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Transient supranuclear disturbances of gaze in healthy neonates
American Journal of Ophthalmology
|May 1, 1980
Insights
Transient supranuclear disturbances of gaze are common in healthy neonates. However, neonatal skew deviation is a risk factor for developing horizontal strabismus.
Area of Science:
- Ophthalmology
- Neonatology
- Neurology
Background:
- Transient supranuclear disturbances of gaze are frequently observed in healthy newborns.
- Neonatal skew deviation is a specific type of gaze disturbance that warrants further investigation.
Purpose of the Study:
- To investigate the relationship between neonatal skew deviation and the subsequent development of horizontal strabismus.
- To determine if neonatal skew deviation is a predictive factor for horizontal strabismus.
Main Methods:
- Examined 242 healthy neonates.
- Monitored for transient tonic downward eye deviation and other abnormalities.
- Assessed a subgroup of neonates with diagnosed skew deviation for the development of horizontal strabismus.
Main Results:
- Five neonates exhibited transient tonic downward eye deviation.
- Eight neonates showed visual, systemic, or neurological abnormalities.
- Five out of 22 children with neonatal skew deviation developed subsequent comitant horizontal strabismus.
Conclusions:
- While transient gaze disturbances are common in neonates, skew deviation is identified as a significant risk factor.
- Neonatal skew deviation may indicate an increased likelihood of developing horizontal strabismus later in childhood.
Abstract:
We examined 242 healthy neonates. Five developed transient tonic downward deviation of the eyes and eight showed any resultant visual, systemic, or neurologic abnormality. However, five of the 22 children with neonatal skew deviation developed a subsequent comitant horizontal stabismus. Although transient supranuclear disturbances of gaze are common in healthy neonates, skew deviation is a risk factor for development of horizontal stabismus.