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Nig Q J Hosp Med. 2011 Oct-Dec;21(4):252-4.

Hydrocephalus and the eyes: a teaching hospital experience.

Author information

1
Dept of Ophthalmology, Lagos University Teaching Hospital.

Abstract

BACKGROUND:

The eye developes from prosencephalon, the primitive forebrain and hence share similar embryonic origin with brain. This gives insight into primary or secondary involvement of eyes in intra-cranial pathology.

OBJECTIVE:

The study was done to describe ocular findings in hydrocephalus patients and effect of intervention on the complications.

METHODS:

Forty one consecutive hydrocephalus patients were examined pre and post ventriculo-peritoneal shunts. Comprehensive ocular examinations included dilated fundoscopy in all cases.

RESULTS:

A total of 41 patients were examined with the age range of between 4 hours to 108 months and a mean age of 21 months. Onset of the hydrocephalus varies from 4hours to 108 months, with a mean of 4.1 weeks. Twenty two patients (51.2%) presented after 2 months of onset of hydrocephalus. Most common presenting complaint was enlarged head seeing in 29 patients (70.7%).

CONCLUSION:

A total of 12 (30%) out of 41 patients with hydrocephalus had optic atrophy. Another 10 patients had sun-setting phenomenon, 3 of these sun-setting phenomena resolved a week after ventriculo-peritoneal shunts. The ocular morbidity is high among hydrocephalus patients.

PMID:
23175886
[Indexed for MEDLINE]

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