Dereglări ale acuității vizuale și refracției în cazul copiilor după traumatism cranio-cerebral

Autori

DOI:

https://doi.org/10.52556/2587-3873.2022.1(92).02

Cuvinte cheie:

acuitate vizuală, traumatism cranio-cerebral la copii

Rezumat

Afecțiunile vizuale la copii pot surveni în urma unui traumatism cranio-cerebral (TCC). Scopul studiului a fost de a determina incidența dereglărilor vizuale apărute în urma unui TCC în cadrul populației pediatrice. Studiul a inclus 48 de pacienți cu afecțiuni vizuale persistente post TCC. A fost examinată acuitatea vizuală (AV) și refracția. Astfel, în cadrul lotului de pacienți post TCC, AV pentru ochiul drept a fost de 0.09-0.5 la 83.7% (40 de pacienți), la 16.3% (8 pacienți) – ochiul drept 0,6-0,8, comparativ cu lotul de control, unde 62% dintre pacienți aveau AV de aproximativ 1.0, doar 14% (7 pacienți) au prezentat 0.09-0.5 și la 24% (12 pacienți) - la 0.6—0.8, conform tabelei Snellen. AV pentru ochiul stâng în lotul cercetat a fost de 0.09—0,5 la 89.8% (43 de pacienți), la 10.2% (5 pacienți) – 0.6—0.8, în comparație cu lotul de control, 66% de pacienți au prezentat AV de aproape 1.0, doar 24% (12 pacienți) au prezentat 0.090,5 și 14% (5 pacienți) – 0,6—0.8. AV este afectată în primul rând după un TCC, deși se ameliorează simțitor în decurs de 3-6 luni după traumatism. Datele autorefractometriei arată o ușoară hipermetropie cu o posibilă componentă astigmatică cuprinsă între 1D și 3D, iar în 4.1%–8.2% din cazuri o ușoară miopie care, de asemenea, variază între 1D și 3D.

Referințe

1. mcKinlay A., grace R.c., horwood l.J., et al. Prevalence of traumatic brain injury among children, adolescents and young adults: Prospective evidence from a birth cohort. Brain inj 2008;22(2):175-81. https://doi.org/10.1080/02699050801888824

2. langlois J.A., Rutland-Brown W., Thomas K.E. The incidence of traumatic brain injury among children in the united states: differences by race. J head Trauma Rehabil 2005;20(3):229-38. https://doi.org/10.1097/00001199-200505000-00006

3. Thornhill s., Teasdale g.m., murray g.d., et al. disability in young people and adults one year after head injury: prospective cohort study. BmJ 2000;320(7250).1631 https://doi.org/10.1136/bmj.320.7250.1631

4. centers for disease control and Prevention. heads up to healthcare providers. Atlanta: cdc, 2015. Available at www.cdc.gov/headsup/providers [Accessed 16 June 2016].

5. corrigan J.d., selassie A.W., orman J.A.l. The epidemiology of traumatic brain injury. J head Trauma Rehabil 2010;25(2):72-80. https://doi.org/10.1097/HTR.0b013e3181ccc8b4

6. Barlow K.m., crawford s., stevenson A., et al. Epidemiology of postconcussion syndrome in pediatric mild traumatic brain injury. Pediatrics 2010;126(2):e374- 81. https://doi.org/10.1542/peds.2009-0925

7. centers for disease control and Prevention. nonfatal traumatic brain injuries related to sports and recreation activities among persons aged ≤19 years - united states, 2001-2009. morbidity and mortality Weekly Report 2011;60(39):1337-42.

7. halstead mE, Walter Kd, moffatt K; council on sPoRTs mEdicinE And FiTnEss. sport-Related concussion in children and Adolescents. Pediatrics. 2018 dec;142(6):e20183074. https://doi.org/10.1542/peds.2018-3074. https://doi.org/10.1542/peds.2018-3074

8. leddy J.J. et al. Early subthreshold aerobic exercise for sport-related concussion: a randomized clinical trial. JAmA pediatrics. - 2019. - т. 173. - №. 4. - с. 319-325. https://doi.org/10.1001/jamapediatrics.2018.4397

9. marar m., mcilvain n.m., Fields s.K. et al. Epidemiology of concussions among united states high school athletes in 20 sports. Am J sports med 2012;40(4).747-55. https://doi.org/10.1177/0363546511435626

10. mccrory P., meeuwisse W., Aubry m. et al. consensus statement on concussion in sport: The 4th international conference on concussion in sport held in Zurich, november 2012. Br J sports med 2013;47(5):250-58. https://doi.org/10.1136/bjsports-2013-092313

11. cernak i., chang T., Ahmed F.A. et al. Pathophysiological response to experimental diffuse brain trauma differs as a function of developmental age. dev neurosci 2010;32(5-6):442-53. https://doi.org/10.1159/000320085

12. creed J.A., dileonardi A.m., Fox d.P., Tessler A.R., Raghupathi R. concussive brain trauma in the mouse results in acute cognitive deficits and sustained impairment of axonal function. J neurotrauma 2011;28(4):547-63. https://doi.org/10.1089/neu.2010.1729

13. giza c.c., hovda d.A. The neurometabolic cascade of concussion. J Athl Train 2001;36(3):228-35.

14. Field m, collins mW, lovell mR, maroon J. does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes. J Pediatr 2003;142(5):546. https://doi.org/10.1067/mpd.2003.190

15. grady m.F. concussion in the adolescent athlete. curr Probl Pediatr Adolesc health care 2010;40(7)154-69. https://doi.org/10.1016/j.cppeds.2010.06.002

16. lovell m.R., collins m.W., iverson g.l. et al. Recovery from mild concussion in high school athletes. J neurosurg 2003;98(2):296-301. https://doi.org/10.3171/jns.2003.98.2.0296

17. Kenneth J. ciuffreda, o.d., Phda, diana P. ludlam, Bs, coVTa , naveen K. Yadav, Bs optom, ms, Phdb , Preethi Thiagarajan, Bs optom, ms, Phd. Traumatic Brain injury Visual consequences, diagnosis, and Treatment. Advances in ophthalmology and optometry 1(2016) 303-333. https://doi.org/10.1016/j.yaoo.2016.03.013

18. macFarlane m.P., glenn T.c. neurochemical cascade of concussion. Brain inj 2015;29: 139-53. https://doi.org/10.3109/02699052.2014.965208

19. giza c.c., hovda d.A. The pathophysiology of traumatic brain injury//Traumatic brain injury in sports. - Taylor & Francis, 2020. - с. 45-70. https://doi.org/10.1201/9780367810535-4

20. Peter W. nathan, graham Ratcliff, charles R. noback, Peter B.c. matthews, Arthur d. loewy, Thomas l. lentz. human nervous system. Encyclopedia Britannica.

21. Zahid A.B. et al. Eye tracking as a biomarker for concussion in children//clinical journal of sport medicine. - 2020. - т. 30. - №. 5. - с. 433-443. https://doi.org/10.1097/JSM.0000000000000639

22. chan R.V., Paul m.d., Trobe Jonathan d. m.d. spasm of Accommodation Associated with closed head Trauma. Journal of neuro-ophthalmology: march 2002 - Volume 22 - issue 1, p. 15-17. https://doi.org/10.1097/00041327-200203000-00005

23. mohammad Reza sedaghat, hamed momeni-moghaddam, shehzad A. naroo, mohammad Etezad-Razavi and majid moshirfar induced myopia secondary to Blunt Trauma. case Reports in ophthalmological medicine. Volume 2019. https://doi.org/10.1155/2019/1632828

24. Fintan E. hughes, et al. Persistent pseudomyopia following a whiplash injury in a previously emmetropic woman. American Journal of ophthalmology case Reports Volume 8, december 2017, pages 28-30. https://doi.org/10.1016/j.ajoc.2017.09.006

25. Eklund A. et al. Jaw‐neck motor function in the acute stage after whiplash trauma //Journal of oral rehabilitation. - 2020. - т. 47. - №. 7. - с. 834-842. https://doi.org/10.1111/joor.12981

26. mavrakanas n., dreifuss s., safran A.B. ocT iii imaging of whiplash maculopathy Eye, 22 (6) (2008), pp. 860-861. https://doi.org/10.1038/sj.eye.6703093

27. Fortenbaugh F.c. et al. Blast mild traumatic brain injury is associated with increased myopia and chronic convergence insufficiency//Vision research. - 2021. - т. 186. - с. 1-12. https://doi.org/10.1016/j.visres.2021.04.004

28. Jenkins P.F. management and Treatment modalities in Traumatic Brain injury//Journal of Binocular Vision and ocular motility. - 2020. - т. 70. - №. 4. - с. 140-146. https://doi.org/10.1080/2576117X.2020.1779579

29. scheiman m., mitchell g.l., cotter s. et al. A randomized clinical trial of treatments for convergence insufficiency in children. Arch ophthalmo. 2005;123(1):14-24. https://doi.org/10.1001/archopht.123.1.14

30. hunt A.W., mah K., Reed n., Engel l., Keightley m. oculomotor-based vision assessment in mild traumatic brain injury: a systematic review. J head Trauma Rehabil 2016;31(4):252-61. https://doi.org/10.1097/HTR.0000000000000174

31. Fox s.m., Koons P., dang s.h. Vision rehabilitation after traumatic brain injury//Physical medicine and Rehabilitation clinics. - 2019. - т. 30. - №. 1. - с. 171-188. https://doi.org/10.1016/j.pmr.2018.09.001

32. lacroix Z., leat s.J., christian l.W. Role of primary care optometrists in the assessment and management of patients with traumatic brain injuries in canada - canadian Journal of optometry 2018. https://doi.org/10.15353/cjo.80.279

33. Jason c. Yam, et al. low-concentration Atropine for myopia Progression (lAmP) study. ophthalmology Volume 126, issue 1, January 2019, Pages 113-124. https://doi.org/10.1016/j.ophtha.2018.05.029

34. laria c., merino-suárez m.l., Piñero d.P., gómez-hurtado A., Pérez-cambrodí R.J. Botulinum Toxin as an Alternative to Treat the spasm of the near Reflex. semin ophthalmol. 2015;30(5-6):393-6. https://doi.org/10.3109/08820538.2014.912337

35. shanker V., nigam V. unusual Presentation of spasm of near Reflex mimicking large-Angle Acute Acquired comitant Esotropia. neuroophthalmology. 2015 Jul;39(4):187-90. https://doi.org/10.3109/01658107.2015.1053619

36. combined interventions for nonorganic Visual loss in a case with Pseudo-myopia: A Perspective from Vietnam. case Rep ophthalmol 2020; 11:229-233. https://doi.org/10.1159/000508236

37. Johansson J., nygren c., Boussard de et al. The effect of spectacle treatment in patients with mild traumatic brain injury: a pilot study clinical and Experimental optometry 2017 - Wiley online library. https://doi.org/10.1111/cxo.12458

38. scheiman m., Wick B. clinical management of Binocular Vision: heterophoric, Accommodative and Eye movement disorders. 4th ed. ed. Pennsylvania, usA: lippincott Williams & Wilkins, 2014.

39. hughes FE, Treacy mP, duignan Es, mullaney PB. Persistent pseudomyopia following a whiplash injury in a previously emmetropic woman. Am J ophthalmol case Rep. 2017 sep 22;8:28-30. https://doi.org/10.1016/j.ajoc.2017.09.006

40. siddiqui s.n., hannan A., mansoor h. et at. Anisometropia and refractive status in children with bilateral congenital nasolacrimal duct obstruction Journal of Physicians and surgeons Pakistan 2018 mar;28(3):210-213. https://doi.org/10.29271/jcpsp.2018.03.210

41. handa s., saffari s.E., Borchert m. Factors associated with lack of vision improvement in children with cortical visual impairment Journal of neuro ophthalmol 2018; 38: 429-43. https://doi.org/10.1097/WNO.0000000000000610

Descărcări

Publicat

19.04.2026

Număr

Secțiune

Articole

Cum cităm

[1]
Verejan, V. et al. 2026. Dereglări ale acuității vizuale și refracției în cazul copiilor după traumatism cranio-cerebral. Sănătate Publică, Economie şi Management în Medicină. 1(92) (Apr. 2026), 12–18. DOI:https://doi.org/10.52556/2587-3873.2022.1(92).02.

Cele mai citite articole ale aceluiași autor(i)

Articole similare

1-10 of 85

Puteți, de asemenea, începeți o căutare avansată de similaritate pentru acest articol.