Incidence, types, and lifetime risk of adult-onset strabismus

Jennifer Martinez-Thompson, Nancy N. Diehl, Jonathan M Holmes, Brian G. Mohney

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Objective To describe the incidence and types of adult-onset strabismus in a geographically defined population. Design Retrospectively reviewed population-based cohort. Participants All adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with new-onset adult strabismus from January 1, 1985, through December 31, 2004. Methods The medical records of all potential cases identified by the resources of the Rochester Epidemiology Project were reviewed. Main Outcome Measures Incidence rates for adult-onset strabismus and its types. Results Seven hundred fifty-three cases of new-onset adult strabismus were identified during the 20-year period, yielding an annual age- and gender-adjusted incidence rate of 54.1 cases (95% confidence interval, 50.2-58.0) per 100 000 individuals 19 years of age and older. The 4 most common types of new-onset strabismus were paralytic (44.2% of cases), convergence insufficiency (15.7%), small-angle hypertropia (13.3%), and divergence insufficiency (10.6%). The incidence of adult-onset strabismus overall and its 4 most common forms significantly increased with age (P < 0.001 for all), with a peak incidence in the eighth decade of life. The lifetime risk of being diagnosed with adult-onset strabismus was 4.0% in women and 3.9% in men. Conclusions Paralytic strabismus was the most common subtype of new-onset adult strabismus in this population-based cohort. All of the most common forms of adult-onset strabismus increased with age, especially after the sixth decade of life. Further characterization of strabismus types found in this study is warranted to better define this disorder.

Original languageEnglish (US)
Pages (from-to)877-882
Number of pages6
JournalOphthalmology
Volume121
Issue number4
DOIs
StatePublished - 2014

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Strabismus
Incidence
Population
Ocular Motility Disorders
Medical Records
Epidemiology
Outcome Assessment (Health Care)
Confidence Intervals

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Incidence, types, and lifetime risk of adult-onset strabismus. / Martinez-Thompson, Jennifer; Diehl, Nancy N.; Holmes, Jonathan M; Mohney, Brian G.

In: Ophthalmology, Vol. 121, No. 4, 2014, p. 877-882.

Research output: Contribution to journalArticle

Martinez-Thompson, Jennifer ; Diehl, Nancy N. ; Holmes, Jonathan M ; Mohney, Brian G. / Incidence, types, and lifetime risk of adult-onset strabismus. In: Ophthalmology. 2014 ; Vol. 121, No. 4. pp. 877-882.
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N2 - Objective To describe the incidence and types of adult-onset strabismus in a geographically defined population. Design Retrospectively reviewed population-based cohort. Participants All adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with new-onset adult strabismus from January 1, 1985, through December 31, 2004. Methods The medical records of all potential cases identified by the resources of the Rochester Epidemiology Project were reviewed. Main Outcome Measures Incidence rates for adult-onset strabismus and its types. Results Seven hundred fifty-three cases of new-onset adult strabismus were identified during the 20-year period, yielding an annual age- and gender-adjusted incidence rate of 54.1 cases (95% confidence interval, 50.2-58.0) per 100 000 individuals 19 years of age and older. The 4 most common types of new-onset strabismus were paralytic (44.2% of cases), convergence insufficiency (15.7%), small-angle hypertropia (13.3%), and divergence insufficiency (10.6%). The incidence of adult-onset strabismus overall and its 4 most common forms significantly increased with age (P < 0.001 for all), with a peak incidence in the eighth decade of life. The lifetime risk of being diagnosed with adult-onset strabismus was 4.0% in women and 3.9% in men. Conclusions Paralytic strabismus was the most common subtype of new-onset adult strabismus in this population-based cohort. All of the most common forms of adult-onset strabismus increased with age, especially after the sixth decade of life. Further characterization of strabismus types found in this study is warranted to better define this disorder.

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