Frequency of horizontal strabismus cases at a university hospital

Authors

  • Abel Esteban Figueredo Rojas Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Cátedra y Servicio de Oftalmología | San Lorenzo, Paraguay. https://orcid.org/0009-0004-8611-3694
  • Luis Bernardo González Sanabria Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Cátedra y Servicio de Oftalmología | San Lorenzo, Paraguay https://orcid.org/0000-0002-3989-721X
  • Ana Rocío Cárdenas Rodríguez Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Cátedra y Servicio de Oftalmología | San Lorenzo, Paraguay. https://orcid.org/0009-0006-0901-2253
  • Verónica Elisa Castillo Benítez Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Cátedra y Servicio de Oftalmología | San Lorenzo, Paraguay https://orcid.org/0000-0002-6783-0362

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.

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Published

2026-05-19

How to Cite

Frequency of horizontal strabismus cases at a university hospital. (2026). Anales of the Faculty of Medical Sciences, 59(1), 16. https://doi.org/10.18004/