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Br J Ophthalmol. 2004 Nov;88(11):1362-7.

Visual and ocular findings in children adopted from eastern Europe.

Author information

  • 1Institute of Clinical Neuroscience, The Sahlgrenska Academy at Göteborg University, Sweden. marita.gronlund@oft.gu.se

Abstract

AIMS:

To evaluate ophthalmological findings in children adopted from eastern Europe.

METHODS:

A prospective study on 72/99 children, born 1990-5 and adopted from eastern Europe to western Sweden during 1993-7 was performed. The children (41 boys; mean age 7.5 years) were compared with an age and sex matched reference group ("ref") of Swedish children.

RESULTS:

78% of the adopted children had abnormal ocular findings. 26% (ref 4%) had visual acuity (VA) of the better eye < or = 0.5 (> or = 0.3 logMAR) (p = 0.0001) and 8% (ref 0%) were visually impaired (p = 0.01). Amblyopia was found in 15% (ref 2%) (p = 0.005). 22% (ref 10%) were hyperopic (> or = 2.0 D SE) (NS) and 10% (ref 1%) were myopic (> or = 0.5 D SE) (p = 0.03). Astigmatism (> or = 0.75 D) was found in 51% (ref 23%) (p = 0.004). 32% (ref 2%) had strabismus (p<0.0001), mostly esotropia. Four cases had bilateral optic nerve hypoplasia, in three of whom a history of suspected prenatal alcohol exposure was documented. One child had congenital glaucoma. Signs of visuoperceptual problems were recorded in 37% (ref 1%) (p<0.0001).

CONCLUSION:

In this study, children adopted from eastern Europe had a high frequency of ophthalmological findings. Consequently, it is strongly recommended that an ophthalmological examination be performed in these children after arrival in their new home country.

PMID:
15489473
PMCID:
PMC1772390
DOI:
10.1136/bjo.2004.042085
[PubMed - indexed for MEDLINE]
Free PMC Article
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