Avaliação da funcionalidade em crianças de 4-6 anos apresentando toxoplasmose congênita e retinocoroidite

Abstract

Introduction: In Brazil, congenital toxoplasmosis (CT) is the main cause of visual impairment in childhood. It causes retinochoroiditis, which should lead to blindness. Minas Gerais has a prevalence of 1 newborn with congenital toxoplasmosis for every 770 live births. Objective: To evaluate visual functionality and tasks of self-care with TC classified in groups according to a visual acuity. Method: A cross-sectional study with 96 preschoolers with CT. Ophthalmologic examination and assessment of some functionalities were performed: The Functional Vision Evaluation (AVIF-2 at 6 years) and the Pediatric Disability Assessment Inventory (PEDI-Brazilian version). Results: Children were classified into three groups according to visual acuity: moderate / severe visual loss (n=16), low level (n=39) and normal vision (n=41). The chance of difference is not greater than AVIF-2 at 6 years among the three groups (p=0.001), being (p <0.0001) between the groups with moderate/severe visual and normal vision. The domain scores are displayed as the end result (p=0.022). The test PEDI is not able to make a difference between the groups. It is not different between the scores of the tests carried out. Conclusion: Children with CT without moderate / severe visual impairment, compromising visual functionality with greater impairment without visual accompaniment. The AVIF-2 at 6 years test demonstrated the impairment between groups with different visual acuities. The PEDI (self-care) test was not performed with a significant difference in scores between the groups. The AVIF-2 at 6 years test may contribute to the more effective intervention in the visual habilitation of children with CT and low vision.

Desempenho Funcional Nas Atividades Básicas De Vida Diária Em Crianças Com Deficiência Visual

“…A visão é um dos mais importantes sentidos no desenvolvimento normal da criança (Chak & Rahi, 2007). Quando há o comprometimento dessa via sensorial, a criança pode apresentar dificuldades no desenvolvimento neuropsicomotor, no desempenho de algumas habilidades específicas, na relação familiar e participação em seu meio, e ainda nas habilidades da vida diária (Graziano & Leone, 2005;Boulton, Haines, Smyth, & Fielder, 2006;Brandão, Vasconcelos, Tibúrcio, Rossi, & Andrade, 2019).…”