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. 2024 Jul;262(7):2283-2290.
doi: 10.1007/s00417-024-06416-x. Epub 2024 Feb 22.

Clinical characteristics of acute acquired concomitant esotropia before and after the COVID-19 pandemic: a retrospective analysis

Jie Cai  1 , Xia Li  1 , Qin Li  1 , Ying Cai  2 , Jinmao Chen  3
Affiliations

Clinical characteristics of acute acquired concomitant esotropia before and after the COVID-19 pandemic: a retrospective analysis

Jie Cai et al. Graefes Arch Clin Exp Ophthalmol. 2024 Jul.

Abstract

Purpose: This study aimed to observe the clinical characteristics of acute acquired concomitant esotropia (AACE) patients in recent five years and to examine the changes in the proportion of AACE cases before and after the COVID-19 pandemic.

Methods: A retrospective study included 148 patients who underwent strabismus correction surgery for AACE between January 1, 2017, and December 31, 2021. The study analyzed the changing proportion of AACE cases before and after the COVID-19 pandemic and analyzed its clinical characteristics.

Results: Abnormalities in the worth 4 dot examination (both distance and near) were present in 134 cases (90.54%) before surgery, while 140 cases (94.59%) showed normal results after surgery. Near stereoacuity was present in 135 cases (91.22%). The near and distance deviations were (55.01 ± 18.77) PD and (57.30 ± 17.64) PD, respectively, and there was no significant difference between the two (p = 0.279). There were significant differences in the ratio of refractive status among different age groups (p < 0.001), while no statistically significant difference was observed in the ratio of refractive status for near deviation (p = 0.085) or distance deviation (p = 0.116). The proportion of AACE cases after the COVID-19 pandemic was significantly higher than that before the COVID-19 pandemic (p = 0.042). There was no statistically significant difference in the clinical characteristics between the two groups (p > 0.05).

Conclusions: Myopia is the most common refractive status in AACE. More than half of patients had occupations that involved long hours of close work. The proportion of AACE cases increased significantly after the COVID-19 pandemic.

Keywords: Acute acquired concomitant esotropia; COVID-19; Clinical characteristics; Pandemic; Strabismus.

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References

    1. Clark AC, Nelson LB, Simon JW, Wagner R, Rubin SE (1989) Acute acquired comitant esotropia. Br J Ophthalmol 73:636–638. https://doi.org/10.1136/bjo.73.8.636 - DOI - PubMed - PMC
    1. Meng Y, Hu X, Huang X, Zhao Y, Ye M, Yi B, Zhou L (2022) Clinical characteristics and aetiology of acute acquired comitant esotropia. Clin Exp Optom 105:293–297. https://doi.org/10.1080/08164622.2021 - DOI - PubMed
    1. Burian HM, Miller JE (1958) Comitant convergent strabismus with acute onset. Am J Ophthalmol 45:55–64. https://doi.org/10.1016/0002-9394(58)90223-x - DOI - PubMed
    1. Swan KC (1947) Esotropia following occlusion. Arch Ophthal 37:444–451. https://doi.org/10.1001/archopht.1947.00890220457004 - DOI - PubMed
    1. Mohney BG (2007) Common forms of childhood strabismus in an incidence cohort. Am J Ophthalmol 144:465–467. https://doi.org/10.1016/j.ajo.2007.06.011 - DOI - PubMed

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