The pattern of visual impairment in the spectrum of hypoxic ischemic encephalopathy

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dc.contributor.authorPhuljhele, Swatien_US
dc.contributor.authorBalasubramaniam, Niranjanaen_US
dc.contributor.authorSaluja, Gunjanen_US
dc.contributor.authorSaxena, Rohiten_US
dc.contributor.authorSharma, Pradeepen_US
dc.contributor.authorKumar, Pavanen_US
dc.contributor.authorKusiyait, Sanjayen_US
dc.contributor.authorGulati, Sheffalien_US
dc.date.accessioned2025-06-19T05:52:08Z
dc.date.available2025-06-19T05:52:08Z
dc.date.issued2025-05
dc.description.abstractPurpose: This study aimed to evaluate the relationship between visual impairment, social maturity, and clinical severity of hypoxic?ischemic encephalopathy (HIE) in the Indian population. Methods: An observational study was conducted in children with HIE sequelae aged between 6 months and 5 years. Sixty diagnosed cases of perinatal HIE were recruited, with twenty children in each of clinical grades 1, 2, and 3 according to the Sarnat clinical staging. All children underwent cycloplegic refraction using atropine 1% eye ointment, visual Acuity (VA) testing by teller acuity cards (TAC), anterior and posterior segment examination, FLASH visual evoked response (VER), strabismus workup, and social maturity assessment using the vineland social maturity scale (VSMS). Results: Sixty children, including 14 preterm and 46 term infants, with a mean age of 26.11 ± 16.06 months were studied. Normal birth weight was observed in 54% of the cases, whereas 42% had low birth weight and 4% had very low birth weight. There was no statistically significant difference between birth weight and the clinical severity of HIE (P = 0.970). A significant relationship between VA and clinical severity (TAC? p < 0.0001) and between VA and social maturity was observed. Optic disc pallor was present in 85% of grade 3 HIE cases. Among the 37 children with strabismus, the convergent type was predominant (86.4%). Refractive error was comparable across all grades of HIE. Conclusion: Visual impairment was significantly related to the clinical severity of HIE and had a negative impact on the social maturity of these children.en_US
dc.identifier.affiliationsPediatric Ophthalmology, Strabismus and Neuro-Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.affiliationsPediatric Ophthalmology, Strabismus and Neuro-Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.affiliationsPediatric Ophthalmology, Strabismus and Neuro-Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.affiliationsPediatric Ophthalmology, Strabismus and Neuro-Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.affiliationsPediatric Ophthalmology, Strabismus and Neuro-Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.affiliationsPediatric Ophthalmology, Strabismus and Neuro-Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.affiliationsPediatric Ophthalmology, Strabismus and Neuro-Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Paediatrics, Child Neurology Division, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.citationPhuljhele Swati, Balasubramaniam Niranjana, Saluja Gunjan, Saxena Rohit, Sharma Pradeep, Kumar Pavan, Kusiyait Sanjay, Gulati Sheffali . The pattern of visual impairment in the spectrum of hypoxic ischemic encephalopathy. Indian Journal of Ophthalmology. 2025 May; 73(5): 679-682en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/249893
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber5en_US
dc.relation.volume73en_US
dc.source.urihttps://doi.org/10.4103/IJO.IJO_2082_24en_US
dc.subjectCortical visual impairmenten_US
dc.subjecthypoxic ischemic encephalopathyen_US
dc.subjectperiventricular leukomalaciaen_US
dc.titleThe pattern of visual impairment in the spectrum of hypoxic ischemic encephalopathyen_US
dc.typeJournal Articleen_US
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