Strabismus and Nystagmus in Patients With Pediatric Cataracts: Study Using Insurance Claims Data.

Autor: Kim SJ; Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine & Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital (S.-J.K.), Yangsan, Korea., Slinger K; Spencer Center for Vision Research, Byers Eye Institute at Stanford University (K.S., S.R.L., E.K., A.S., T.L.R.), Palo Alto, California, USA., Lambert SR; Spencer Center for Vision Research, Byers Eye Institute at Stanford University (K.S., S.R.L., E.K., A.S., T.L.R.), Palo Alto, California, USA., Koo E; Spencer Center for Vision Research, Byers Eye Institute at Stanford University (K.S., S.R.L., E.K., A.S., T.L.R.), Palo Alto, California, USA., Shue A; Spencer Center for Vision Research, Byers Eye Institute at Stanford University (K.S., S.R.L., E.K., A.S., T.L.R.), Palo Alto, California, USA., Roberts TL; Spencer Center for Vision Research, Byers Eye Institute at Stanford University (K.S., S.R.L., E.K., A.S., T.L.R.), Palo Alto, California, USA. Electronic address: tawnar@stanford.edu.
Jazyk: angličtina
Zdroj: American journal of ophthalmology [Am J Ophthalmol] 2023 Apr; Vol. 248, pp. 87-95. Date of Electronic Publication: 2022 Nov 18.
DOI: 10.1016/j.ajo.2022.11.014
Abstrakt: Purpose: To describe the characteristics and prevalence of strabismus and nystagmus in children diagnosed with cataracts using a national insurance claims database.
Design: Population-based retrospective cohort study.
Methods: Patients aged <13 years diagnosed with cataracts (traumatic cataracts excluded) and enrolled continuously in their health care program for ≥5 years after their first cataract diagnosis were identified in a retrospective review of 66 million charts in Optum's de-identified Clinformatics Data Mart Database between 2003 and 2015. Patients were categorized based on age of their first diagnosed cataract, and if cataract surgery was performed. Clinical and demographic factors associated with the occurrence of strabismus and nystagmus were evaluated.
Results: Of 1636 children diagnosed with cataract, 434 (26.5%) and 109 (6.7%) were diagnosed with strabismus and nystagmus, respectively. Both strabismus and nystagmus were more common in those who underwent cataract surgery (P < .001) and in patients diagnosed with cataract at ≤12 months of age (P < .001). Survival analysis demonstrated that strabismus and nystagmus may be diagnosed 8 years after the initial cataract diagnosis. Cox proportional hazard regression analyses revealed strabismus was associated with cataract surgery, nystagmus, and the diagnosis with cataract at ≤12 months and cataract surgery at >12 months.
Conclusions: As strabismus and nystagmus occur more frequently in children diagnosed with cataracts necessitating cataract surgery, regular long-term follow-up is crucial for these children to monitor for the development of strabismus and nystagmus.
(Copyright © 2022. Published by Elsevier Inc.)
Databáze: MEDLINE
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