Concomitant Child Strabismus: Clinical Forms and Treatment
International Journal of Ophthalmology & Visual Science
Volume 5, Issue 2, June 2020, Pages: 57-60
Received: Apr. 15, 2020; Accepted: Apr. 26, 2020; Published: May 27, 2020
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Authors
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
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Abstract
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.
Keywords
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
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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.
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