Assessment of strabismus in patients with cerebral palsy

Abstract EN

Aim : To evaluate the type and severity of strabismus in cerebral palsy patients and the response to their medical treatment Patients and Method: This observational, cross-sectional, prospective study was done in Ibn Al-Haithem Teaching Eye Hospital, Baghdad, Iraq.

It included 60 patients with Cerebral Palsy and strabismus.

Complete history was taken and assessment of strabismus was done by cover, cover uncover and alternate cover test and Cycloplegic refraction.

The degree of strabismus was measured by Hirschberg corneal reflex test and Krimsky test. Results : • 44 (73 %) of the patients had Esotropia and alternating strabismus was found in 41(68 %) patients. • Regarding the degree of strabismus, 14(23 %) were less than 10 degrees, 39 (65 %) had 10- 30 degrees and 7(11.5 %) had more than 30 degrees. • Improvement in the degree of strabismus was noticed in 33(55 %) patients in response to their medical treatment. • Surgery was done on 4(7 %) patients in whom 3 patients were under-corrected and 1 patient was over-corrected, Conclusions 1- Esotropia is the commonest type of strabismus in patients with Cerebral Palsy 2 -55 % of the patients had significant improvement regarding the degree of strabismus in response to their medical treatment given by paediatric-neurologist.