Prevalence of Strabismus and its type in Pediatric age group 6-15 years in a tertiary eye care hospital, Karachi

Abstract

Objective: To know the prevalence and types of strabismus in patients presenting at tertiary eye care hospital, Karachi. Material and Method: This hospital based cross sectional study was carried out at pediatric clinic of Al-Ibrahim Eye Hospital during June to August, 2017. Nonprobability purposive sampling was used. All patients diagnosed with strabismus under 6 to 15 years of age either male or female and having no previous history of surgery and also signed the consent form were included. Any Surgery and other eye complications were excluded from study. All ocular examination belongs to strabismus were performed. SPSS version 20.0 was used to analyze the data. Results: Prevalence of strabismus was found to be 6.2% according to total numbers of patient whereas according to 74 patients (Numbers of Patients found during study), 5.2% of strabismus was found. Most common. 40 (46.0%) age group was 6-9 years. The vast majority of cases were of manifest strabismus and the highest frequency found alternate esotropia 14 (16.1%). The strabismus includes esotropic 40 (45.97%), exotropic 25 (28.73%), third nerve palsies 3 (3.44%), Duane retraction syndrome 1 (1.14%), nystagmus 3(3.44%), amblyopia 3 (3.44%), esophoria 2(2.29%), exophoria 3(3.44%) and psuedostrabismus 7 (8.045%). Conclusion: Prevalence of strabismus was found to be high. The manifest strabismus was more common than latent strabismus. Squint has immediate (Childhood) and long-term (I.e. during adulthood) effects on the life of the children. Timely diagnosis and treatment can improve prognosis and thus quality of life. On the basis of diagnosis alternate exotropia and alternate esotropia was observed in maximum respondence.

Gambaran Kualitas Hidup Pasien Strabismus Menggunakan Kuesioner Adult Strabismus 20 Di Rumah Sakit Umum Pusat Sanglah Periode Januari 2019 - Desember 2020

“…Ketidaksejajaran ini dapat disebabkan oleh tajam penglihatan binokular yang tidak normal atau gangguan neuromuskular yang mengatur gerakan bola mata. 1,2 Pada data National Health Survey of Individual di Amerika Serikat didapatkan eksotropia (2,1%) lebih banyak dari pada esotropia (1,2%) pada usia 4-74 tahun. 2 Data prevalensi strabismus pada dewasa masih terbatas dan sedikit yang menjelaskan mengenai kualitas hidup pasien.…”

“…1,2 Pada data National Health Survey of Individual di Amerika Serikat didapatkan eksotropia (2,1%) lebih banyak dari pada esotropia (1,2%) pada usia 4-74 tahun. 2 Data prevalensi strabismus pada dewasa masih terbatas dan sedikit yang menjelaskan mengenai kualitas hidup pasien. Beberapa laporan menyebutkan prevalensi strabismus sangat beragam pada anak-anak, mulai dari 2% sampai 6%.…”

“…Pasien mengeluh adanya penglihatan ganda, astenopia atau kelelahan mata setelah pemakaian mata berkepanjangan, penglihatan kabur, kesulitan membaca dengan nyaman, dan sakit kepala. 2,4 Hal tersebut dapat mempengaruhi kualitas hidup pasien, baik dalam aspek psikososial maupun aspek fungsional. Konsekuensi psikososial yang dapat dialami oleh pasien strabismus, seperti rasa percaya diri yang rendah.…”