Study of 100 Children with Strabismus Admitted to Feyz Hospital, Isfahan, Iran, in 2012-2013

Document Type : Original Article (s)

Authors

1 Professor, Department of Ophtalmology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Student of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

3 Assistant Professor, Department of Ophtalmology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 Epidemiologist, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Strabismus is a common eye disease which symptoms is visible in most of the children. It can cause poor vision and decrease performance, especially during the study. However, despite the high prevalence and serious consequences of the disease, epidemiological studies had not been conducted on this disease in Iran before the current stady. We aimed to determine the types of strabismus in 100 children admitted to Feyz hospital, Isfahan, Iran, during 2012-2013.Methods: In a cross-sectional study, 100 children with strabismus were enrolled. Demographic characteristics, type of strabismus, visual acuity, history of trauma, and previous surgery were studied. Data were analyzed using SPSS software.Findings: Of 100 children with strabismus with a mean age of 7.05 ± 4.50 years, 32 were boys and 68 were girls. Type of the strabismus was isotropia in 56, exotropia in 34 and hypotropia in 10 patients. The strabismus was in right eye in 17, left eye in 57 and of both eyes in 26 patients. Visual acuity was 0.532 ± 0.137 and 0.078 ± 0.160 in the right and left eyes, respectively, with a statistically significant difference (P < 0.001). History previous surgery in 15, history of the trauma in 2 and history of underlying diseases in 4 patients was positive.Conclusion: Stabism is one of the prevalent diseases in our community and early diagnosis may lead to better prognosis and vigual aquity. Thus, improving general awarness and pediatric ophthalmology examinations and appropriate actions should be done. 

Keywords


  1. Green-Simms AE, Mohney BG. Epidemiology of pediatric strabismus. In: Birgit L, Francois-Xavier B, editors. Pediatric Ophthalmology, Neuro-Ophthalmology, Genetics.New York, NY: Springer; 2010. p. 1-9.
  2. Kohler L, Stigmar G. Vision screening of four-year-old children. Acta Paediatr Scand 1973; 62(1): 17-27.
  3. Agarwal PK, Bowman R, Courtright P. Child Eye Health Tertiary Facilities in Africa. J AAPOS 2010; 14(3): 263-6.
  4. Graham PA. Epidemiology of strabismus. Br J Ophthalmol 1974; 58(3): 224-31.
  5. Laatikainen L, Erkkila H. Refractive errors and other ocular findings in school children. Acta Ophthalmol (Copenh ) 1980; 58(1): 129-36.
  6. Friedman Z, Neumann E, Hyams SW, Peleg B. Ophthalmic screening of 38,000 children, age 1 to 2 1/2 years, in child welfare clinics. J Pediatr Ophthalmol Strabismus 1980; 17(4): 261-7.
  7. Kvarnstrom G, Jakobsson P, Lennerstrand G. Visual screening of Swedish children: an ophthalmological evaluation. Acta Ophthalmol Scand 2001; 79(3): 240-4.
  8. Almeder LM, Peck LB, Howland HC. Prevalence of anisometropia in volunteer laboratory and school screening populations. Invest Ophthalmol Vis Sci 1990; 31(11): 2448-55.
  9. Pathai S, Cumberland PM, Rahi JS. Prevalence of and early-life influences on childhood strabismus: findings from the Millennium Cohort Study. Arch Pediatr Adolesc Med 2010; 164(3): 250-7.
  10. Robaei D, Rose KA, Kifley A, Cosstick M, Ip JM, Mitchell P. Factors associated with childhood strabismus: findings from a population-based study. Ophthalmology 2006; 113(7): 1146-53.
  11. Preslan MW, Novak A. Baltimore Vision Screening Project. Ophthalmology 1996; 103(1): 105-9.