Strabismus in cerebral palsy: When and why to operate

Mary Louise Z. Collins

Research output: Contribution to journalArticlepeer-review

Abstract

Cerebral palsy (CP) is the most common physical disability in children. Orthoptists and ophthalmologists who care for children with CP know that strabismus is a common feature. This paper reviews the literature on strabismus in patients with CP, and then provides summary data and recommendations for management of these patients. The incidence of strabismus in patients with CP, especially in patients with spastic diplegia, is much higher than in neurologically normal children. Esotropia is the most common ocular misalignment. CP patients with strabismus benefit from nonsurgical treatment and should be treated promptly. Strabismus surgery should be considered in CP patients for psychosocial reasons as well as for potential successful ocular realignment and restoration of binocular vision. The literature is lacking in a long- term natural history study, prospective strabismus surgery studies, and long- term outcome studies of strabismus management in patients with CP.

Original languageEnglish (US)
Pages (from-to)17-20
Number of pages4
JournalAmerican Orthoptic Journal
Volume64
Issue number1
DOIs
StatePublished - Jan 1 2014

Keywords

  • Cerebral palsy
  • Esotropia
  • Strabismus surgery
  • Strabismus treatment

ASJC Scopus subject areas

  • Ophthalmology

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