Clinical Study of Concomitant Strabismus
Background and Objectives: Strabismus is a condition in which there is misalignment of visual axes of two eyes. Concomitant strabismus is a condition in which the angle of deviation is constant in all the directions of gaze. Concomitant strabismus is further classified as convergent, divergent,...
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| Médium: | Článek |
| Jazyk: | English |
| Vydáno: |
Prathima Institute of Medical Sciences
2020-12-01
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| Edice: | Perspectives In Medical Research |
| Témata: | |
| On-line přístup: | https://www.pimr.org.in/2020-vol8-issue-3/originalarticle8_v1.pdf |
| Shrnutí: | Background and Objectives: Strabismus is a condition in which
there is misalignment of visual axes of two eyes. Concomitant
strabismus is a condition in which the angle of deviation is
constant in all the directions of gaze. Concomitant strabismus
is further classified as convergent, divergent, hyperdeviation
and hypodeviation. Major presenting complaints include
cosmetic blemish, diminution of vision, asthenopic symptoms
like headache, eye strain and diplopia. This study was
conceptualized to study the clinical and ophthalmological
profile of patients with concomitant strabismus, in order to
generate evidence to manage this condition more effectively.
Material and Methods : This cross-sectional, observational
study was conducted over a period of two years in 120 patients
with concomitant strabismus. Ocular history and visual acuity
were recorded. Cover, cover-uncover, alternate cover test,
Hirschberg test, Krimsky test and examination by synaptophore
were done. Refraction and fundus examination was also done.
Result: Majority of the patients were under 5 years of age
(46.6%) with male to female ratio of 2:3. Convergent squint
was more common (71.6%) with majority of patients having
moderate degree of deviation (58.8%). Hypermteropia was
more commonly associated with squint (65%) more so with
convergent squint. Eccentric fixation was present in only 10%
of the cases.
Conclusion: Convergent concomitant squint is more common
type with majority of patients having moderate degree of
deviation. Hypermetropia is more commonly associated with
concomitant squint. Appropriate refraction and timely
intervention can help in preventing amblyopia in young
children |
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| ISSN: | 2348-1447 2348-229X |