Dereglări ale acuității vizuale și refracției în cazul copiilor după traumatism cranio-cerebral
DOI:
https://doi.org/10.52556/2587-3873.2022.1(92).02Cuvinte cheie:
acuitate vizuală, traumatism cranio-cerebral la copiiRezumat
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.
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