Avaliação da acuidade visual de resolução de grades nas cataratas da infância

Avaliação da acuidade visual de resolução de grades nas cataratas da infância


Emilio de Haro-Muñoz,
Solange Rios Salomão,
Adriana Berezovsky,
Dora Fix Ventura,
José Belmiro de C. Moreira


Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.58 no.2 São Paulo abr. 1995


The Teller Acuity Cards test (TAC) was used to determine grating visual acuity (GVA) in a group of 96 children with uni or bilateral cataracts (152 eyes). Ninety-seven eyes had surgical removal of the lens. The results, obtained in children up to 36 mos. of age were compared with the norms to: a) assess the diagnostic capacity of the method; b) analyse GVA as a function of age when the surgery was performed and c) compare the results of GVA in unior bilateral patients. The testability obtained with TAC was 97% and the average duration of application of the test was 12 min. G VA values were below the norms in 41% of the eyes (the great majority of which were bilaterally aphakic) and within the norms in 7% (most of which had mild or punctiform cataracts). The remaining eyes showed only light perception (19%) or were older than the age range covered by the norms (32%). There was one also a case of amaurosis in one eye. Patients with unilateral aphakia had lower GVA than bilateral ones that had surgery at the same age. The results obtained confirm the clinical usefulness of the TAC as an instrument for diagnosis of GVA in infants and children with cataracts.


1 ALVES, L. S. Causas de cegueira e visão subnormal no Centro Loius Braile - Porto Alegre. Arq. Bras. Oftal., 48(2): 65-67, 1985.
3 BIRCH, E. E.; SWANSON, W. H.; STAGER, D. R.; WOODY, M.; EVERETT, M. Outcome after very early treatment of dense congenital unilateral cataract. Invest. Ophthalmol. Vis. Sci., 34 (13): 3687-99, 1993.
4 FURTADO, F. Participação pediátrica em duas grandes causas de cegueira e medidas preventivas. Rev. Bras. Oftal., 47(5): 46-50, 1988.
5 AMERICAN ACADEMY OF OPHTHALMOLOGY. Basic and Clinical Science Course. Ed. American Academy of Ophthalmology, San Francisco, 1993. v. 6. p. 70-83.
6 LAMBERT, S.R.; AMAYA, L.; TAYLOR, D. Detection and treatment of infantile cataracts. Int. Ophthalm. Clin., 29(1): 51 -56, 1989.
7 WIESEL, T.N.; HUBEL, D.H. Effects of visual deprivation on morphology and physiology of cells in the cat's lateral geniculate body. J. Neurophysiol., 26:978, 1963.
8 von NOORDEN, G.K.; CRAWFORD, M.L.J. The sensitive period. Trans. Ophthalmol. Soc. U.K., 99: 442-6, 1979.
9 ARIETA, C. E. L.;KARA-JOSÉ, N. Catarata congênita: dificuldades no tratamento. Arq. Bras. Oftal., 50(3): 116- 119, 1987.
10 LLOYD, I.C.; GOSS-SAMPSON, M.; JEFFREY, B. G.; KRISS, A.; RUSSELL- EGGITT, I.; TAYLOR, D. Neonatal cataract: aetiology, pathogenisis and management. Eye, 6: 184-196, 1992.
11 CATALANO, R.A.; SIMON, J.W.; JENKINS, P.L.; KANDEL, G.L. Preferential looking as a guide for ambliopia therapy in monocular infantile cataracts. J. Ped. Ophthalmol. Strabismus, 24: 56-63, 1987.
12 TELLER, D.Y.; MORSE, R.; BORTON, R.; REGAL, D. Visual acuity for vertical and diagonal gratings in human infants. Vision Res., 14: 1433 - 1439, 1974.
13 MCDONALD, M.; MOHN, G.; TELLER, D. Y.: DOBSON. V. Monocular acuity in normal infants: the acuity card procedure. Am. J. Optom. Physiol. Opt., 63(2): 127 - 134, 1986.
14 SALOMÃO, S.R; VENTURA D.F. Acuidade visual de resolução medida pelo teste dos cartões de acuidade: normas populacionais e aplicações em triagem e na clínica. São Paulo, 1993. [Tese - Doutorado - Escola Paulista de Medicina].
15 BIRCH, E. E.; STAGER, D. R.; WRIGHT, W. W. Grating acuity development after early surgery for congenital unilateral cataract. Arch. Ophthalmol., 104: 1783 - 87, 1986.
16 MAYER, D. L.; MOORE, B.; ROBB. R. M. Assessment of vision and amblyopiaby preferential looking tests after early surgery for unilateral congenital cataracts. J. Ped. Ophthalmol. Strahismus, 26 (2): 61 - 67, 1989.
17 HARTMANN, E. E.; ELLIS, G. S.; MORGAN, K. S.; LOVE, A.; MAY, J.G. The acuity card procedure: longitudinal assessments. J. Ped. Ophthalmol. Strabismus, 27(4): 178 - 184, 1990.
18 TELLER, D.Y. Teller Acuity Card Handbook. Dayton, Vistech Consultants, Inc., 1989.
19 DOBSON, V. Visual acuity testing by preferential looking technics. Em: The Eye in the Infancy, 2nd. edition, Isemberg, S. (ed.), St. Louis: Mosby-Year Book, Inc., 1992. (revisão) No prelo.
20 SUMMERS, C. G.; LETSON, R.D. Is the phakic eye nonnal in monocular pediatric aphakia. J. Ped. Ophthalmol. Strabismus, 29(5): 324-327, 1992.
21 SALOMÃO, S.R.; CUNHA, F.: BEREZOVSKY, A.; FERRARI, M. V.; MUÑOZ. E. H.; VENTURA, D. F.; LIPENER, C.; ELIEZER, R. S.: MAIA, M. C.; GITELMAN, E. M.; OLIVEIRA, R. S. M. - Estudo de acuidade visual de resolução em crianças portadoras de catarata congênita. Arq. Bras. Oftal., 54(4): 169, 1991.
22 TARTARELLA, M. B. - Aspectos cirúrgicos em catarata congênita. São Paulo, 1993. [ Tese - Mestrado - Escola Pauli sta de Medicina ].
23 FRIENDLY, D. S.; JAAFAR, M. S.; MORILLO, D. L. A comparative study of grating and recognition visual acuity testing in children with anisometropic amblyopia without strabismus. Am. J. Ophthalmol., 110: 293-299, 1990.
24 MANDAVA, M.; SIMON, J. W.; JENKINS, M. S. Preferential looking and recognition acuities in clinical amblyopia. J. Ped. Ophthalmol. Strabismus, 28(6): 323 - 327, 1991.
25 CRUZ, A. A. V. Ambliopia. Arq. Bras. Oftal., 54(3): 139-147, 1991.