Strabismus Associated with Neurological Impairment: Retrospective Case Series

Abstract

Purpose: To describe the clinical features and to discuss the results of strabismus surgery or the natural course of ocular deviations in a group of patients with neurological problems. Material and Methods: The medical records of patients with manifest ocular deviations and neurological disorders were reviewed. The main outcome measures were the possible etiology of neurological impairment, clinical features and the results of strabismus surgery. Results: A total of 117 (60 males, 57 females) patients were enrolled in the study. The mean age of patients was 5.6 ± 4.4 years. 58 patients (49.6%) were lost from follow-up. The most common type of strabismus was esotropia (56.4%). 36 patients (30.8%) underwent operations for strabismus. 13 patients (11.1%) had consecutive deviations during follow-up period. Conclusions: Ocular deviations may be associated with neurological impairment. Strabismus surgery may provide good cosmesis in this group of patients. However, spontaneous and postoperative consecutive deviations should be kept in mind.