Discrepancies between parental reports and clinical diagnoses of strabismus in Korean children
(Différences entre les observations parentales et les éléments clinique dans le diagnostique du strabisme chez les enfants coréens)

Han KE, Lim KH.
Department of Ophthalmology, Ewha Womans University, School of Medicine, Seoul, Korea; Department of Ophthalmology, Hallym Medical Center, Incheon, Korea.

PURPOSE : To compare the accuracy of parental observation of strabismus with clinical evaluation in Korean children.

METHODS : The medical records of 228 children <15 years of age who visited the pediatric strabismus clinic from 2002 to 2007 and whose parents reported a horizontal deviation were retrospectively reviewed. We compared subjective parent-reported direction of ocular deviation with the objective results after clinical evaluation.

RESULTS : The mean age of the 228 children was 3.9 ± 3.0 years. Of these, 178 children (78%) were diagnosed with strabismus; 50 (22%), with orthotropia. The overall concordance rate was 67% (152/228). The concordance rate was lower for parents reporting inward deviation of the eye (P < 0.001), younger age group at presentation (P = 0.004), experienced onset of ocular deviation at younger age group (P = 0.001), and had fewer diopters of deviation (P < 0.001). Patient sex, family history of strabismus, observed frequency of deviation, and laterality of deviated eye did not show statistical differences in concordance rates (all P values >0.05).

CONCLUSIONS : Parental observation correlated with clinical assessment two-thirds of the time. Exotropia was more reliably detected by the parents than esotropia.

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