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Infant strabismus: a 25-year review of 750 cases
The Medical Journal of Australia
|February 24, 1979
Insights
Early treatment of strabismus in infants is crucial, as there is no justification for delay. Prompt assessment and intervention lead to better functional outcomes, even in the youngest patients.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Orthoptics
Background:
- Strabismus is a common condition affecting infants.
- Delayed treatment of strabismus can lead to suboptimal outcomes.
- Current treatment paradigms are evolving.
Purpose of the Study:
- To review the evidence supporting timely treatment of infant strabismus.
- To analyze trends in strabismus management over 25 years.
- To emphasize the importance of early assessment and intervention.
Main Methods:
- A comprehensive literature review on strabismus treatment in infants.
- A retrospective survey of 5497 cases over 25 years, including 750 infants aged 0-36 months.
- Analysis of treatment modalities and functional outcomes.
Main Results:
- No evidence supports delaying treatment for infant strabismus.
- A significant decrease in surgical interventions was observed over the study period.
- An increasing proportion of fully functional results was noted with timely treatment.
Conclusions:
- Infants should not experience delays in strabismus assessment and treatment.
- Early intervention is associated with improved functional results.
- No infant is considered too young for effective strabismus management.
Abstract:
The review demonstrates that there is no justification for delay in treating babies who present with strabismus. A survey of 750 infants aged from 0 to 36 months among 5497 cases seen by an individual orthoptist over 25 years shows a decreasing use of surgery and an increasing proportion of fully functional results over this time. It emphasizes that no infant is too young for assessment and treatment.