THE IMPORTANCE OF EARLY TREATMENT OF CONGENITAL VISUAL DISORDERS IN CHILDREN AND THE CONSEQUENCES OF UNTREATED CONDITIONS
Keywords:
ptosis, cataract, astigmatismAbstract
This article is dedicated to highlighting the importance of early detection and timely treatment of congenital visual disorders in children, as well as explaining, on a scientific basis, the negative consequences that may arise if no interventions are undertaken. Congenital visual disorders directly affect the development of the visual system in children, disrupting the normal maturation of the visual analyzer. In particular, if these pathologies are not identified or adequately treated during the early years of life, profound and irreversible functional changes may occur in the visual system. Research indicates that congenital visual disorders can lead to the development of amblyopia (lazy eye), impaired binocular vision, decreased visual acuity, and strabismus. Furthermore, insufficient visual stimulation may result in inadequate formation of neural connections in the visual areas of the cerebral cortex or irreversible neuronal changes. This not only limits visual function but also negatively impacts the child’s cognitive development, academic performance, and social adaptation. According to scientific sources, early diagnosis and treatment during the neuroplastic period of the visual system, id est, in the initial stages of childhood, are highly effective and can significantly improve visual functions. Therefore, widespread implementation of visual screening in children, early identification of congenital visual disorders, and development of individualized treatment strategies for each child are considered among the top priorities in pediatric ophthalmologyReferences
1. Olitsky SE, Nelson LB. Congenital ptosis: evaluation and management. Pediatr Clin North
Am. 2014;61(3):505–518.
2. Bagheri A, Tavakoli M, Salour H. Management of congenital ptosis: a review. J Ophthalmic
Vis Res. 2015;10(3):335–346.
3. Anderson RL, Jordan DR, Dutton JJ. Frontalis suspension in congenital ptosis: current
concepts. Ophthalmic Plast Reconstr Surg. 2017;33(2):79–85.
4. Dagi LR, MacKinnon S. Marcus Gunn jaw-winking syndrome: clinical features and
management. Surv Ophthalmol. 2018;63(5):646–656.
5. Lambert SR, Drack AV. Infantile cataracts. Surv Ophthalmol. 2019;64(5):595–609.
6. Vasavada AR, Nihalani BR. Pediatric cataract surgery. Curr Opin Ophthalmol.
2016;27(1):54–61.
7. Lin D, Chen J, Lin Z. Timing of surgery for congenital cataract and visual outcomes. Am J
Ophthalmol. 2020;210:88–96.
8. Birch EE, Kelly KR. Visual deprivation and amblyopia in congenital cataract. J AAPOS.
2019;23(6):311–317.
9. Donahue SP, Nixon CN. Amblyopia and binocular vision development in children.
Ophthalmology. 2018;125(6):896–903.
10.Harvey EM. Development and treatment of astigmatism-related amblyopia. Optom Vis Sci.
2017;94(6):602–609.
11.Cotter SA, Foster NC, Holmes JM. Optical treatment of astigmatism-related amblyopia.
Ophthalmology. 2016;123(6):1195–1203.
12.Wallace DK, Repka MX, Lee KA. Pediatric eye evaluations: refractive errors and amblyopia
risk factors. Ophthalmology. 2018;125(1):159–172.
13.Birch EE, Wang J. Stereoacuity outcomes after treatment of childhood strabismus. Invest
Ophthalmol Vis Sci. 2020;61(4):12.
14.Gunton KB. Advances in the management of strabismus. Curr Opin Ophthalmol.
2020;31(5):373–378.
15.Hatt SR, Leske DA, Holmes JM. Interventions for childhood strabismus and amblyopia.
Cochrane Database Syst Rev. 2022;5:CD006461.
