TY - JOUR
T1 - Impaired fine motor skills in children following extraction of a dense congenital or infantile unilateral cataract
AU - Kelly, Krista R.
AU - Morale, Sarah E.
AU - Wang, Serena X.
AU - Stager, David R.
AU - Birch, Eileen E.
PY - 2019/12
Y1 - 2019/12
N2 - Purpose: To evaluate fine motor ability in children treated for unilateral congenital or infantile cataract. Methods: Twenty-three children 3-13 years of age who were treated for unilateral congenital or infantile cataract and 38 age-similar control children were enrolled. Children completed five fine motor skills tasks (unimanual dexterity, bimanual dexterity, drawing trail, aiming, catching) from the Movement Assessment Battery for Children-2. Raw scores were converted into standardized scores, with higher scores indicating better performance. Results: Compared with controls, children treated for unilateral cataract scored lower on drawing trail (P = 0.009), aiming (P = 0.009), and catching (P < 0.001) but not on unimanual (P = 0.77) or bimanual dexterity (P = 0.31). Poorer affected eye visual acuity was moderately related to poorer performance for unimanual dexterity (r = −0.47; P = 0.025), bimanual dexterity (r = −0.50; P = 0.014), and catching (r = −0.41; P = 0.051). Those with a poor visual outcome (>0.6 logMAR) had worse performance than those with a good visual outcome (≤0.6 logMAR) for all tasks (all P values, 0.008-0.09) except aiming. Cataract type (congenital, 9; infantile, 14) and sensory fusion by Worth 4-Dot testing at 33 cm (pass, 10; fail, 13) had no effect on fine motor performance (all P values, 0.12-0.98). Conclusions: In our study cohort, fine motor deficits were found in children treated for congenital or infantile unilateral cataract.[Formula presented]
AB - Purpose: To evaluate fine motor ability in children treated for unilateral congenital or infantile cataract. Methods: Twenty-three children 3-13 years of age who were treated for unilateral congenital or infantile cataract and 38 age-similar control children were enrolled. Children completed five fine motor skills tasks (unimanual dexterity, bimanual dexterity, drawing trail, aiming, catching) from the Movement Assessment Battery for Children-2. Raw scores were converted into standardized scores, with higher scores indicating better performance. Results: Compared with controls, children treated for unilateral cataract scored lower on drawing trail (P = 0.009), aiming (P = 0.009), and catching (P < 0.001) but not on unimanual (P = 0.77) or bimanual dexterity (P = 0.31). Poorer affected eye visual acuity was moderately related to poorer performance for unimanual dexterity (r = −0.47; P = 0.025), bimanual dexterity (r = −0.50; P = 0.014), and catching (r = −0.41; P = 0.051). Those with a poor visual outcome (>0.6 logMAR) had worse performance than those with a good visual outcome (≤0.6 logMAR) for all tasks (all P values, 0.008-0.09) except aiming. Cataract type (congenital, 9; infantile, 14) and sensory fusion by Worth 4-Dot testing at 33 cm (pass, 10; fail, 13) had no effect on fine motor performance (all P values, 0.12-0.98). Conclusions: In our study cohort, fine motor deficits were found in children treated for congenital or infantile unilateral cataract.[Formula presented]
UR - http://www.scopus.com/inward/record.url?scp=85075481785&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85075481785&partnerID=8YFLogxK
U2 - 10.1016/j.jaapos.2019.08.278
DO - 10.1016/j.jaapos.2019.08.278
M3 - Article
C2 - 31669206
AN - SCOPUS:85075481785
VL - 23
SP - 330.e1-330.e6
JO - Journal of AAPOS
JF - Journal of AAPOS
SN - 1091-8531
IS - 6
ER -