Divergent strabismus of adult

Abstract

Introduction: Divergent strabismus of adult represents a major importance and affects a surprisingly large number of adults worldwide. According to specialized literature, divergent strabismus is recorded in 11,8 % of concomitant strabismus and in 15-18% of all strabismus. Divergent strabismus is a rare disease and appears late as the strabismus convergent. Doctors were concerned with this eye disease from the ancient times. Aims: The purpose of our study was to make a clinic-statistical analyze of adult strabismus Material and methods: It was a retrospective study of 42 patients who were treated in the ophthalmology section of RCH in the period 2011-2013. Examination of patients was performed by collecting the following dates: sex, patient age, area of residence, debut of pathology, personal accidents, the subsequent treatment, the objective examination Results: The obtained results are: 22 (52,4%) of 42 patients were male and 20 (47,6% ) were female; the average diagnostic age of patients was 29,76 years, with limits between 17 and 66 years; most patients were enrolled in the age group between 20-29 years. Analyzing the group of patients according to area of patients’ residence we have found that 31 of them (73,8 %) were from urban areas and 11( 26,2 %) of rural one. The debut age of functional strabismus was an average of 5.1 ± 3,2 years; 10 patients (23,8 %) had primary exotropia and 32 patients ( 76,2 %) had secondary strabismus divergent. Conclusions: According to our study, we obtained results more or less close to the statistic results that we have studied. We have noticed the difference between the number of patients in urban and rural number of patients. It was difficult to establish the age of onset of strabismus divergent because a significant number of patients of the study, 26 patients (61,9 %), in the childhood had convergent strabismus and then, from various causes, has developed divergent strabismus. We denote a higher frequency of secondary strabismus divergent compared with the primary strabismus of adult.