Volume 5, Issue 2, June 2020, Page: 57-60
Concomitant Child Strabismus: Clinical Forms and Treatment
Chantal Makita, Faculty of Health Sciences, University Marien Ngouabi, Brazzaville, Congo; Department of Ophthalmology, University Hospital, Brazzaville, Congo
Charles Geraud Fredy Nganga Ngabou, Faculty of Health Sciences, University Marien Ngouabi, Brazzaville, Congo; Department of Ophthalmology, University Hospital, Brazzaville, Congo
Eyissa Nzi Gombe, Faculty of Health Sciences, University Marien Ngouabi, Brazzaville, Congo
Reinette Messe Ambia Koulimaya, Department of Ophthalmology, University Hospital, Brazzaville, Congo
Received: Apr. 15, 2020;       Accepted: Apr. 26, 2020;       Published: May 27, 2020
DOI: 10.11648/j.ijovs.20200502.14      View  354      Downloads  76
Aim: To describe the different clinical forms of concomitant strabismus and the results of treatment. Patients and methods: Descriptive retrospective study conducted from January 2007 to December 2017 (10 years), on records children with strabismic, aged 1 to 16 in the department of Ophthalmology of the University Hospital of Brazzaville. Results: Of the 7,722 children collected during the study period, 130 had strabismus, a rate of 1.7%. Forty three (43%) children were boys and 74 (57%) were girls with a sex ratio of 0.75. The average age of the first consultation was 9.3 ± 3.2 years old (1 to 16). The age group of 2-6 years old was the most represented with 43.9% of patients. Depending on the type of strabismus we found as many convergent as divergent strabismus which affects both girls and boys. There was 72.3% monocular strabismus and 27.7% alternation. Dominance was greater on the right, 30.7% and 15.4% dominance on the left. The majority of patients had an initial angle ≥ 25 prismatic diopters (∆), i.e. 43%, 38.5% had a deviation between 10 and 25∆, 18.5% had a deviation between 10 and 5∆. Ametropia was associated with strabismus in 107 patients or 82% of the cases. Optical and orthoptic treatment was prescribed in 67.7% of cases. 11 patients had deep amblyopia. After treatment 54% of the patients had a final deviation ≤ 10∆ and 29.1% had a final deviation ≥ 25 ∆. Conclusion: We found as many convergent strabismus as divergent strabismus. The most representative age group was that of 2 to 6 years old. The treatment was optical and orthoptic.
Strabismus, Amblyopia, Optical Correction
To cite this article
Chantal Makita, Charles Geraud Fredy Nganga Ngabou, Eyissa Nzi Gombe, Reinette Messe Ambia Koulimaya, Concomitant Child Strabismus: Clinical Forms and Treatment, International Journal of Ophthalmology & Visual Science. Special Issue: Congenital Eye Abnormalities. Vol. 5, No. 2, 2020, pp. 57-60. doi: 10.11648/j.ijovs.20200502.14
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Graham PA. Epidemiology of strabismus Br J Ophthalmol 1974; 58: 224-31.
Lorenz B. Genetic of isolated and syndromic strabismus: Facts and perceptives strabismus 2002; 10: 147-56.
Auzemery A, Andriamanamihadja R, Boisier P. A survery of the prevalence and causes of eye disorders in primary school children in Antananarivo. Cahier Santé. 1995; 5: 163-6.
Ebana C, Ellong A, Omgbwa E, Ebana S, Dohvoma V, Bella L. caractéristiques du strabisme en milieu Camerounais. Rev SOAO 2013; 1: 38-34.
Kikudi Z, Maertens K, Kayembé L. Strabisme et hétérophorie: situation du Zaïre. J Fr Ophtalmol 1988; 11: 765-8.
Yogolelo Lo Asani B, Masau Nkola A, Buyi Musanzayi S, Cilundika Mulenga P et al. Etude du strabisme chez les enfants de 0 à15 ans suivis à Lumbubashi RDC: analyse des aspects épidémiologiques et cliniques. Pan afr Med J. 2015; 22: 66.
Faghihi M, Ostadimoghaddam H, Yekta A A. Ambliopia and strabismus in Iranian school childreens, Mashhad Am, Ophtalmol. 2002; 23 (4) 47-79.
Zhu H, Yu JJ, Yu RB, Ding H, Bai J, Chen J et al. Association between childhood strabismus and refractive error in Chinese preschool childreen. Plos One. 2015 March; 10 (3): e 0120720.
Robaei D, Kifley A, Mitchell P. Factors associated with a previous diagnosic of strabismus in population based sample of 12 years old Australian chlidren. AmJOphthalmol. 2006; 142: 1085-8.
Goldstein H, Henderson M, Goldberg ID, Benitez E, Hauwkins CM. Perinotal factors associatiated with strabismus in negro children. AJPH. 1967; 57: 217-28.
Azonobi IR et al. Prevalence and Pattern of strabimus in Ilorin. West AfrJ Med. 2009; 28 (4) 253-6.
Ebana Mvogo SR, Dohvoma Viola A, Omgbwa Eballé A, Ellong A, Belinga Kyé O, Ebana Mvogo C. Profil des amétropies statiques chez les sujets atteints d’un strabisme concomitant à l’Hôpital Général de Douala. Rev SOAO 2016; 1: 13-19.
Chia A, Roy L, Seenyen L. Cocomitant horizontal strabismus: an asian perspective. Br J Ophtalmol. 2007; 91: 1337-40.
Quéré MA, Péchereau A, Lavenant F. Epidémiologie actuelle de l’amblyopie strabique en France J Fr Ophtalmol 1985; 8: 487-96.
Regoda y, Sefic-Kasumovic S. Role of hereditary factors in strabismus occurrence. Med Arch. 2012; 66 (6): 418-9.
Kac MJ et al. Fréquency of ocular deviation at the strabismus sector of the hospitaldoes servidor publico Estadual de Sao paulo. Arq Bras Oftalmol. 2007; 70 (6): 939-42.
Hugonnier R, HugonnierS. Strabisme hétérophories et paralysies oculomotrice. Paris, Masson 1981; 334-7.
Lebuisson DA, ARON S. La vision binoculaire et les strabismes du jeune enfant. Ped UNEF 1983; 450-51.
Lang J. Strabisme. Diagnostic, formes cliniques et traitement. Maloine, Paris, 1981 98-105.
Birch EE, Stager DR Sr. Long term motor and sensory outcomes after early surgery for infantile esotropia. J AAPOS, 2006; 10: 409-13.
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