Related Experiment Videos
[Oculomotor paralysis in functional strabismus]
1Clinica oftalmologică Craiova.
Insights
Congenital strabismus affects 15% of children, often with neurogenic causes linked to birth complications. Early surgical intervention is key before abnormal retinal correspondence solidifies.
Area of Science:
- Ophthalmology
- Pediatrics
- Neurology
Background:
- Congenital strabismus is a common condition affecting children.
- Understanding its causes and risk factors is crucial for effective management.
Observation:
- Analysis of 800 children revealed a 15% frequency of congenital strabismus.
- Neurogenic factors were frequently implicated, with many cases linked to birth suffering, premature birth, or low birth weight.
Findings:
- 83% of cases presented with strabismic deviation exceeding 15 degrees.
- Amblyopia was infrequent, suggesting early detection and intervention may prevent severe visual impairment.
- Oculomotor pareses were observed in various forms.
Implications:
- The high incidence of neurogenic causes highlights the importance of prenatal and perinatal care.
- Early surgical treatment before the consolidation of abnormal retinal correspondence is recommended for optimal outcomes.
Abstract:
Analysis of 800 strabismic children, in the out-patient follow-up, shows a frequency of congenital strabismus of 15%. In a great number of them, the causes were neurogenous. The anamnesis showed that 80 of them had a suffering at birth, and in 42 a defective neuropsychic evolution was found. 40 children were prematures and 30 had not the weight limit at birth. The strabismic deviation was larger than 15 degrees in 83% of the cases, and amblyopia was not frequent. Examples are given of 10 various observations of oculomotor pareses. The treatment was, generally, surgical and was applied early, before consolidation of the abnormal retinal correspondence.