Incidence and characteristics of strabismus in patients from the Ecuadorian province of Tungurahua

Authors

Keywords:

epidemiology, incidence, esotropia, exotropia, strabismous

Abstract

Introduction: strabismus is an ocular disorder characterized by binocular misalignment. Its global prevalence in infants is estimated between 2.00 %-4.00 % of the world's population. In Ecuador, updated information on its incidence in local populations is insufficient. Hence, the importance of conducting studies focused on specific regions.

Objective: to describe some epidemiological characteristics of strabismus in patients treated at the Ambato General Teaching Hospital.

Methods: an observational, descriptive, and retrospective study; 103 medical records were reviewed. The variables analyzed were age, sex, and type of strabismus. Descriptive statistics and Pearson correlation analysis were used. Established ethical principles were adhered to.

Results: 103 patients were diagnosed with strabismus; the cumulative incidence was 1.40 %. The convergent type was most common (32.10-50.20 %), followed by the divergent type (21.40-45.10 %), and the vertical type was least common (4.30-13.70 %). The ratio between the number of men (r = 0,915; p = 0,005) and women (r = 0,892; p = 0,013) treated was not statistically significant (r = 0,723; p = 0,087).

Conclusions: the cumulative incidence of strabismus was below the figures reported in the international literature. The slight upward trend in this diagnosis among women should be investigated to identify possible predisposing factors. Although this study focused on a specific institution in the province of Tungurahua, the data it provided are relevant for future research at the national level

Downloads

Author Biographies

Carlos Alberto Pérez Padilla, Hospital General Docente Ambato. Ambato, Tungurahua, Ecuador

Máster en Atención Integral al Niño. Especialista de Primer Grado en Oftalmología. Subespecialista en Oftalmología Pediátrica. Profesor Titular. Universidad Regional Autónoma de Los Andes.

Zaihrys del Carmen Herrera Lazo, Hospital General Docente Ambato. Ambato, Tungurahua, Ecuador.

Máster en Atención Integral al Niño. Especialista de Primer Grado en Pediatría. Profesor Titular. Universidad Regional Autónoma de Los Andes.

María del Carmen Yabor Labrada, Universidad Regional Autónoma de Los Andes. Ambato, Tungurahua, Ecuador.

Estudiante de décimo primer nivel de la carrera de Medicina.

Symone Shyram Villacrés Moya, Universidad Regional Autónoma de Los Andes. Ambato, Tungurahua, Ecuador.

Estudiante de séptimo nivel de la carrera de Medicina.

References

1. Martínez-Sánchez M, Whitman MC. Genetics of strabismus. Front Ophthalmol (Lausanne) [Internet]. 2023 [citado 21 Ene 2025];3:1233866. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10947184/pdf/fopht-03-1233866.pdf

2. Hashemi H, Pakzad R, Heydarian S, Yekta A, Aghamirsalim A, Shokrollahzadeh F, et al. Global and regional prevalence of strabismus: a comprehensive systematic review and meta-analysis. Strabismus [Internet]. Jun 2019 [citado 21 Ene 2025];27(2):54-65. Disponible en: https://www.researchgate.net/profile/Shahrokh-Ramin/publication/332600235_Global_and_regional_prevalence_of_strabismus_a_comprehensive_systematic_review_and_meta-analysis/links/5cfd5c84299bf13a384a43f4/Global-and-regional-prevalence-of-strabismus-a-comprehensive-systematic-review-and-meta-analysis.pdf

3. Zhang XJ, Lau YH, Wang YM, Kam KW, Ip P, Yip WW, et al. Prevalence of strabismus and its risk factors among school aged children: The Hong Kong Children Eye Study. Sci Rep [Internet]. 2021 [citado 22 Ene 2025];11(1):13820. Disponible en: https://www.nature.com/articles/s41598-021-93131-w.pdf

4. Miyata M, Kido A, Miyake M, Tamura H, Kamei T, Wada S, et al. Prevalence and incidence of strabismus by age group in Japan: a nationwide population-based cohort study. Am J Ophthalmol [Internet]. Jun 2024 [citado 27 Jul 2024];262:222-8. Disponible en: https://www.sciencedirect.com/science/article/pii/S0002939423004907?via%3Dihub

5. Jullien S. Vision screening in newborns and early childhood. BMC Pediatr [Internet]. 2021 [citado 27 Jul 2024];21 Supl 1:306. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8424784/pdf/12887_2021_Article_2606.pdf

6. Páez-Garza JH, Rangel-Padilla A, González-Godínez S, De la Rosa-Pacheco S. Estrabismo en el norte de México: características clínicas en pacientes pediátricos de instituciones de salud públicas y privadas. Rev. mex. Oftalmol [Internet]. Jun 2020 [citado 27 Jul 2024];94(3):113-8. Disponible en: https://www.scielo.org.mx/pdf/rmof/v94n3/0187-4519-rmo-94-3-113.pdf

7. Rodríguez-del Valle JJ. Relación entre el error refractivo y estrabismo con la retinopatía del prematuro en pacientes evaluados en el Centro Médico Nacional La Raza. [Internet]. Ciudad de México: Universidad Nacional Autónoma de México; 2023 [citado 27 Jul 2024]. Disponible en: https://ru.dgb.unam.mx/bitstream/20.500.14330/TES01000840824/3/0840824.pdf

8. Rajesh AE, Davidson O, Lacy M, Chandramohan A, Lee AY, Lee CS, et al. Race, ethnicity, insurance, and population density associations with pediatric strabismus and strabismic amblyopia in the IRIS® registry. Ophthalmology [Internet]. 2023 [citado 1 Ago 2024]. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10527204/pdf/nihms-1911846.pdf

9. Chen D, Li R, Li X, Huang D, Wang Y, Zhao 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. Sep 2021;105(9):1203-10.

10. Bremond-Gignac D. Insights in pediatric ophthalmology and strabismus: 2022. Front Ophthalmol (Lausanne) [Internet]. 2024 [citado 21 Ene 2025];4:1382073. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11182267/pdf/fopht-04-1382073.pdf

11. Asociación Médica Mundial. Declaración de Helsinki de la AMM. Principios éticos para las investigaciones médicas en seres humanos. Ratificada en la 75th WMA General Assembly, Helsinki, Finland, october 2024 [Internet]. Helsinki: 18ª Asamblea Mundial; 1964 [citado 4 Ene 2024]. Disponible en: https://www.wma.net/policies-post/wma-declaration-of-helsinki/

12. Laughton SC, Hagen MM, Yang W, Von Bartheld CS. Gender differences in horizontal strabismus: Systematic review and meta-analysis shows no difference in prevalence, but gender bias towards females in the clinic. J Glob Health [Internet]. 2023 [citado 4 Ene 2024];13:04085. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10471156/pdf/jogh-13-04085.pdf

13. Jaramillo-Cerezo A, Torres-Yepes V, Franco-Sánchez I, Llano-Naranjo Y, Arias-Uribe J, Suárez-Escudero JC. Etiología y consideraciones en salud de la discapacidad visual en la primera infancia: revisión del tema. Rev. mex. oftalmol [Internet]. Feb 2022 [citado 22 Ene 2025];96(1):27-36. Disponible en: https://www.scielo.org.mx/pdf/rmof/v96n1/2604-1731-rmo-96-1-27.pdf

14. Bianchim-Oliveira MP, Dantas-Pessoa K, Rodrigues-Silva L, Duarte-Chagas-Cohen JC, Ferreira de Oliveira-Meiroz-Grilo AD, Nunes DE, et al. Epidemiologia das hospitalizações relacionadas ao estrabismo no Brasil: uma análise abrangente. Braz J Implantol Health Sci [Internet]. 2024 [citado 27 Jul 2024];6(6):1444-54. Disponible en: https://bjihs.emnuvens.com.br/bjihs/article/download/2369/2589

15. Yap TP, Luu CD, Suttle CM, Chia A, Boon MY. The development of meridional anisotropies in neurotypical children with and without astigmatism: electrophysiological and psychophysical findings. Vision Res [Internet]. Sep 2024 [citado 1 Ago 2024];222:108439. Disponible en: https://www.sciencedirect.com/science/article/pii/S004269892400083X

Published

2025-04-11

How to Cite

1.
Pérez Padilla CA, Herrera Lazo Z del C, Yabor Labrada M del C, Villacrés Moya SS. Incidence and characteristics of strabismus in patients from the Ecuadorian province of Tungurahua. Mediciego [Internet]. 2025 Apr. 11 [cited 2025 Apr. 23];31:e4132. Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/4132

Issue

Section

Original article