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Discrepancies between parental reports and clinical diagnoses of strabismus in Korean children

Title
Discrepancies between parental reports and clinical diagnoses of strabismus in Korean children
Authors
Han K.E.Lim K.H.
Ewha Authors
임기환한경은
SCOPUS Author ID
임기환scopus; 한경은scopusscopus
Issue Date
2012
Journal Title
Journal of AAPOS
ISSN
1091-8531JCR Link
Citation
vol. 16, no. 6, pp. 511 - 514
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Purpose: To compare the accuracy of parental observation of strabismus with clinical evaluation in Korean children. Methods: The medical records of 228 children <15 years of age who visited the pediatric strabismus clinic from 2002 to 2007 and whose parents reported a horizontal deviation were retrospectively reviewed. We compared subjective parent-reported direction of ocular deviation with the objective results after clinical evaluation. Results: The mean age of the 228 children was 3.9 ± 3.0 years. Of these, 178 children (78%) were diagnosed with strabismus; 50 (22%), with orthotropia. The overall concordance rate was 67% (152/228). The concordance rate was lower for parents reporting inward deviation of the eye (P < 0.001), younger age group at presentation (P = 0.004), experienced onset of ocular deviation at younger age group (P = 0.001), and had fewer diopters of deviation (P < 0.001). Patient sex, family history of strabismus, observed frequency of deviation, and laterality of deviated eye did not show statistical differences in concordance rates (all P values >0.05). Conclusions: Parental observation correlated with clinical assessment two-thirds of the time. Exotropia was more reliably detected by the parents than esotropia. Copyright © 2012 by the American Association for Pediatric Ophthalmology and Strabismus.
DOI
10.1016/j.jaapos.2012.07.005
Appears in Collections:
의과대학 > 의학과 > Journal papers
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