ArticleAmerican journal of ophthalmology2020
Incidence of Strabismus and Amblyopia Among Children Initially Diagnosed With Pseudostrabismus Using the Optum Data Set.
Article in American journal of ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 18 citations in OpenAlex.
- Usefulness Assessment of Automated Strabismus Angle Measurements Using Innovative Strabiscan Device.Journal of clinical medicine · 2024Article
- FEVR combined with macular heterotopia in children presenting as pseudo-exotropia: a case report and literature review.Frontiers in medicine · 2024Article
- The epidemiology of strabismus and cataracts within a pediatric population in Saint Vincent and the Grenadines: an analysis of 201 consecutive cases.International journal of molecular epidemiology and genetics · 2023Article
- Accuracy of the International Classification of Diseases, 9th Revision for Identifying Infantile Eye Disease.Ophthalmic epidemiology · 2022Article
- Presence and development of strabismus in children with telecanthus, epicanthus and hypertelorism.Indian journal of ophthalmology · 2022Observational
- Macular and Optic Disc Parameters in Children with Amblyopic and Nonamblyopic Eyes under Optical Coherence Tomography Fundus Images.Computational and mathematical methods in medicine · 2022Article
- Etiology-based strabismus classification scheme for pediatricians.The Turkish journal of pediatrics · 2022Review
- Pseudostrabismus in the First Year of Life and the Subsequent Diagnosis of Strabismus.American journal of ophthalmology · 2020Article
- Analysis of orbitofacial anthropometry in children with pseudostrabismus.Oman journal of ophthalmologyArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
Abstract
purposeTo determine the frequency of strabismus among children initially diagnosed with pseudostrabismus using big data.
designPopulation-based retrospective cohort study.
methodsSetting: Population-based retrospective cohort study using claims data. StudyPopulation: 17,885 children diagnosed with pseudostrabismus at age ≤3 years who were later diagnosed with strabismus using the Optum deidentified Clinformatics Data Mart Database (2003-2016). We excluded patients diagnosed with strabismus before the diagnosis of pseudostrabismus or diagnosed simultaneously with strabismus and pseudostrabismus. OBSERVATIONS: We assessed age, refractive error, and presence of amblyopia. Patients with pseudostrabismus were compared to a group of patients from the Optum data set diagnosed with esotropia, exotropia, and unspecified heterotropia who had not been previously diagnosed with pseudostrabismus. MainOutcomeMeasures: Incidence of strabismus, among patients initially diagnosed with pseudostrabismus vs those without an initial diagnosis of pseudostrabismus.
resultsStrabismus was diagnosed in 9.6% (n = 1,725) of children initially diagnosed with pseudostrabismus at a median age of 1.65 years (IQR: 1.17-2.46) compared to 1.7% (136,047 of 7,787,743) of children in the control group (P < .001). Strabismus was diagnosed more than a year later in the pseudostrabismus group (3.32 years; IQR: 2.28-4.74) compared with the control group (2.28 years, IQR: 1.43-3.16) (P < .001). Esotropia was the most common type of strabismus in both groups (pseudostrabismus, 69.7%; control, 62.1%). A total of 377 children (21.9%) in the pseudostrabismus group underwent strabismus surgery compared with 12.1% of children in the control group (P < .001).
conclusionsYoung children diagnosed with pseudostrabismus are at increased risk of developing strabismus and undergoing strabismus surgery.
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