Frequency of horizontal strabismus cases at a university hospital
DOI:
https://doi.org/10.18004/Keywords:
strabismus, esotropia, exotropia.Abstract
Introduction: Strabismus is an abnormal arrangement of the eyes in which the visual axes are not
directed at the same object at the same time. Depending on the direction of the deviation, they
are classified as horizontal, vertical and torsional. Horizontal strabismus can be subclassified
into esotropias and exotropias. Objective: To determine the frequency of the different types of
strabismus that attend a university hospital in Paraguay. Materials and methods: Observational,
descriptive, cross-sectional, retrospective design. Non-probabilistic sampling of consecutive
cases. The electronic records of patients of all ages diagnosed with strabismus who attended
the Ophthalmology Service of the Hospital de Clínicas in the city of San Lorenzo, Paraguay,
from January 2022 to December 2023 were studied. The variables analyzed were: age, sex
and the different types of esotropias and exotropias. Results: 393 horizontal strabismus were
found. The mean age was 12.13 ± 12.50 years, with an age range of 3 months to 83 years. 205
(52.2%) patients were female. 206 (52.4%) cases were esotropias, of which 101 (49%) cases
were congenital esotropias. 187 cases (47.6%) were exotropias, of which 117 (62.6%) cases
were intermittent exotropias. Conclusion: Esotropias were the most frequent type of ocular
misalignment, among which the most frequent subtype was congenital esotropia. Intermittent
exotropia was the most frequent subtype of exotropia.
References
1. Real Academia Española. Diccionario de la Lengua
Española. 23a. Edic. 2014. https://dle.rae.es
2. Zazo R, Pérez A, Suárez I. El Estrabismo, Problema
de Salud en la Infancia. Rev, Cub. de Tecn. en salud.
2021;12(4):88-90.
3. National Eye Institute. Amblyopia (lazy eye). Bethesda
(MD): National Institutes of Health. 2024. https://www.
nei.nih.gov/learn-about-eye-health/eye-conditions-and
diseases/amblyopia-lazy-eye
4. Centers for Disease Control and Prevention. About
common eye disorders and diseases. Atlanta (GA):
CDC; 2024. Disponible en: https://www.cdc.gov/vision
health/about-eye-disorders/index.html
5. American Academy of Ophthalmology. Basic and Clinical
Science Course. Section 06: Pediatric Ophthalmology
and Strabismus. 2019-2020 ed. San Francisco (CA):
American Academy of Ophthalmology; 2019.
6. Prieto-Díaz J, Souza-Dias C. Estrabismo. 5a. Edic.
Ediciones Científicas Argentina.; 2005:571.
7. Ciancia A. Early Esotropia. Int Ophtalmol Clin.
1971;11(4):81-7. doi: 10.1097/00004397-197101140
00013.
8. Dragomir MS, Merticariu M, Merticariu CI. Management
of acute acquired comitant esotropia in children.
Romanian J Ophthalmol. 2023;67(1):87-91. doi:
10.22336/rjo.2023.16.
9. Lang J. Microtropia. Int Ophthalmol. 1983;6(1):33-6.
10. Kac MJ, Freitas Júnior MB de, Kac SI, Andrade EP
de. Freqüência dos tipos de desvios oculares no
ambulatório de motilidade ocular extrínseca do Hospital
do Servidor Público Estadual de São Paulo. Arq Bras
Oftalmol. 2007;70:939-42.
S0004-27492007000600010
11. Adán-Hurtado EE, Arroyo-Yllanes ME. Frecuencia de
los diferentes tipos de estrabismo. Rev Mex Oftalmol.
2009;83(6):340-8.
12. Mohney BG. Common forms of childhood strabismus in
an incidence cohort. Am J Ophthalmol. 2007;144(3):465
7. doi: 10.1016/j.ajo.2007.06.011.
13. Lambert SR. Are there more exotropes than esotropes
in Hong Kong?. Br J Ophthalmol. 2002;86(8):835-6.
doi: 10.1136/bjo.86.8.835.
14. Mohney BG. Common forms of childhood esotropia.
Ophthalmology.2001;108(4):805-9. doi: 10.1016/
s0161-6420(00)00639-4.
15. Graham PA. Epidemiology of strabismus. Br J
Ophthalmol
bjo.58.3.224.
.1974;58(3):224-31.
doi:
10.1136/
16. Carney CV, Lysons DA, Tapley JV. Is the incidence of
constant esotropia in childhood reducing? Eye Lond
Engl. 1995;9 ( Pt 6 Su):40-1.
17. Louwagie CR, Diehl NN, Greenberg AE, Mohney
BG. Is the Incidence of Infantile Esotropia Declining?
Arch Ophthalmol. 2009;127(2):200-3. doi: 10.1001/
archophthalmol.2008.568.
18. American Association for Pediatric Ophthalmology and
Strabismus (AAPOS). Amblyopia (lazy eye). (video en
Internet). YouTube; s.f. Disponible en: https://www.
youtube.com/watch?v=SWWwySsn4ZA
19. Nakao Y, Kimura T. Prevalence and anatomic
mechanism of highly myopic strabismus among
Japanese with severe myopia. Jpn J Ophthalmol.
2014;58(2):218-24. doi: 10.1007/s10384-013-0296-y.
20. Melek N. La exotropia intermitente: observaciones
clínicas y quirúrgicas. Catálogo de la Biblioteca CAO.
1976:151.
https://catalogo.oftalmologos.org.ar/items/
show/553.
21. Mohney BG, Huffaker RK. Common forms of childhood
exotropia. Ophthalmology. 2003;110(11):2093-6. doi:
10.1016/j.ophtha.2003.04.001.


