Ophthalmologic Disorders in Children With Syndromic and Nonsyndromic Hearing Loss

Abstract

Comprehensive ophthalmologic examination revealed a rate of ophthalmologic disorders in children with SNHL in the lower end of the previously reported rates of 31% to 61%. Children with nonsyndromic SNHL have an approximately 2- to 3-fold increase in ocular abnormalities compared with the general pediatric population. Ophthalmologic and genetic consultations are warranted in patients with congenital SNHL.

Childhood Hearing Australasian Medical Professionals network: Consensus guidelines on investigation and clinical management of childhood hearing loss

“…Ophthalmic abnormalities are prevalent in hearing‐impaired children, affecting 30–60% . Multisensory deficits are likely to have compounding effects on language and cognitive development.…”

“…Ophthalmic abnormalities are prevalent in hearing-impaired children, affecting 30-60%. 17,23,24 Multisensory deficits are likely to Table 2 Details of consensus voting process for Tier 1 investigations For each Tier 1 investigation, each working group member voted for one NHMRC grade of recommendation: A Body of evidence can be trusted to guide practice B Body of evidence can be trusted to guide practice in most situations C Body of evidence provides some support for recommendation(s), but care should be taken in its application D Body of evidence is weak, and recommendation must be applied with caution…”

Etiología de la hipoacusia infantil.

“…Sin embargo, aunque el ECG también parece a priori poco provechoso (con una positividad de tan sólo el 0,5% de sorderas profundas), el realizárselo a aquellos niños con una hipoacusia neurosensorial severa/profunda para descartar un espacio QT alargado, puede salvar su vida [43]. La evaluación oftalmológica presenta alteraciones en un 40-60% de casos, entre defectos de refracción [53] y otras, que pueden ayudar a identificar la causa exacta de la sordera [54][55]. Para nosotros es exploración obligada en todo niño con hipoacusia permanente.…”

Etiological diagnosis in the hearing impaired newborn: Proposal of a flow chart

“…Every infant -including those with one of the risk indicators listed above -with hearing loss should undergo an ophthalmologic evaluation at regular intervals (3 months, 3, 6 and 12 years of age) to rule out concomitant eye disorders [4,[8][9][10][11]. Approximately 40-60% of hearing impaired children have ophthalmologic problems, the precise nature of which may help to identify the exact cause of deafness [9,10].…”

“…Approximately 40-60% of hearing impaired children have ophthalmologic problems, the precise nature of which may help to identify the exact cause of deafness [9,10]. Secondly, hearing impaired children are heavily dependent on their sense of vision to develop efficient communication skills.…”