[Purpose] The aim of this study was to evaluate the relationships among vision problems,
developmental levels, upper extremity functions, and qualities of life of children with
cerebral palsy (CP). [Subjects] The study included 32 children, aged 4–15 years, diagnosed
with diplegic type CP. [Methods] Hand function was evaluated using the Manual Ability
Classification System (MACS) and the Bimanual Fine Motor Function (BFMF) scale, and the
severity of CP was assessed using the Gross Motor Function Classification System (GMFCS).
The developmental and mental capabilities of the children were evaluated using the Ankara
Developmental Screening Inventory (ADSI) or the WISC-R test. An oculomotor examination was
conducted for all patients. [Results] Positive correlations were found between GMFCS and
BFMF, GMFCS and MACS, and MACS and BFMF scores (r=0.636; r=0.553; r=0.718, respectively).
Significant correlations were found between upper extremity function, the severity of CP,
the quality of life, and the general developmental level. There was no significant
correlation between ocular disorders and clinical characteristics. [Conclusion] GMFCS,
MACS, and BFMF may be useful for defining the functional status of children with CP, as
they are easy, practical, and simple classification scales that conform to each other.
The aim of this report is to emphasize that corticosteroids should not be prescribed when the etiological factors remain unidentified. A 34-year-old male visited our ophthalmology clinic suffering from blurred vision. Behçet's disease had been diagnosed 5 years prior, and the patient was taking an oral immunosuppressant and a systemic corticosteroid. Vitreous cell count and foci of chorioretinitis (apparently confined to the ocular fundus) were evident. A vitreous sample was subjected to polymerase chain reaction, which resulted in the identification of and Mycobacterium tuberculosis. Treatment with a combination of four anti-tuberculosis drugs was commenced. During the follow-up, the vitritis disappeared, and the foci of active chorioretinitis improved. Systemic and Sub-Tenon corticosteroid treatment should not be prescribed until vitreous and anterior chamber fluid samples have been evaluated in patients with uveitis. Some microbes are not detected on routine examination.
Intracameral moxifloxacin injection seems to be safe systemically, but it may have toxic effects on corneal tissues, as suggested by oxidative stress parameters and a histopathological evaluation.
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