Visual and ocular findings in children adopted from eastern Europe

Grönlund, Marita Andersson,1959Gothenburg University,Göteborgs universitet,Institutionen för klinisk neurovetenskap, Sektionen för oftalmologi,Institute of Clinical Neurosciences, Section of Ophtalmology,Institute of Clinical Neuroscience, Section of Ophthalmology, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden (författare)

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.

Aring, Eva,1959Gothenburg University,Göteborgs universitet,Institutionen för klinisk neurovetenskap,Institute of Clinical Neurosciences,Institute of Clinical Neuroscience, Section of Ophthalmology, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden(Swepub:gu)xariev (författare)
Hellström, Ann,1959Gothenburg University,Göteborgs universitet,Institutionen för klinisk neurovetenskap, Sektionen för oftalmologi,Institute of Clinical Neurosciences, Section of Ophtalmology,Institute of Clinical Neuroscience, Section of Ophthalmology, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden(Swepub:gu)xheann (författare)
Landgren, M.Department of Pediatrics, Hospital of Skaraborg, Skövde, Sweden (författare)
Strömland, Kerstin,1934Gothenburg University,Göteborgs universitet,Institutionen för klinisk neurovetenskap, Sektionen för oftalmologi,Institute of Clinical Neurosciences, Section of Ophtalmology,Institute of Clinical Neuroscience, Section of Ophthalmology, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden(Swepub:gu)xstrok (författare)
Göteborgs universitetInstitutionen för klinisk neurovetenskap, Sektionen för oftalmologi (creator_code:org_t)

Ingår i:Br J Ophthalmol: BMJ Publishing Group Ltd88:11, s. 1362-1267
Ingår i:British Journal of Ophthalmology: BMJ Publishing Group Ltd88:11, s. 1362-12670007-11611468-2079

Av författaren/redakt...: Grönlund, Marita ...; Aring, Eva, 1959; Hellström, Ann, ...; Landgren, M.; Strömland, Kerst ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Oftalmologi

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