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Visual fields in children with attention-deficit / hyperactivity disorder before and after treatment with stimulants.

Journal article
Authors Lene Martin
Eva Aring
Magnus Landgren
Ann Hellström
Marita Andersson Grönlund
Published in Acta ophthalmologica
Volume 86
Issue 3
Pages 259-64
ISSN 1755-3768
Publication year 2008
Published at Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
Pages 259-64
Language en
Keywords Adolescent, Attention Deficit Disorder with Hyperactivity, drug therapy, physiopathology, Central Nervous System Stimulants, therapeutic use, Child, Female, Fundus Oculi, Humans, Male, Optic Nerve, pathology, Photography, Refraction, Ocular, Visual Acuity, drug effects, Visual Fields, drug effects
Subject categories Neurology, Children


PURPOSE: This study aimed to evaluate visual function in children with attention-deficit/hyperactivity disorder (ADHD), to correlate these data with the morphology of the optic nerve, and to find out if and how psychostimulant medication affects visual functions. METHODS: The visual acuity (VA) and visual fields (VFs) of 18 children with ADHD (two girls and 16 boys), aged 6-17 years, were examined before and after treatment with psychostimulants. A control group, consisting of 24 children (nine girls and 15 boys), aged 7-18 years, were examined twice to evaluate the repeatability of the tests and the learning effect. Fundus photographs were analysed by digital planimetry. RESULTS: Visual acuity increased significantly (p = 0.0039) in the ADHD group after treatment. The difference between the two VF examinations was significantly larger in the ADHD group compared with the control group (p = 0.036). Significantly more ADHD subjects had subnormal VF results without stimulants, compared with controls (p = 0.0043), but with stimulants the difference was no longer significant. CONCLUSIONS: Children with ADHD showed better VA and VF results with than without psychostimulant medication.

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