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. 1990 Oct;74(10):589–594. doi: 10.1136/bjo.74.10.589

A longitudinal study of children with a family history of strabismus: factors determining the incidence of strabismus.

E Aurell 1, K Norrsell 1
PMCID: PMC1042225  PMID: 2285681

Abstract

A longitudinal study of ocular refraction, position, and fixation was performed in children with a family history of strabismus. The children were examined at regular intervals between 3 months and 4 years of age, and the results are discussed in terms of changes in refraction between different ages and correlations between refraction and development of strabismus and amblyopia. Six of 34 children (17.6%) developed constant or intermittent esotropia. The strabismus was first noted between 18 and 30 months of age except in one case. All esotropic children were 4 dioptres hypermetropic or more at 6 months, and their hypermetropia remained almost unchanged through the years. Seven additional children were 4 dioptres or more hypermetropic at 6 months but did not develop a squint. In contrast to the squinting children the hypermetropia in these children changed towards emmetropia. This emmetropisation was most pronounced during the first 2 years of age. The implications of these results for an early diagnosis of strabismus amblyopia are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abrahamsson M., Fabian G., Sjöstrand J. Changes in astigmatism between the ages of 1 and 4 years: a longitudinal study. Br J Ophthalmol. 1988 Feb;72(2):145–149. doi: 10.1136/bjo.72.2.145. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bedrossian R. H. The effect of atropine on myopia. Ann Ophthalmol. 1971 Aug;3(8):891–897. [PubMed] [Google Scholar]
  3. Brenner R. L. Further observations on use of atropine in the treatment of myopia. Ann Ophthalmol. 1985 Feb;17(2):137–140. [PubMed] [Google Scholar]
  4. Fabian G. Augenärztliche Reihenuntersuchung von 1200 Kindern im 2. Lebensjahr. Acta Ophthalmol (Copenh) 1966;44(3):473–479. doi: 10.1111/j.1755-3768.1966.tb08061.x. [DOI] [PubMed] [Google Scholar]
  5. Ingram R. M., Barr A. Changes in refraction between the ages of 1 and 3 1/2 years. Br J Ophthalmol. 1979 May;63(5):339–342. doi: 10.1136/bjo.63.5.339. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Ingram R. M. Refraction as a basis for screening children for squint and amblyopia. Br J Ophthalmol. 1977 Jan;61(1):8–15. doi: 10.1136/bjo.61.1.8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Ingram R. M. Should pre-school children be screened for visual defects? Trans Ophthalmol Soc U K. 1985;104(Pt 6):646–647. [PubMed] [Google Scholar]
  8. Köhler L., Stigmar G. Vision screening of four-year-old children. Acta Paediatr Scand. 1973 Jan;62(1):17–27. doi: 10.1111/j.1651-2227.1973.tb08060.x. [DOI] [PubMed] [Google Scholar]
  9. McBrien N. A., Barnes D. A. A review and evaluation of theories of refractive error development. Ophthalmic Physiol Opt. 1984;4(3):201–213. doi: 10.1111/j.1475-1313.1984.tb00357.x. [DOI] [PubMed] [Google Scholar]
  10. Medina A. A model for emmetropization. The effect of corrective lenses. Acta Ophthalmol (Copenh) 1987 Oct;65(5):565–571. doi: 10.1111/j.1755-3768.1987.tb07041.x. [DOI] [PubMed] [Google Scholar]
  11. Pärssinen O., Hemminki E., Klemetti A. Effect of spectacle use and accommodation on myopic progression: final results of a three-year randomised clinical trial among schoolchildren. Br J Ophthalmol. 1989 Jul;73(7):547–551. doi: 10.1136/bjo.73.7.547. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Rose L., Yinon U., Belkin M. Myopia induced in cats deprived of distance vision during development. Vision Res. 1974 Oct;14(10):1029–1032. doi: 10.1016/0042-6989(74)90172-2. [DOI] [PubMed] [Google Scholar]
  13. Taylor D. Screening? Trans Ophthalmol Soc U K. 1985;104(Pt 6):637–640. [PubMed] [Google Scholar]
  14. YOUNG F. A. The effect of restricted visual space on the primate eye. Am J Ophthalmol. 1961 Nov;52:799–806. doi: 10.1016/0002-9394(61)90904-7. [DOI] [PubMed] [Google Scholar]
  15. Yen M. Y., Liu J. H., Kao S. C., Shiao C. H. Comparison of the effect of atropine and cyclopentolate on myopia. Ann Ophthalmol. 1989 May;21(5):180-2, 187. [PubMed] [Google Scholar]
  16. Young F. A., Leary G. A., Baldwin W. R., West D. C., Box R. A., Harris E., Johnson C. The transmission of refractive errors within eskimo families. Am J Optom Arch Am Acad Optom. 1969 Sep;46(9):676–685. doi: 10.1097/00006324-196909000-00005. [DOI] [PubMed] [Google Scholar]

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