Clinical Spectrum of Ocular Manifestations of Mumps in Children: A Cross-Sectional Study.

Objective: This study aimed to describe the ophthalmological and neuro-ophthalmological manifestations of mumps in children.

Methods: This cross-sectional study included 41 children aged < 18 years who were clinically diagnosed with mumps by a pediatrician and referred to a tertiary eye hospital. Comprehensive ophthalmic evaluation included visual acuity testing, slit-lamp biomicroscopy, fundus examination, ocular movement assessment, and squint measurement.

Results: The mean time from onset of parotitis to ocular symptoms was 7 days. Out of 41 children, 15 (36.85%) had follicular conjunctivitis. Other ophthalmic findings included acute non-granulomatous uveitis (17.07%), acute acquired esotropia (17.07%), optic neuritis (9.75%), sixth nerve palsy (9.75%), encephalitis (4.87%), dacryoadenitis (2.43%), myasthenia gravis (2.43%), and accommodative insufficiency (2.43%).

Conclusions: Apart from causing systemic involvement, mumps causes varied ocular manifestations which highlight the importance of a unified role of pediatricians and ophthalmologists in managing children with mumps.