Characteristics of Patients Attending an Ophthalmic Outpatient Department at the Cerebral Palsy Association of Coimbra
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48560/rspo.23784 |
Resumo: | Introduction: To assess visual impairment diagnosis, management, and consequences in patients with cerebral palsy at the Cerebral Palsy Association of Coimbra. Methods: This is a cross-sectional, descriptive study. A retrospective review of consecutive medical records was performed on 102 patients diagnosed with CP attending ophthalmology appointments between 2018 and 2019. The components of a detailed ophthalmologic evaluation, diagnostic tools, and methods to increase cooperation were recorded. We characterized cerebral palsy according to its etiology, type and resulting motor impairment. Visual function assessment included visual acuity, contrast sensitivity, stereopsis, and visual field. Ocular motility and anterior eye assessment with slit-lamp biomicroscopy results were also recorded. Performance on visual tasks such as eye hand coordination, visual spatial perception, and fix and follow were evaluated. Results: The study included 102 patients aged from 10 months to 40 years. Regarding motor dysfunction classification, tetraplegia was the most prevalent type, followed by hemiplegia and diplegia. We found 60.8% of patients to have some degree of ocular disease. Visual field restrictions were found in 29.3% of patients, ranging from 30º to 100º, including restrictions superiorly and inferiorly. Contrast sensitivity mode was 1.25%. Saccadic and pursuit movement dysfunction was found in 13.7% and 15.6% of the cases. Eye-hand coordination was impaired in 16.6% of the patients. Conclusion: Patients with cerebral palsy often present with visual disturbances. The ophthalmologist should be aware of the most frequent visual dysfunctions and how to diagnose them. Also, appropriate management to enhance visual performance can have a significant impact on social interaction, autonomy, and quality of life in these patients. |
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Characteristics of Patients Attending an Ophthalmic Outpatient Department at the Cerebral Palsy Association of CoimbraCaracterização da População Seguida em Consultas de Oftalmologia na Associação de Paralisia Cerebral de CoimbraArtigos OriginaisIntroduction: To assess visual impairment diagnosis, management, and consequences in patients with cerebral palsy at the Cerebral Palsy Association of Coimbra. Methods: This is a cross-sectional, descriptive study. A retrospective review of consecutive medical records was performed on 102 patients diagnosed with CP attending ophthalmology appointments between 2018 and 2019. The components of a detailed ophthalmologic evaluation, diagnostic tools, and methods to increase cooperation were recorded. We characterized cerebral palsy according to its etiology, type and resulting motor impairment. Visual function assessment included visual acuity, contrast sensitivity, stereopsis, and visual field. Ocular motility and anterior eye assessment with slit-lamp biomicroscopy results were also recorded. Performance on visual tasks such as eye hand coordination, visual spatial perception, and fix and follow were evaluated. Results: The study included 102 patients aged from 10 months to 40 years. Regarding motor dysfunction classification, tetraplegia was the most prevalent type, followed by hemiplegia and diplegia. We found 60.8% of patients to have some degree of ocular disease. Visual field restrictions were found in 29.3% of patients, ranging from 30º to 100º, including restrictions superiorly and inferiorly. Contrast sensitivity mode was 1.25%. Saccadic and pursuit movement dysfunction was found in 13.7% and 15.6% of the cases. Eye-hand coordination was impaired in 16.6% of the patients. Conclusion: Patients with cerebral palsy often present with visual disturbances. The ophthalmologist should be aware of the most frequent visual dysfunctions and how to diagnose them. Also, appropriate management to enhance visual performance can have a significant impact on social interaction, autonomy, and quality of life in these patients.Introdução: O nosso objetivo foi estudar a população de doentes que frequenta as consultas de oftalmologia na Associação de Paralisia Cerebral de Coimbra (APCC). Métodos: Estudo observacional, retrospetivo e descritivo. Incluiu doentes consecutivos com o diagnóstico de paralisia cerebral que frequentaram as consultas de oftalmologia na APCC entre 2018 e 2019. Pretendeu-se conhecer os métodos de avaliação praticados nestas consultas, caracterizar a função visual, descrever a patologia oftalmológica, e as estratégias de intervenção. A etiologia da paralisia cerebral e a classificação do grau de afeção motora foram registadas. A acuidade visual, sensibilidade ao contraste, campos visuais e visão cromática foram avaliados. A caracterização da oculomotricidade incluiu o alinhamento ocular, nistagmo, movimentos sacádicos e de perseguição. Todas estas funções foram descritas tendo em conta um contexto de interação social. Resultados: A população estudo foram 102 doentes com idades compreendidas entre os 10 meses e os 40 anos. Relativamente ao território motor afetado a tetraplegia foi a mais frequente, seguida da hemiplegia e diplegia. A prevalência de patologia oftalmológica nesta população foi 60,8%. Restrições no campo visual foram descritas em 29,3% dos doentes testados. A moda da sensibilidade ao contraste foi 1,25%. Os movimentos sacádicos foram dismétricos em 13,7% dos casos e 15,6% não tinham movimentos de perseguição. A coordenação olho-mão estava comprometida em 16,6% dos doentes. Conclusão: O universo da patologia oftalmológica no contexto da paralisia cerebral é pouco conhecido. A capacidade “inerente” da visão não o é, nestes doentes, e as estratégias para estimular o seu desenvolvimento são competências do oftalmologista.Ajnet2021-06-30T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.48560/rspo.23784eng1646-69501646-6950Pinheiro, Rosa LomelinoCortez, LilianaPaiva, CatarinaNeto Murta, Joaquiminfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-10-13T20:30:14Zoai:ojs.revistas.rcaap.pt:article/23784Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:01:45.637878Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Characteristics of Patients Attending an Ophthalmic Outpatient Department at the Cerebral Palsy Association of Coimbra Caracterização da População Seguida em Consultas de Oftalmologia na Associação de Paralisia Cerebral de Coimbra |
title |
Characteristics of Patients Attending an Ophthalmic Outpatient Department at the Cerebral Palsy Association of Coimbra |
spellingShingle |
Characteristics of Patients Attending an Ophthalmic Outpatient Department at the Cerebral Palsy Association of Coimbra Pinheiro, Rosa Lomelino Artigos Originais |
title_short |
Characteristics of Patients Attending an Ophthalmic Outpatient Department at the Cerebral Palsy Association of Coimbra |
title_full |
Characteristics of Patients Attending an Ophthalmic Outpatient Department at the Cerebral Palsy Association of Coimbra |
title_fullStr |
Characteristics of Patients Attending an Ophthalmic Outpatient Department at the Cerebral Palsy Association of Coimbra |
title_full_unstemmed |
Characteristics of Patients Attending an Ophthalmic Outpatient Department at the Cerebral Palsy Association of Coimbra |
title_sort |
Characteristics of Patients Attending an Ophthalmic Outpatient Department at the Cerebral Palsy Association of Coimbra |
author |
Pinheiro, Rosa Lomelino |
author_facet |
Pinheiro, Rosa Lomelino Cortez, Liliana Paiva, Catarina Neto Murta, Joaquim |
author_role |
author |
author2 |
Cortez, Liliana Paiva, Catarina Neto Murta, Joaquim |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Pinheiro, Rosa Lomelino Cortez, Liliana Paiva, Catarina Neto Murta, Joaquim |
dc.subject.por.fl_str_mv |
Artigos Originais |
topic |
Artigos Originais |
description |
Introduction: To assess visual impairment diagnosis, management, and consequences in patients with cerebral palsy at the Cerebral Palsy Association of Coimbra. Methods: This is a cross-sectional, descriptive study. A retrospective review of consecutive medical records was performed on 102 patients diagnosed with CP attending ophthalmology appointments between 2018 and 2019. The components of a detailed ophthalmologic evaluation, diagnostic tools, and methods to increase cooperation were recorded. We characterized cerebral palsy according to its etiology, type and resulting motor impairment. Visual function assessment included visual acuity, contrast sensitivity, stereopsis, and visual field. Ocular motility and anterior eye assessment with slit-lamp biomicroscopy results were also recorded. Performance on visual tasks such as eye hand coordination, visual spatial perception, and fix and follow were evaluated. Results: The study included 102 patients aged from 10 months to 40 years. Regarding motor dysfunction classification, tetraplegia was the most prevalent type, followed by hemiplegia and diplegia. We found 60.8% of patients to have some degree of ocular disease. Visual field restrictions were found in 29.3% of patients, ranging from 30º to 100º, including restrictions superiorly and inferiorly. Contrast sensitivity mode was 1.25%. Saccadic and pursuit movement dysfunction was found in 13.7% and 15.6% of the cases. Eye-hand coordination was impaired in 16.6% of the patients. Conclusion: Patients with cerebral palsy often present with visual disturbances. The ophthalmologist should be aware of the most frequent visual dysfunctions and how to diagnose them. Also, appropriate management to enhance visual performance can have a significant impact on social interaction, autonomy, and quality of life in these patients. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-30T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48560/rspo.23784 |
url |
https://doi.org/10.48560/rspo.23784 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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1646-6950 1646-6950 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Ajnet |
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Ajnet |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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