Ocular Pathologies in Children with Mental Retardation: A Prospective Study
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Tarih
2020
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info:eu-repo/semantics/openAccess
Özet
Aim: The aim of this study is to investigate the ocular pathologies in mentally retardedpediatric patients without Down syndrome or any certain chromosomal-genetic anomaly.Material and Methods: A total of 189 patients, including 79 mental retarded and 110 healthychildren, were included in this study between 2010 and 2011. Demographic factors (age,gender) of the patients, and affected side, visual acuity, esotropia, exotropia, anterior segmentpathologies and posterior segment pathologies were evaluated. All pediatric patients in studygroup were divided as IQ level <34, 35-49, 50-69, and >70 according to Wechsler IntelligenceScale for Children-Revised Form.Results: The mean age of the children with mental retardation was 11.85±6.19 (3-17) years,while the mean age of healthy children was 10.73±3.35 (3-15) years. While visual impairmentwas present in 8 of the 74 patients whose vision was evaluated, there was no impairment in thehealthy group (p=0.001 and p=0.004 for right and left, respectively). Anterior segmentpathology was detected in 2 (2.5%) cases, and posterior segment pathology in 3 (3.8%) casesin children with low IQ. While strabismus was detected in 7 (8.9%) patients with low IQ, nostrabismus was found in healthy children. Five (6.3%) of the cases with mental retardation hadexotropia and 2 (2.5%) had esotropia. Exotropia was found significantly higher in childrenwith mental retardation compared to the control group (p=0.012).Conclusion: Visual impairment, anterior-posterior segment pathology, exotropia had a highprevalence in children with mental retardation, and all ocular pathologies were related to lowintellectual disability.
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22
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3
