Clinical Variability and Treatment Outcomes of Pediatric Esotropia at Sohag University Hospital

Document Type : Original Article

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Ophthalmology department faculty of medicine sohag university

Abstract

Abstract
Purpose: To evaluate the clinical features and treatment outcomes of convergent squint (esotropia) among children.
Methods: A prospective, case series, interventional study was conducted to evaluate esotropia among children presented to the strabismus outpatient clinic at Sohag University Hospital, in the period between April 1st, 2018 and December 31th, 2018; with a follow-up period of 12 months. The study was done in accordance with the Helsinki Declaration Principles, after obtaining the approval of the medical ethics committee. An informed consent was obtained from parents of children participating in this study. A standard protocol for examination was followed for all patients.
Results: A total of 52 children with non-paralytic (concomitant) esotropia were included; 27 (51.9%) were males & 25 (48.1) were females. There were 23 (44.2%) patients with congenital (infantile) esotropia, 19 (36.5%) patients with accommodative esotropia, and 10 (19.2%) patients with non-accommodative esotropia. The clinical features and treatment outcomes will be discussed in details.
Conclusion: Pediatric esotropia can present at birth, during the first year of life, or acquired during early childhood. Treatment should be initiated as early as possible to achieve binocularity, improve visual outcome, and prevent psychosocial effects

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