Clinical presentations of acquired comitant esotropia in 5–35 years old Japanese and digital device usage: a multicenter registry data analysis study

Purpose To describe clinical presentations of acquired comitant esotropia and digital device use in children, adolescents, and young adults without neurological problems. Study design Multicenter prospective observational study. Methods Patients with acquired comitant esotropia, without intracranial...

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Bibliographic Details
Published in:Japanese journal of ophthalmology 2023-11, Vol.67 (6), p.629-636
Main Authors: Iimori, Hirohito, Nishina, Sachiko, Hieda, Osamu, Goseki, Toshiaki, Nishikawa, Noriko, Suzuki, Sadao, Hikoya, Akiko, Komori, Miwa, Suzuki, Hiroko, Yoshida, Tomoyo, Hayashi, Shion, Mori, Takafumi, Kimura, Akiko, Morimoto, Takeshi, Shimizu, Yukiko, Negishi, Takashi, Shimizu, Tamami, Yokoyama, Yoshimi, Sugiyama, Yoshiko, Azuma, Noriyuki, Sato, Miho
Format: Article
Language:English
Subjects:
Acuity
Adolescents
Adults
Children
Clinical Investigation
Data analysis
Medicine
Medicine & Public Health
Observational studies
Ophthalmology
Signs and symptoms
Strabismus
Teenagers
Visual acuity
Young adults
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Summary:Purpose To describe clinical presentations of acquired comitant esotropia and digital device use in children, adolescents, and young adults without neurological problems. Study design Multicenter prospective observational study. Methods Patients with acquired comitant esotropia, without intracranial diseases aged 5–35 years at the time of visit, who were seen at pre-registered facilities within 1 year of onset were enrolled. The duration from the onset of symptoms and the time of digital device usage approximately 1 month before onset and their lifestyles were surveyed. Visual acuity, cycloplegic refraction, and strabismus angles were measured. Data were analyzed in three age groups (Child: 5–12 years, Adolescent: 13–18 years, and Young adult: 19–35 years). Results Between November 2019 and December 2021, 218 patients were enrolled from 55 facilities, and 194 patients (including 62 children, 69 adolescents, and 63 young adults) were analyzed. The child group spent the least amount of time using digital devices (children: 159; adolescents: 210; young adults: 267 min/work day, p < 0.05; (mean time in the same order below) 229, 338, 314 min/holiday, p < 0.05) and had the largest strabismus angle (mean strabismus angle at near: 30, 22, 18 PD, p < 0.01; at far: 28, 26, 21 PD, p
ISSN:0021-5155
1613-2246
DOI:10.1007/s10384-023-01023-5