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[Neglected childhood strabismus: Epidemiological, clinical and therapeutic aspects]
V A Dohvoma1, S R Ebana Mvogo2, C T Mvilongo3
1Département d'ophtalmologie-ORL, faculte de médecine et des sciences biomédicales, université de Yaoundé I, Yaounde, Cameroun; Service d'ophtalmologie, hôpital Central de Yaoundé, Yaounde, Cameroun.
Insights
This study investigated neglected childhood strabismus, finding that early intervention and management yield positive outcomes. Encouraging specialized care can significantly improve the quality of life for children with strabismus.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Epidemiology
Background:
- Childhood strabismus is often poorly understood, with limited specialized management centers.
- This study addresses the epidemiological, clinical, and therapeutic aspects of neglected childhood strabismus.
Purpose of the Study:
- To analyze the characteristics of neglected childhood strabismus.
- To evaluate the outcomes of management strategies for this condition.
Main Methods:
- A retrospective study was conducted from March 2013 to September 2018.
- Neglected childhood strabismus was defined as strabismus presenting before age 5, with the first consultation after age 7.
- Data collected included age at consultation, gender, onset, type, etiology, deviation angle, and surgical rates.
Main Results:
- 113 cases of neglected strabismus were identified (26.3% of total strabismus cases).
- Exotropia was the most common type (64.6%), with a mean deviation of 41.2±12.2 PD. Innervational strabismus was prevalent (86.7%).
- Surgery was performed in 60.5% of cases, resulting in an average postoperative deviation of 6.6±9.4 PD.
Conclusions:
- Management of neglected childhood strabismus yields favorable results.
- Encouraging specialized care is crucial for improving patient quality of life.
Introduction:
In an environment where strabismus is poorly understood and management centers rare, we studied the epidemiological, clinical and therapeutic aspects of neglected childhood strabismus.
Materials And Methods:
This was a retrospective study carried out from March 1st, 2013 to September 30, 2018. Neglected childhood strabismus was defined as strabismus occurring in the first 5 years of life, for which the patient was over 7-years-old at the time of first consultation. The variables studied were age at first consultation, gender, age of onset, type of strabismus, etiology of strabismus, angle of deviation and rate of surgery.
Results:
We found 113 cases of neglected childhood strabismus among the 430 cases of strabismus seen during the study period. There were more females (n=64) than males. The mean age was 17.7±10.5 years. There were 73 exotropias (64.6 %). The mean angle of deviation was 41.2±12.2PD. Strabismus was early in 70.8 % of cases. Innervational strabismus accounted for 86.7 % of cases. The most frequent refractive error was hyperopic astigmatism (55.3 %). Of the 45 patients who were seen again after full-time wear of their full cycloplegic correction, 2 were orthotropic. Surgery was performed in 60.5 % of cases. The average postoperative angle of deviation was 6.6±9.4PD.
Conclusion:
Management of neglected childhood strabismus provides good results and should therefore be encouraged in order to improve the quality of life of affected patients.
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