly smaller (p = 0.013) in the children with hydrocephalus. There was no corresponding difference in cup area, so the rim area was significantly smaller in the hydrocephalic children (p = 0.002). Children with hydrocephalus had an abnormal retinal vascular pattern, with significantly straighter retinal arteries and fewer central vessel branching points compared with controls (p Conclusion: Hydrocephalus is associated with subnormal optic disc and rim areas and an abnormal vascular pattern, indicating a pre/perinatal disturbance of the development of these structures. A promising finding is that the frequency of optic atrophy in the present study was lower than previously reported, most likely reflecting improved perinatal care and better regulation of the intracranial pressure. |
| Databáze: | OpenAIRE |
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