Evidence map›Paper›PMID 42663647›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Age at diagnosis of strabismus or amblyopia and neurodevelopmental outcomes in children.

Jui-Ju Tseng, Hung-Jui Hsu, Ming-Chih Lin, Szu-Ting Chen

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Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Jui-Ju TsengInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan.
Hung-Jui HsuUniversal Eye Center, Taipei, Taiwan.
Ming-Chih LinDepartment of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan.
Szu-Ting ChenInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan. chensztin@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate whether age at diagnosis of strabismus or amblyopia is associated with patterns in the clinical recognition of neurodevelopmental conditions in children.

methodsThis retrospective cohort study included children with a first diagnosis of strabismus or amblyopia, categorized into early (3-6 years) and late (7-12 years) diagnosis cohorts. Primary outcomes included developmental delay, learning disorders, and speech or language disorders. Hazard ratios (HRs) were estimated at 1-, 3-, and 5-year follow-up intervals. Kaplan-Meier analyses were used to evaluate event-free probability. Sensitivity analyses assessed 1-year outcomes using age-stratified control cohorts, age-matched control comparisons, and conjunctivitis comparator analyses.

resultsChildren in the early-diagnosis cohort had higher detection of developmental delay (HR, 2.38; 95% CI, 2.05-2.76) and speech or language delay-related outcomes (HR, 2.72; 95% CI, 2.40-3.09), whereas children in the late-diagnosis cohort demonstrated higher detection of learning disorders (HR, 0.70; 95% CI, 0.61-0.81). Differences in developmental delay and speech or language delay-related outcomes between early- and late-diagnosis cohorts emerged early and persisted across follow-up intervals (log-rank P < .001). Differences in learning disorders attenuated over the 5-year follow-up (log-rank P = .38). Sensitivity analyses demonstrated age-related patterns in controls and consistent enrichment of outcomes in children with strabismus or amblyopia compared, but not in conjunctivitis comparators.

conclusionsAge at diagnosis of strabismus or amblyopia was associated with distinct patterns in the clinical recognition of neurodevelopmental conditions. Ophthalmologic encounters may represent clinically relevant opportunities to identify co-occurring developmental concerns during routine care.

Indexed as

AmblyopiaChildCohort StudyNeurodevelopmental DisordersPediatric OphthalmologyStrabismus

Identifiers

PMID42663647

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