Referral for Ophthalmology Evaluation and Visual Sequelae in Children With Primary Brain Tumors | Zendy

Yin Liu | Zendy; Chenue Abongwa | Zendy; Stephen Ashwal | Zendy; Douglas Deming | Zendy; Timothy W. Winter | Zendy

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Referral for Ophthalmology Evaluation and Visual Sequelae in Children With Primary Brain Tumors

Author(s) -

Yin Liu,

Chenue Abongwa,

Stephen Ashwal,

Douglas Deming,

Timothy W. Winter

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.8273

Subject(s) - medicine , referral , neuro ophthalmology , pediatric ophthalmology , pediatrics , brain tumor , cohort , visual acuity , retrospective cohort study , visual impairment , ophthalmology , strabismus , surgery , pathology , family medicine , psychiatry , glaucoma

Key Points Question In children with brain tumors, what is the referral rate to ophthalmology and what is the prevalence of visual sequelae and their association with tumor characteristics? Findings In this cohort study of 141 children with primary brain tumors, only 68 (48%) were referred for comprehensive eye examination. While only 15% of those referred had visual symptoms, more than 90% had a variety of visual impairments including both afferent and efferent diseases, with visual field defects being the most common impairment among patients without symptoms. Meaning Ophthalmologic evaluation is recommended for early diagnosis of visual sequelae in children with brain tumors to prevent permanent vision loss.

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