Refractive error and ocular findings among infants and young children with severe problem behavior and developmental disabilities.

Refractive error and ocular findings among infants and young children with severe problem behavior and developmental disabilities.
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患有严重问题行为和发育障碍的婴幼儿的屈光不正和眼部发现。

DOI:
10.1080/19315864.2018.1497108
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发表时间:
2018
影响因子:
2.5
通讯作者:
Schroeder,Stephen
Schroeder,Stephen
中科院分区:
医学4区
文献类型:
--
作者:
Sauer,Theodor;Lawrence,Linda;Mayo-Ortega,Liliana;Oyama-Ganiko,Rosa;Schroeder,Stephen

文献摘要

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The prevalence of refractive error and ocular disorders among infants and young children with severe behavioral problems and developmental disorders is not well defined, particularly in developing countries. We performed a retrospective review of ophthalmic examinations performed during a National Institutes of Health–funded cohort study of very young children in Peru with behavioral problems and at risk for developmental disorders. Two-hundred twenty-two children between the ages of 0 and 4 years (mean 2.2 ± 0.9 years) were examined and 100 (45.0%) had an abnormal ocular exam. Overall, the prevalence of refractive error was 33.3%, nystagmus was 12.2%, and strabismus was 10.9%. Among children with Down syndrome, refractive error ranged from 46.2% at age 2 to 85.7% at age 4. Refractive error and ocular disorders are highly prevalent even at a young age in children with behavioral problems and developmental disorders. Much of the visual impairment in this population is treatable; early identification and intervention can have a lifelong positive impact on neurodevelopment.