Profile of Strabismus at a Tertiary Care Hospital in Kashmir

Abstract

Introduction: Strabismus is a state of abnormal alignment of the two eyes. Current research was aimed at studying the profile of strabismus at a tertiary care hospital in Kashmir valley. Material and methods: Strabismus patients attending squint clinic of a tertiary care referral centre in Kashmir, between December, 2015 and December, 2017, across all age groups were included in this study. Patients operated previously for strabismus were excluded. Visual acuity, cycloplegic retinoscopy, stereopsis assessment were done in all patients. Strabismus was objectively measured using Prism Cover Test / Modified Krimsky method. Results: During the defined period a total of 911 patients were evaluated and included in this study. Out of these, 516 (56.6%) were females and 395(43.3%) were males. 37.1% of the study cohort were products of consanguineous marriages. History of prematurity and turbulent perinatal period was elicited in 4% and 18% of the patients respectively.As regards the pattern of strabismus in our study population 59.93% had esotropia, 36.6% had exotropia. Inferior oblique overaction and Dissociated vertical deviation were seen in 22.61% and 23.38% respectively. Duanes Retraction syndrome (0.98%), Superior oblique palsy (1.2%)Browns syndrome (0.21%), Third nerve Palsy (0.32%), LR palsy (0.65%) were the lesser common deviations noted. Conclusion: Esotropia is the most common motility disorder among patients attending a tertiary care hospital in Kashmir, in contrast to rest of India. Statistics from majority of colder regions of the world show the same inclination, further reinforcing the theory of association between sunlight and exodrift.

Prevalence of pediatric eye diseases in Assam, India — a hospital-based retrospective data

“…Our study results also portrayed a prevalence of 0.6% (n = 67) cases of uveitis, satisfying the results of the former studies. www.journals.viamedica.pl/ophthalmology_journal Sarosh et al 2018, in their 2-year study period, found 45.9% from 0-10 years and 29% within the age ranged from 10-20 years with a squint, of which esotropia was highly prevalent in approximately 60% [64]. In our study 1.2% of patients (n = 143) were diagnosed with ocular deviations.…”

Evaluation of strabismus in 0-18 years of age group in tertiary health care hospital: A prospective cross-sectional observational study

“…Rimsha Sarosh et al study showed 59.93% had esotropia, 36.6% had exotropia. 9 Similarly in Mohney BG et al esotropia is the most common form in the first six years of life; beyond this age exotropia predominates. 10 In all these study different age group was considered and the age of onset cannot be determined as the history obtained from parents becomes the only source and by itself is not very accurate.…”

“…Tarakeswara Rao Attada et al study 14.7% had intermittent exotropia, Rimsha Sarosh et al study 37.17% had intermittent exotropia. 7,9 There is an inexplicable superstitious belief in the study population that strabismus brings good luck to the family of these children. So the parents of boys were unwilling to let their children undergo surgery.…”

Psychosocial needs of Spanish schoolchildren with visual impairment: a mixed methods research

“…The same authors concluded that strabismus is associated with a worse quality of life. Sarosh et al (2018) observed that children with visual impairments spent most of their play time alone and that peer perceptions of these children are that themselves are less capable, less desirable as friends and peers, in greater need of help, and less popular than other students. Therefore, they are in a situation of greater social vulnerability.…”

“…These social circumstances influence the inter and intrapersonal relationships of children with ocular pathology at family, school and social levels, forcing them to face stressful social situations in their relationship with their peers, teachers and family (Sánchez-Caballero, 2015;Sarosh et al, 2018). Alshehri (2016) points out that stressful situations can also appear in the mothers of children with strabismus and in some cases even lead to the appearance of depressive symptoms.…”