title: Ocular findings in cerebral palsy patients undergoing orthopedic surgery.
abstract: OBJECTIVE
  To investigate the prevalence and clinical features of ocular abnormalities in patients with cerebral palsy (CP) and the association with gross motor function.
  
  
  METHODS
  A complete ophthalmologic examination was performed in 88 consecutive patients with CP before and during orthopedic surgery in a tertiary hospital from July 2008 to March 2010. The prevalence and clinical features of ocular abnormalities and the association with gross motor function state were investigated.
  
  
  RESULTS
  Seventy-eight patients (89%) had ocular abnormalities. Refractive errors were found in 53 patients (60%). Strabismus including exotropia (50%), esotropia (9%), and hypertropia (9.1%) was found in 52 patients (59%). Posterior segment abnormalities were found in 19 patients (22%), cornea and lens abnormalities in 8 patients (9%), and epiblepharon in 5 patients (6%). Among 57 patients whose visual acuity could be measured, best-corrected visual acuity of the better eye was ≤ 20/40 in 18 patients (32%) and ≤ 20/200 in 3 patients (5%). Objective vision-impairing ocular abnormalities and vertical strabismus were significantly associated with poor gross motor function before orthopedic surgery.
  
  
  CONCLUSIONS
  Ocular abnormalities were present in the majority of CP patients and patients with poor gross motor function were more likely to be afflicted with vision-impairing ocular abnormalities. Ophthalmologic evaluation is deemed necessary in CP patients, especially in those with poor motor function.
authors: Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
authors: Se Joon
authors: SJ
authors: Woo
authors: Jeeyun
authors: J
authors: Ahn
authors: Moon Seok
authors: MS
authors: Park
authors: Kyoung Min
authors: KM
authors: Lee
authors: Dae Kyu
authors: DK
authors: Gwon
authors: Jeong-Min
authors: JM
authors: Hwang
authors: Chin Youb
authors: CY
authors: Chung
mesh_terms: D000293:Adolescent; D000328:Adult; D002547:Cerebral Palsy / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005123:Eye / Q000503:physiopathology*; D005128:Eye Diseases / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology*; D005133:Eye Movements / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures; D015995:Prevalence; D056910:Republic of Korea / Q000453:epidemiology; D012189:Retrospective Studies; D014792:Visual Acuity; D055815:Young Adult