Mayo Clinic Department of Ophthalmology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
Mayo Clinic Department of Ophthalmology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.
Am J Ophthalmol. 2014 Jul;158(1):208-210.e1. doi: 10.1016/j.ajo.2014.04.001. Epub 2014 Apr 13.
To report the prevalence and causes of strabismus in children with eyelid ptosis diagnosed in a well-defined population over a 40-year period.
Retrospective, population-based cohort study.
We retrospectively reviewed the charts of 107 patients (<19 years) for the prevalence and causes of strabismus in children who were diagnosed with childhood eyelid ptosis as residents of Olmsted County, Minnesota, from January 1, 1965, through December 31, 2004.
Strabismus was diagnosed in 20 (18.7%) of the 107 patients with childhood ptosis. Of the 81 patients, 8 (9.9%) were diagnosed with simple congenital ptosis and had strabismus, of which there were 4 (4.9%) cases of exotropia and 4 (4.9%) cases of esotropia. There were no cases of isolated vertical deviation.
Strabismus occurred in 1 of 5 children diagnosed with any form of childhood ptosis in this population-based cohort. Strabismus affected approximately 1 of 10 patients diagnosed with simple congenital ptosis, and a predominance of isolated horizontal deviations was equally divided between esotropia and exotropia.
报告在一个明确界定的人群中，40 年间患有眼睑下垂的儿童斜视的患病率和病因。
回顾性、基于人群的队列研究。
我们回顾性地审查了明尼苏达州奥姆斯特德县 1965 年 1 月 1 日至 2004 年 12 月 31 日期间被诊断为儿童眼睑下垂的 107 名（<19 岁）儿童的斜视患病率和病因。
20 名（18.7%）患有儿童上睑下垂的患者被诊断为斜视。在 81 名患者中，8 名（9.9%）被诊断为单纯先天性上睑下垂并伴有斜视，其中 4 名（4.9%）为外斜视，4 名（4.9%）为内斜视。没有孤立性垂直偏斜的病例。
在本基于人群的队列中，患有任何形式儿童上睑下垂的儿童中，有 1 例发生斜视。斜视影响了约 10 例单纯先天性上睑下垂患者中的 1 例，单纯水平斜视的斜视以内斜视和外斜视各占一半。
