Derek D Mafong1, Steven D Pletcher, Creig Hoyt, Anil K Lalwani. 1. Division of Otology, Neurotology, Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, 94143-0342, USA.
Abstract
OBJECTIVE: To examine the yield of ophthalmologic examination in the diagnostic workup of unexplained sensorineural hearing loss (SNHL) in children. DESIGN: Retrospective analysis of ophthalmologic findings in children with unilateral or bilateral SNHL between January 1998 and May 2000. SETTING: Tertiary care university hospital. PARTICIPANTS: Children 18 years or younger presenting with unilateral or bilateral SNHL. OUTCOME MEASURES: Ophthalmologic findings. RESULTS: Of the 49 patients with SNHL for whom ophthalmologic examination results were available, 15 (31%) had ocular abnormalities. Hyperopia was the most common abnormality, present in 7 patients (46%). Myopia was found in 2 patients (13%) and astigmatism in 1 (2%). Two other patients had multiple abnormalities: one with hyperopia and astigmatism and the other with myopia and astigmatism. The remaining 4 patients had the following abnormalities: Lisch nodules, esotropia, ptosis, and allergic conjunctivitis. As a result of ophthalmologic examination, 5 interventions were performed in 4 children: 2 children received prescription lenses; 2 children underwent surgery; and 1 child was treated with eyedrops. Ophthalmologic examination in 2 children contributed to the diagnosis of a hearing loss syndrome. CONCLUSION: In children with SNHL, ophthalmologic examination is useful in evaluating visual acuity and determining or confirming the cause of hearing impairment.
OBJECTIVE: To examine the yield of ophthalmologic examination in the diagnostic workup of unexplained sensorineural hearing loss (SNHL) in children. DESIGN: Retrospective analysis of ophthalmologic findings in children with unilateral or bilateral SNHL between January 1998 and May 2000. SETTING: Tertiary care university hospital. PARTICIPANTS: Children 18 years or younger presenting with unilateral or bilateral SNHL. OUTCOME MEASURES: Ophthalmologic findings. RESULTS: Of the 49 patients with SNHL for whom ophthalmologic examination results were available, 15 (31%) had ocular abnormalities. Hyperopia was the most common abnormality, present in 7 patients (46%). Myopia was found in 2 patients (13%) and astigmatism in 1 (2%). Two other patients had multiple abnormalities: one with hyperopia and astigmatism and the other with myopia and astigmatism. The remaining 4 patients had the following abnormalities: Lisch nodules, esotropia, ptosis, and allergic conjunctivitis. As a result of ophthalmologic examination, 5 interventions were performed in 4 children: 2 children received prescription lenses; 2 children underwent surgery; and 1 child was treated with eyedrops. Ophthalmologic examination in 2 children contributed to the diagnosis of a hearing loss syndrome. CONCLUSION: In children with SNHL, ophthalmologic examination is useful in evaluating visual acuity and determining or confirming the cause of hearing impairment.
Authors: Mustafa Tekin; Barry A Chioza; Yoshifumi Matsumoto; Oscar Diaz-Horta; Harold E Cross; Duygu Duman; Haris Kokotas; Heather L Moore-Barton; Kazuto Sakoori; Maya Ota; Yuri S Odaka; Joseph Foster; F Basak Cengiz; Suna Tokgoz-Yilmaz; Oya Tekeli; Maria Grigoriadou; Michael B Petersen; Ajith Sreekantan-Nair; Kay Gurtz; Xia-Juan Xia; Arti Pandya; Michael A Patton; Juan I Young; Jun Aruga; Andrew H Crosby Journal: J Clin Invest Date: 2013-04-01 Impact factor: 14.808