Características clínicas del estrabismo en retraso Psicomotor.

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Bibliographic Details
Title: Características clínicas del estrabismo en retraso Psicomotor.
Alternate Title: Clinical features of strabismus in psychomotor retardation.
Authors: Arias-Cabello, Belina1 beloca83@yahoo.com.mx, Arroyo-Yllanes, María Estela1, Pérez-Pérez, José Fernando1, Fonte-Vázquez, Anselmo1
Source: Cirugía y Cirujanos. ene/feb2016, Vol. 84 Issue 1, p9-14. 6p. 1 Chart, 3 Graphs.
Abstract (English): Background: In psychomotor retardation there is an abnormal development of mental, sensory and motor skills associated with ocular manifestations. There are biological and psychosocial risk factors that predispose an individual to neurological damage. From 50% to 80% of patients with strabismus retardation have special features that differentiate it from the rest of strabismus in healthy patients. Objective: To determine the most common type of strabismus in patients with psychomotor retardation and their clinical features. Material and methods: Patients with psychomotor retardation and strabismus were included. An ophthalmological examination was performed, as well as an evaluation of the characteristics of strabismus, including perinatal and post-natal history. Results: Esotropia was the most frequent squint with 65.3%, followed by exotropia with 32.7%. The variability in the squint magnitude was 60% in both types, and 6 patients had dissociated vertical deviation. Most of the patients started to present strabismus since they were born. The most frequent perinatal risk factors were threatened miscarriage, pre-eclampsia, foetal distress, and hypoxia. Conclusions: Esotropia is the most common type of strabismus in psychomotor retardation. The variability of squint magnitude is a characteristic in these patients. The moderate variability is the most frequent in bothesotropia and exotropia. The most common refractive error is hyperopic astigmatism in esotropia and the myopic kind in exotropia. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Antecedentes: En el retraso psicomotor hay desarrollo anormal de capacidades mentales, sensoriales o motoras, que se asocian con manifestaciones oculares. Existen factores de riesgo biológicos y psicosociales que predisponen a un individuo a daño neurológico. Del 50 al 80% de los pacientes con retraso psicomotor tienen estrabismo con características especiales, que lo diferencian del resto de los estrabismos en pacientes sanos. Objetivo: Conocer el tipo más común de estrabismo en pacientes con retraso psicomotor, así como, sus características clínicas. Material y métodos: Se incluyó a pacientes con retraso psicomotor y estrabismo. Se realizó exploración oftalmológica completa, valoración de las características del estrabismo y se indagó acerca de antecedentes perinatales y posnatales. Resultados: La desviación más frecuente fue la endotropia con un 65.3%, seguida de la exotropia con 32.7%. La variabilidad de la magnitud de la desviación fue aproximadamente del 60% para ambos tipos de desviación; 6 pacientes presentaron desviación vertical disociada. La mayoría de los pacientes comenzaron a desviar desde el nacimiento. Como antecedente de importancia, los factores de riesgo perinatales más frecuentes fueron amenaza de aborto, preeclampsia, sufrimientofetal y asfixia neonatal. Conclusiones: La endotropia es el tipo de estrabismo más frecuente en retraso psicomotor. La variabilidad de la magnitud de desviación es una característica del estrabismo en pacientes con retraso psicomotor. La variabilidad mediana es la más frecuente tanto en endotropias como en exotropias. El defecto refractivo más frecuente es el astigmatismo hipermetrópico compuesto en endotropias y miópico en exotropias. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Background: In psychomotor retardation there is an abnormal development of mental, sensory and motor skills associated with ocular manifestations. There are biological and psychosocial risk factors that predispose an individual to neurological damage. From 50% to 80% of patients with strabismus retardation have special features that differentiate it from the rest of strabismus in healthy patients. Objective: To determine the most common type of strabismus in patients with psychomotor retardation and their clinical features. Material and methods: Patients with psychomotor retardation and strabismus were included. An ophthalmological examination was performed, as well as an evaluation of the characteristics of strabismus, including perinatal and post-natal history. Results: Esotropia was the most frequent squint with 65.3%, followed by exotropia with 32.7%. The variability in the squint magnitude was 60% in both types, and 6 patients had dissociated vertical deviation. Most of the patients started to present strabismus since they were born. The most frequent perinatal risk factors were threatened miscarriage, pre-eclampsia, foetal distress, and hypoxia. Conclusions: Esotropia is the most common type of strabismus in psychomotor retardation. The variability of squint magnitude is a characteristic in these patients. The moderate variability is the most frequent in bothesotropia and exotropia. The most common refractive error is hyperopic astigmatism in esotropia and the myopic kind in exotropia. [ABSTRACT FROM AUTHOR]
ISSN:00097411
DOI:10.1016/j.circir.2015.06.030