ISSN: 1300-0365
Dil: Türkçe
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The Evaluation Of Clinical And Diagnostic Features In Strabismus Patients
Hüseyin BAYRAMLAR*, Erdinç AYDIN**, Yüksel TOTAN*, Mutlu Cihan DAĞLIOĞLU***, Ahmet ERTEN***
* Yrd.Doç.Dr., İnönü Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,** Uzm.Dr., İnönü Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,*** Arş.Gör.Dr., İnönü Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, MALATYA
Purpose: This study was performed to evaluate the diagnostic distribution and clinical findings of seven hundred seventy-six patients who were referred for the first time to the Strabismus Unit of our clinic.
Materials and Methods: We studied retrospectively seven hundred seventy-six patients inspected for the first time at the Strabismus Unit of Ophthalmology Department, İnönü University School of Medicine, from February 1994 to March 1999.
Results: The prevalance of diagnostic subgroups of strabismus patients, in order of decreasing frequency, were; esotropia (57.5%), exotropia (24.7%), 4th nerve palsy (4.5%), Duane's syndrome (3%), 6th nerve palsy (2.6%), Brown syndrome (0.9%,) 3rd nerve palsy (0.5%), thyroid ophthalmopathy (0.26%), orbital fracture (0.26%), extraocular muscle fibrosis (0.26%), Mobius syndrome (0.4%), and double elevator palsy (0.13%). Inferior oblique dysfunction was seen in 28.47% of esotropia and 17.7% of exotropia patients while superior oblique dysfunction was seen in 4.7% of esotropia and 5.2% of exotropia patients. Dissociated vertical deviation was seen in 6.93% of esotropia and exotropia patients. Eighty point one percent of the esotropia patients (48.4 % >+2.0 D as spheric equivalent) and 31.3% of exotropia patients (21% between +0.5 and +2.0 D as spheric equivalent) were hyperopic. Strabismic amblyopia was seen more frequently in esotropia patients than exotropia patients (p <0.05).
Conclusion: Our study results showed some common features, and several differences as to the rates of strabismus subgroups compared to the previous reports in literature.Keywords: Strabismus, Esotropia, Exotropia,
Oblique muscle dysfunction,
Special ocular motility disorders,
Thyroid ophthalmopathy, Paralytic strabismusTurkiye Klinikleri J Ophthalmol 2000, 9:163-166
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