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. 2023 Feb;12(1):87-98.
doi: 10.1007/s40123-022-00590-z. Epub 2022 Oct 13.

The Incidence and Risk Factors for Dry Eye After Pediatric Strabismus Surgery

Yun Wang  1 , Xiao-Jiao Tang  1 , Qing Liu  1 , Lin Chen  2
Affiliations

The Incidence and Risk Factors for Dry Eye After Pediatric Strabismus Surgery

Yun Wang et al. Ophthalmol Ther. 2023 Feb.

Abstract

Introduction: This study aimed to investigate the incidence and risk factors for dry eye after pediatric strabismus surgery.

Methods: Children aged 5-12 years who underwent strabismus surgery were included in this single-center, prospective, cohort study. The ocular surface assessments were conducted 1 day before and 1, 4, and 8 weeks after surgery. The main outcome measures were the incidence of dry eye after strabismus surgery and associated risk factors.

Results: A total of 84 eyes (48 children) that underwent strabismus surgery were included in the study. The mean age at surgery was 7.21 years. The incidence of dry eye was 47.62% at 1 week, 10.71% at 4 weeks, 0% at 8 weeks after surgery. The preoperative tear breakup time (BUT) was lower in the dry eye group than that in the non-dry eye group (P ≤ 0.01). The univariate analysis showed that preoperative BUT was significantly associated with the incidence of dry eye after pediatric strabismus surgery (odds ratio [OR] 0.647, confidence interval [CI] 0.503-0.833, P ≤ 0.01).

Conclusions: Dry eye commonly occurs after pediatric strabismus surgery. Tear film instability is more common than deficient aqueous tear production in patients with dry eye after surgery. Children with a low preoperative BUT are more likely to develop dry eye after strabismus surgery.

Keywords: Dry eye; Pediatric; Risk factor; Strabismus surgery; Tear breakup time.

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Fig. 1
Demographics and clinical characteristics of the study population
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References

    1. Mohney BG. Common forms of childhood strabismus in an incidence cohort. Am J Ophthalmol. 2007;144(3):465–467. doi: 10.1016/j.ajo.2007.06.011. - DOI - PubMed
    1. Greenberg AE, Mohney BG, Diehl NN, Burke JP. Incidence and types of childhood esotropia: a population-based study. Ophthalmology. 2007;114(1):170–174. doi: 10.1016/j.ophtha.2006.05.072. - DOI - PubMed
    1. Chen D, Li R, Li X, et al. Prevalence, incidence and risk factors of strabismus in a Chinese population-based cohort of preschool children: the Nanjing Eye Study. Br J Ophthalmol. 2021;105(9):1203–1210. doi: 10.1136/bjophthalmol-2020-316807. - DOI - PubMed
    1. Wang Y, Zhao A, Zhang X, et al. Prevalence of strabismus among preschool children in eastern China and comparison at a 5-year interval: a population-based cross-sectional study. BMJ Open. 2021;11(10):e055112. doi: 10.1136/bmjopen-2021-055112. - DOI - PMC - PubMed
    1. Chen X, Fu Z, Yu J, et al. Prevalence of amblyopia and strabismus in Eastern China: results from screening of preschool children aged 36–72 months. Br J Ophthalmol. 2016;100(4):515–519. doi: 10.1136/bjophthalmol-2015-306999. - DOI - PubMed

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