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Comitant horizontal strabismus: an Asian perspective.

Audrey Chia1, Lipika Roy, Linley Seenyen

  • 1FRANZCO, Singapore National Eye Center, 11 Third Hospital Avenue, Singapore. wla_chia@yahoo.com

The British Journal of Ophthalmology
|May 4, 2007
PubMed
Summary
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Singaporean children show a higher prevalence of exotropia over esotropia. However, the characteristics of these strabismus subtypes are similar to Western populations, indicating consistent patterns in childhood eye conditions.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Strabismus Research

Background:

  • Asian strabismus patterns may differ from Western norms.
  • Understanding local strabismus profiles is crucial for effective management.
  • Comitant horizontal strabismus is a common condition in childhood.

Purpose of the Study:

  • To profile children with comitant horizontal strabismus in Singapore.
  • To compare Singaporean strabismus characteristics with Western data.
  • To identify the prevalence and subtypes of childhood strabismus in a specific Asian population.

Main Methods:

  • A cohort of 682 children under 16 with new-onset strabismus was studied.
  • Data collected included squint type/size, visual acuity, refractive error, and stereopsis.

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  • The study period spanned from 2000 to 2002.

    • Main Results:

    • Exotropia affected 72% of children, predominantly intermittent exotropia (92%).
    • Esotropia was diagnosed in 28% of children, including infantile and accommodative types.
    • Infantile esotropia cases presented younger, with larger deviations and less hyperopia compared to accommodative esotropia.

    Conclusions:

    • Singaporean children present with exotropia more frequently than esotropia.
    • Strabismus subtypes in Singapore share characteristics with those reported in Western countries.
    • Despite prevalence differences, the underlying nature of strabismus subtypes appears consistent globally.