Clinical pattern and burden of strabismus in a teaching institute of Northeast India

Purpose: To determine the clinical pattern and burden of strabismus in a teaching institute of Northeast (NE) India. Methods: 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. Results:...

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Main Authors: Tanie Natung, Oinam S. Devi, Lanalyn Thangkhiew, Subhankar Paul
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_1032_24
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author Tanie Natung
Oinam S. Devi
Lanalyn Thangkhiew
Subhankar Paul
author_facet Tanie Natung
Oinam S. Devi
Lanalyn Thangkhiew
Subhankar Paul
author_sort Tanie Natung
collection DOAJ
description Purpose: To determine the clinical pattern and burden of strabismus in a teaching institute of Northeast (NE) India. Methods: 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. Results: 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. Conclusion: 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.
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spelling doaj-art-422fe7fcc2e74f9092bf45e9418568d92025-01-11T10:07:16ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352024-12-0113125739574410.4103/jfmpc.jfmpc_1032_24Clinical pattern and burden of strabismus in a teaching institute of Northeast IndiaTanie NatungOinam S. DeviLanalyn ThangkhiewSubhankar PaulPurpose: To determine the clinical pattern and burden of strabismus in a teaching institute of Northeast (NE) India. Methods: 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. Results: 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. Conclusion: 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.https://journals.lww.com/10.4103/jfmpc.jfmpc_1032_24amblyopiaburden of strabismusesotropiaexotropiaophthalmologypattern of strabismus
spellingShingle Tanie Natung
Oinam S. Devi
Lanalyn Thangkhiew
Subhankar Paul
Clinical pattern and burden of strabismus in a teaching institute of Northeast India
Journal of Family Medicine and Primary Care
amblyopia
burden of strabismus
esotropia
exotropia
ophthalmology
pattern of strabismus
title Clinical pattern and burden of strabismus in a teaching institute of Northeast India
title_full Clinical pattern and burden of strabismus in a teaching institute of Northeast India
title_fullStr Clinical pattern and burden of strabismus in a teaching institute of Northeast India
title_full_unstemmed Clinical pattern and burden of strabismus in a teaching institute of Northeast India
title_short Clinical pattern and burden of strabismus in a teaching institute of Northeast India
title_sort clinical pattern and burden of strabismus in a teaching institute of northeast india
topic amblyopia
burden of strabismus
esotropia
exotropia
ophthalmology
pattern of strabismus
url https://journals.lww.com/10.4103/jfmpc.jfmpc_1032_24
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AT oinamsdevi clinicalpatternandburdenofstrabismusinateachinginstituteofnortheastindia
AT lanalynthangkhiew clinicalpatternandburdenofstrabismusinateachinginstituteofnortheastindia
AT subhankarpaul clinicalpatternandburdenofstrabismusinateachinginstituteofnortheastindia