Prevalence of Mental Health Illness among Patients with Adult-Onset Strabismus

Mohamed B. Hassan, David O. Hodge, Brian G. Mohney

Research output: Contribution to journalArticle

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Abstract

Background: Children diagnosed with some forms of strabismus were recently found to have an increased risk of developing mental illness by early adulthood. The purpose of this case-controlled study was to determine if adults with non-paralytic forms of strabismus are similarly at an elevated risk for developing mental illness.Methods: The medical records of all patients diagnosed as adults (≥19 years of age) with convergence insufficiency (CI) (n = 118), divergence insufficiency (DI) (n = 80), and small angle hypertropia (HT (n = 99) from January 1, 1985, through December 31, 2004, were retrospectively reviewed. Each case was compared with a sex-and birth date-matched non-strabismic control. The medical records were reviewed for mental health diagnoses, including inpatient and outpatient encounters, psychiatric ER visits, and medication use.Results: Mental health disorders were diagnosed in 65 (55.1%) patients with CI compared to 54 (45.8%) controls (p = 0.15), in 51 (63.8%) patients with DI compared to 42 (52.5%) controls (p = 0.15), and in 63 (63.6%) patients with HT compared to 57 (57.6%) controls (p = 0.38). CI patients were not more likely to have mental health disorders than their controls (p = 0.15). Mental health hospitalizations (p = 0.02), psychiatric medication use (p = 0.04), and unspecified anxiety disorders (p = 0.03) were higher in DI patients compared to controls. HT patients were found to have more generalized anxiety disorders (p = 0.003) than controls.Conclusions: Adults with some forms of strabismus (DI and HT) appear to have an increased risk of mental illness and its comorbidities, compared to age-and gender-matched non-strabismic controls.

Original languageEnglish (US)
Pages (from-to)105-110
Number of pages6
JournalStrabismus
Volume23
Issue number3
DOIs
StatePublished - Jul 3 2015

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Strabismus
Mental Health
Ocular Motility Disorders
Anxiety Disorders
Mental Disorders
Medical Records
Psychiatry
Comorbidity
Inpatients
Hospitalization
Outpatients
Parturition

Keywords

  • Mental disorders
  • ocular motility disorders
  • strabismus

ASJC Scopus subject areas

  • Ophthalmology

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Prevalence of Mental Health Illness among Patients with Adult-Onset Strabismus. / Hassan, Mohamed B.; Hodge, David O.; Mohney, Brian G.

In: Strabismus, Vol. 23, No. 3, 03.07.2015, p. 105-110.

Research output: Contribution to journalArticle

Hassan, Mohamed B. ; Hodge, David O. ; Mohney, Brian G. / Prevalence of Mental Health Illness among Patients with Adult-Onset Strabismus. In: Strabismus. 2015 ; Vol. 23, No. 3. pp. 105-110.
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