Abstract
The purpose of this study was to perform an ophthalmological assessment in children with intracranial cysts and to assess the correlation between the occurrence of cysts and visual disorders. The documentation of 46 children with intracranial cysts, monitored by the Children’s Outpatient Ophthalmology Clinic, Poznan, Poland was analysed. The best corrected visual acuity (BCVA), the alignment of the eyes, visual evoked potentials (VEP), comprehensive eye examination were performed in all patients. Additional ophthalmological tests were conducted to eliminate other causes of decreased visual acuity.Included in the final analysis were 26 children (52 eyes). The average age at the last visit was 10.3 years. Sixteen children (61.5%) had arachnoid cysts located in the posterior cranial fossa, 3 children (11.5%) in the middle cranial fossa, while 7 children (27%) had a pineal cyst. Decreased BCVA was found in 13 children, abnormal VEP in 13, strabismus in 14 patients (53.9%), nystagmus in 5 patients (19.2%), and double vision in 2 patients (7.7%). Numerous visual disorders in children with intracranial cysts suggest the necessity to carry out enhanced ophthalmological diagnostics in these patients. In the examined patient group, visual disorders occurred mostly in the case of arachnoid cysts of the posterior fossa.
Highlights
While carrying out an ophthalmological assessment of children, we sometimes come across a diagnostic problem while trying to determine what causes decreased visual acuity
The purpose of this study was to perform an ophthalmological assessment in children with intracranial cysts and to assess the correlation between the occurrence of cysts and visual disorders
Ten children were excluded from the study due to coexisting changes in the central nervous system (CNS)
Summary
While carrying out an ophthalmological assessment of children, we sometimes come across a diagnostic problem while trying to determine what causes decreased visual acuity. We have observed a large group of children who, apart from decreased best corrected visual acuity (BCVA) and often abnormal visual evoked potentials (VEP), have been diagnosed with an intracranial arachnoid cyst or a pineal cyst through imaging of the central nervous system (CNS). In these young patients, no causes for this state have been found, despite further ophthalmological assessment. The purpose of this study was to perform an ophthalmological assessment in children with intracranial cysts and to assess the correlation between the occurrence of cysts and visual disorders
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