Vol. 5, Issue 11 (2019)
Ocular findings in children with cerebral palsy attending a tertiary care hospital bogura, Bangladesh
Author(s): ASM Selim, Masud Reza, Debabrata Roy, Rustom Ali, Farhana Afroj
Abstract: Introduction: Cerebral palsy is commonly associated with ocular abnormalities which often impact on their development and education. There is paucity of studies on this in Bangladesh. Cerebral palsy (CP) is one of the leading causes of childhood disability worldwide with the greatest burden found in developing countries. Motor impairments are the hallmarks of CP, but in many individuals, other impairments such as vision, hearing, speech, cognition, behavior, and epilepsy may at times produce even greater activity limitation in daily life. Objective: To find out Ocular findings in children with cerebral palsy attending a tertiary care hospital patients. Materials and methods: A cross sectional survey of children with cerebral palsy presenting at Department of Pediatrics tertiary care hospital Bogura, Bangladesh between January and December 2018 was done. Age appropriate visual acuities were checked, ocular examination was done with hand held Slit Lamp and Cycloplegic refraction and fundoscopy done with indirect Ophthalmoscope. Results: Thirty - seven (42.5%) of 87 subjects seen within that period presented for ocular assessment. There were 24 males (64.9%) and 13 females (35.1%) with a male female ratio of 1.8:1. The age ranged between 0-60 months with a mean of 30.11+ 26.51months. Thirty- three (89.2%) were delivered full term while 4(10.8%) were preterm. Spastic cerebral palsy accounted for 45.9% of all the cases seen. Strabismus was found in thirteen subjects (35.1%). This was esotropia in 7(54%) and exotropia in 6 (46%) subjects. Refractive error was found in 32(86.5%) subjects and Cortical Visual Impairment (CVI) in 28(75.7%) subjects CVI, refractive errors and strabismus are the most common ocular findings in children with Cerebral Palsy in Bangladesh. Conclusion: Early detection and early intervention is important to achieve best developmental and educational attainment. Multidisciplinary approach involving Neurologists, Ophthalmologists, and Physiotherapist is paramount in managing these children from the time of diagnosis.