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Revista mexicana de oftalmología

versão On-line ISSN 2604-1227versão impressa ISSN 0187-4519

Resumo

RANGEL-PADILLA, Andrea et al. Refractive errors and accommodative insufficiency in children with learning difficulties. Rev. mex. oftalmol [online]. 2022, vol.96, n.1, pp.3-8.  Epub 07-Fev-2022. ISSN 2604-1227.  https://doi.org/10.24875/rmo.m21000209.

Background:

The first cause of school failure is learning disabilities. Diagnosis and treatment require a multidisciplinary approach in which it is important to rule out any ophthalmological condition that can interfere with the learning process. There is no data about it in Mexican population; therefore, it is important to evaluate the most common visual defects.

Purpose:

To describe ophthalmological findings in children with learning difficulties.

Method:

The following data was retrieved from a retrospective review of the medical records of children aged 5 to 16 years with learning difficulties who underwent through ophthalmic examination from January 2018 through January 2019. The records include the following variables: age, gender, visual acuity, ocular alignment, fusion, stereoacuity, near point of convergence, color vision, accommodative amplitude, cycloplegic refraction, slit lamp, fundus exam, and diagnosis.

Results:

Data of 69 children were included, their mean age was 9.3 years (± 3.5), 51 were men. Of the 69 children, 38 had an ophthalmic finding: 22 patients presented significant refractive error, 10 patients had accommodative insufficiency, 10 patients showed convergence insufficiency. Other diagnoses found were strabismus, amblyopia, allergic conjunctivitis, and color blindness.

Conclusions:

It is advisable that every child with learning difficulties should go for an exhaustive eye exam including accommodation and vergence tests to rule out any visual defects that can interfere with learning.

Palavras-chave : Refractive errors; Accommodative Insufficiency; Learning disabilities; Children.

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