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[Variable angle strabismus and its relation to poor vision and psychomotor retardation]
A Castellanos-Bracamontes1, A Mozo-Cueto
1Departamento de Oftalmologia, Hospital Infantil de México Dr. Federico Gómez, D.F.
Boletin Medico Del Hospital Infantil De Mexico
|December 1, 1990
Summary
Variable angle strabismus, affecting over half of patients with mental retardation, showed best surgical outcomes with recession plus Faden, preceded by rehabilitation. This study analyzed 61 pediatric cases.
Area of Science:
- Ophthalmology
- Pediatrics
- Genetics
Context:
- Variable angle strabismus is a complex ocular motility disorder.
- It frequently co-occurs with intellectual disability, impacting diagnosis and management.
- Understanding the specific types (esotropia, exotropia) and associated factors is crucial.
Purpose:
- To investigate the characteristics of variable angle strabismus in a pediatric cohort.
- To determine the prevalence of esotropia and exotropia within this group.
- To evaluate the efficacy of surgical interventions, specifically recession plus Faden, combined with pre-operative rehabilitation.
Summary:
- A study of 61 patients with variable angle strabismus found esotropia in 55.7%, exotropia in 36%, and mixed types in 8.2%.
- The majority of patients (64%) were female, and 77% were under five years old.
- No accommodative factors were identified. Surgical intervention (recession plus Faden) with prior rehabilitation yielded the best outcomes.
Impact:
- Highlights the significant association between variable angle strabismus and intellectual disability.
- Provides insights into the demographic and clinical features of strabismus in young children.
- Establishes a recommended treatment protocol for improved surgical success rates in complex strabismus cases.