Research Article
Ocular Manifestations Associated with Cerebral Palsy Among Rural Bangladeshi Children
Issue:
Volume 10, Issue 2, June 2025
Pages:
29-34
Received:
20 March 2025
Accepted:
31 March 2025
Published:
29 April 2025
Abstract: Background: Neurological disorders known as cerebral palsy affect movement and posture in a large number of patients leading to visual complications. Evaluation of ocular symptoms among children with cerebral palsy leads to timely treatment and care procedures. Objective: This study investigates the prevalence and patterns of ocular disorders among children with cerebral palsy in rural Bangladesh. Methodology: This two-year research period happened at the Centre for the Rehabilitation of the Paralysed from September 2019 to February 2021. Visual acuity tests, cycloplegic refraction and fundoscopic examinations were performed on 170 children who had cerebral palsy. SPSS-26 and MS Excel software were used to conduct the statistical examinations using a p<0.05 level of significance. Results: A high number of refractive errors (75.3%) were detected in the study group and astigmatism (44.7%) turned out to be the most frequently observed condition. Out of all patients examined the researchers discovered strabismus in 34.1% of cases yet exotropia was more common at 18.8% when compared to esotropia at 15.3%. Out of all participants, 10.6% displayed pale optic discs whereas 1.8% exhibited deep cupping during fundoscopic examination. Regular fundus examination results were normal for 87.6% of the total children studied. Conclusion: Cerebral palsy children show high occurrence rates of both refractive errors and strabismus as ocular complications. The evaluation of vision along with prompt interventions by an Ophthalmologist plays an important role in enhancing both the visual performance and life quality of patients. The incorporation of eye care services into rehabilitation treatments and increased patient knowledge about these services will produce better long-term results for children with affected vision.
Abstract: Background: Neurological disorders known as cerebral palsy affect movement and posture in a large number of patients leading to visual complications. Evaluation of ocular symptoms among children with cerebral palsy leads to timely treatment and care procedures. Objective: This study investigates the prevalence and patterns of ocular disorders among...
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Case Report
Low-Level Laser Therapy Improves Visual Function in Occult Macular Dystrophy
Issue:
Volume 10, Issue 2, June 2025
Pages:
35-41
Received:
30 September 2024
Accepted:
23 October 2024
Published:
3 June 2025
DOI:
10.11648/j.ijovs.20251002.12
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Abstract: Background: Occult macular dystrophy (OMD) is a binocular hereditable macular disease caused by Retinitis pigmentosa 1-like 1(RP1L1) gene variation. Currently, there is no effective treatment for OMD. Low-level laser therapy (LLLT) is an innovative treatment for ophthalmological conditions by stimulate mitochondrial function. In this paper, we report a case of OMD and the effects of LLLT on this patient. Case Presentation: A 20-year-old man was diagnosed with OMD by genetic diagnosis. At presentation, the best corrected visual acuity (BCVA) was 3 letters (ETDRS) in his right eye (RE) and 12 letters in his left eye (LE). Spectral domain-optical coherence tomography (SD-OCT) revealed a blurred Elipsoid zone (EZ) and interdigitation zone (IZ) at the macular area of both eyes. The multifocal electroretinogram (MF-ERG) response amplitudes were reduced, and physiological blind spots were expanded in both eyes detected by perimetry. The full field electroretinogram (FF-ERG) examination, fluorescein angiograms (FFA), and fundus examination were normal. After an adequate evaluation of the safety of LLLT and with the patient's consent, the patient was treated with LLLT for 4 weeks (twice a day). For LLLT, the fundus was irradiated through the cornea for 180 sec with laser light (wavelength 650nm; average power 2.0±0.5 mW). The BCVA increased to 20 letters in both eyes, and the MF-ERG amplitude and vision sensitivity detected by the perimeter increased too. However, the morphology of the EZ and IZ measured by SD-OCT didn’t change. Conclusions: LLLT was shown to improve and maintain vision in a patient with OMD and may have contributed to improving the function of photoreceptor cells.
Abstract: Background: Occult macular dystrophy (OMD) is a binocular hereditable macular disease caused by Retinitis pigmentosa 1-like 1(RP1L1) gene variation. Currently, there is no effective treatment for OMD. Low-level laser therapy (LLLT) is an innovative treatment for ophthalmological conditions by stimulate mitochondrial function. In this paper, we repo...
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,
Abir Bin Sajj
