Abstract
Co-incidence of sensorineural hearing loss and ophthalmic abnormalities has a tremendous influence on development of children. This study was done to determine the nature and prevalence of ophthalmic disturbances in children with congenital sensorineural hearing loss. In a descriptive cross-sectional study, complete ophthalmologic examinations such as assessment of visual acuity, cycloplegic refraction, ocular motility examination, slit lamp examination and indirect funduscopy on 50 children with sensorineural hearing loss (determined by ABR), were performed. Thirty-two percent of cases had at least one kind of ophthalmic disturbances. Refractive errors were the most common abnormalities (28%), including astigmatism (12%), myopia and astigmatism (8%), and hyperopia (8%). Three (6%) cases had ocular motility disturbance including one case of esotropia, one case of exophoria and one case of exotropia. Twenty-four percent of cases had retinal abnormalities, including suspected Rubella retinopathy (6%), pigmentary changes suspect to retinitis pigmentosa (4%), optic nerve hypoplasia (4%), and finally poor fovea reflex (10%).
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References
Norton SJ, Perkins JA et al (2005) Early detection and diagnosis of infant hearing impairment. In: Cummings CW (ed) Cummings otolaryngology head and neck surgery, 4th edn. Elsevier Mosby, New York, pp 4387–4397
Husein M, Smith RJH (2005) Genetic sensorineoural hearing loss. In: Cummings CW (ed) Cummings otolaryngology head and neck surgery, 4th edn. Elsevier Mosby, New York, pp 4469–4476
Arts HA et al (2005) Sensorineural hearing loss: Evaluation and management in adults. In: Cummings CW (ed) Cummings otolaryngology head and neck surgery, 4th edn. Elsevier Mosby, New York, pp 3535–3550
Regenbogen L, Godel V (1985) Ocular deficiencies in deaf children. J Pediatr Ophthalmol Strabismus 22(6):231–233
Mafong DD, Pletcher SD, Hoyt C, Lalwani AK (2002) Ocular findings in children with congenital sensorineural hearing loss. Arch Otolaryngol Head Neck Surg 128(11):1303–1306
Pollard G, Neumaier R (1974) Vision characteristics of deaf students. Am J Optom Physiol Opt 51(11):839–846
Armitage IM, Burke JP, Buffin JT (1995) Visual impairment in severe to profound sensorineural deafness. Arch Dis Child 73(1):53–56
Brinks MV, Murphey WH, Cardwell W, Otos M, Welber RG (2001) Ophthalmologic screening of deaf students in Oregon. J Pediatr Ophthalmol Strabismus 38(1):11–15
Woodruf ME (1986) Differential effects of various causes of deafness on the eyes, refractive errors and vision of children. Am J Optom Physiol Opt 63(8):668–675
Siatkowski M, Flynn J, Hodges AV, Balkany TJ (1994) Ophthalmologic abnormalities in the pediatric cochlear implant population. Am J Ophthalmol 118(1):70–76
Guy R, Nicholson J, Pannu SS, Holden R (2003) A clinical evaluation of ophthalmic assessment in children with sensorineural deafness. Child Care Health Dev 29(5):377–384. doi:10.1046/j.1365-2214.2003.00355.x
Hanioglu-Kargi S, Koksal M, Tomac S, Ugurba SH, Alpay A (2003) Ophthalmologic abnormalities in children from a Turkish school for the deaf. Turk J Pediatr 45(1):39–42
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This study was supported by research vice presidency of mashed university of medical sciences. The authors thank wish to Toktam Moghiman for their invaluable help in data collection.
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Routine ophthalmologic examination must be done in cases with sensorineural hearing loss, because of both high prevalence of association with ophthalmic abnormalities and the dependency of these children on their vision for social development and communication.
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Bakhshaee, M., Banaee, T., Ghasemi, M.M. et al. Ophthalmic disturbances in children with sensorineural hearing loss. Eur Arch Otorhinolaryngol 266, 823–825 (2009). https://doi.org/10.1007/s00405-008-0821-7
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DOI: https://doi.org/10.1007/s00405-008-0821-7