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首页> 外文期刊>American Orthoptic Journal >Incidence of Strabismus and Amblyopia in Preverbal Children Previously Diagnosed with Pseudoesotropia
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Incidence of Strabismus and Amblyopia in Preverbal Children Previously Diagnosed with Pseudoesotropia

机译：以前被诊断为假性内斜视的谚语儿童斜视和弱视的发病率

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Background and Purpose: We previously reported that 12% of children under age 3 diagnosed with pseudoesotropia without significant refractive error later developed strabismus or mild refractive amblyopia. Mohan and Sharma recently reported on fifty-one patients with pseudoesotropia and hyperopia and noted that esotropia developed in 53.9% of the children with >1.50 D of hypermetropia compared to 2.6% of those who had <1.50 D hypermetropia, implying a low risk of esotropia unless hyperopia was greater than 1.50 D on initial exam. We reviewed our data to see if we had similar findings in our patients. Method: Medical records between January 1, 2001, and February 26, 2010, were reviewed retrospectively. Three hundred ninety-four patients diagnosed with pseudoesotropia with an otherwise normal examination were reviewed, and 253 with follow-up were analyzed. Results: Forty-six children were 36 months or older at initial presentation; none developed strabismus; 207 children were <36 months at initial presentation; twenty-two children (11%) were later found to have strabismus. Seventy-eight of these children had hyperopia >1.50 D; eight children (10%) later developed strabismus. One hundred twenty-nine children had hyperopia < 1.50 D, and fourteen (11%) developed strabismus. Our analysis showed an equal risk of strabismus developing in pseudoesotropia patients under age 3 with greater or less than 1.50 D of hyperopia. Conclusion: There is a significant risk of esotropia developing in children under three diagnosed with pseudoesotropia. Hyperopia less than 1.50 D, does not obviate the need for careful follow-up.
机译：背景与目的：我们先前曾报道12％的3岁以下儿童被诊断为假性内斜视而没有明显的屈光不正，后来发展为斜视或轻度屈光性弱视。 Mohan和Sharma最近报道了51名假性内斜视和远视患者，并指出，在> 1.50 D远视眼的儿童中，有53.9％的儿童患有内斜视，而在<1.50 D远视眼的儿童中有2.6％的内斜视，这意味着内斜视的风险较低除非在初次检查时远视大于1.50D。我们回顾了我们的数据，以查看我们的患者是否有类似的发现。方法：回顾性分析2001年1月1日至2010年2月26日之间的病历。回顾了394例经其他正常检查诊断为假性内斜的患者，并对253例进行了随访。结果：46名儿童初次出现时为36个月或更大;没有一个发展斜视;初次就诊时＜36个月的207名儿童;后来发现22名儿童（11％）患有斜视。这些儿童中有78名远视> 1.50 D;八个孩子（占10％）后来出现了斜视。 129名儿童的远视眼<1.50 D，十四名（11％）患有斜视。我们的分析显示，在大于或小于1.50 D远视的3岁以下假性内斜视患者中，斜视发展的风险相同。结论：三名被诊断为假性内斜视的儿童存在内斜视的显着风险。小于1.50 D的远视并不能避免进行仔细随访的需要。

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