Natung Tanie, Devi Oinam S, Thangkhiew Lanalyn, Paul Subhankar
Department of Ophthalmology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, Meghalaya, India.
J Family Med Prim Care. 2024 Dec;13(12):5739-5744. doi: 10.4103/jfmpc.jfmpc_1032_24. Epub 2024 Dec 9.
To determine the clinical pattern and burden of strabismus in a teaching institute of Northeast (NE) India.
In this hospital-based, cross-sectional study, detailed clinical evaluation of patients with manifest strabismus was carried out for a period of one and half years.
Out of the 7222 new outpatient department attendances, a total of 110 new patients with manifest strabismus were found, with a hospital-based burden of 1.52% [95% confidence interval: 1.3-1.8]. Comitant strabismus was seen in 84.55%, and incomitant in 15.45%. Exotropia comprised 70%, esotropia 26.36%, hypertropia 10%, and hypotropia 2.72%. The angle of deviation was large in most of the participants (69.09%) with a mean of 34.90 ± 17.08 PD for horizontal and 13.29 ± 8.97 PD for vertical deviations. A cause of strabismus could be identified in 30.91%. Paralytic strabismus was seen in 15.45%, sensory in 11.82%, infantile in 1.82%, and accommodative in 1.82%. Amblyopia was found in 5.45%. In our study, 25.45% patients underwent strabismus surgery, while 74.55% patients either needed conservative management or were being worked up for surgery till the end of this study.
This study determined the pattern and burden of strabismus in a teaching institute of NE India. Since the institute caters to patients from different states of NE India, this study gives an indirect picture of the burden of strabismus of the whole of NE India. It is hoped that these data will aid in determining the overall burden of strabismus in the country. They will also help the family medicine and primary care physicians to have an idea about the burden and pattern of strabismus in the community, thus enabling them to create awareness about strabismus, remove the undue apprehensions of patients, and do timely referrals for treatment and prevent irreversible visual loss.
确定印度东北部一所教学机构中斜视的临床模式及负担情况。
在这项基于医院的横断面研究中，对显斜视患者进行了为期一年半的详细临床评估。
在7222名新门诊就诊患者中，共发现110例新的显斜视患者，以医院为基础的负担率为1.52%[95%置信区间：1.3 - 1.8]。共同性斜视占84.55%，非共同性斜视占15.45%。外斜视占70%，内斜视占26.36%，上斜视占10%，下斜视占2.72%。大多数参与者（69.09%）的斜视度较大，水平斜视平均为34.90±17.08棱镜度，垂直斜视平均为13.29±8.97棱镜度。30.91%的斜视病因可被确定。麻痹性斜视占15.45%，感觉性斜视占11.82%，先天性斜视占1.82%，调节性斜视占1.82%。弱视占5.45%。在我们的研究中，25.45%的患者接受了斜视手术，而74.55%的患者要么需要保守治疗，要么在本研究结束前仍在准备手术。
本研究确定了印度东北部一所教学机构中斜视的模式及负担情况。由于该机构服务于来自印度东北部不同邦的患者，本研究间接反映了整个印度东北部斜视的负担情况。希望这些数据有助于确定该国斜视的总体负担。它们还将帮助家庭医学和初级保健医生了解社区中斜视的负担和模式，从而使他们能够提高对斜视的认识，消除患者不必要的担忧，并及时进行转诊治疗，防止不可逆转的视力丧失。
