31
Views
3
CrossRef citations to date
0
Altmetric
Symposium: Seventy-Five Years of Intermittent Exotropia Management: The Old and the New

Intermittent Exotropia and Mental Illness

, M.D.
Pages 25-29 | Published online: 22 Dec 2017
 

Abstract

Background and Purpose

Although adverse psychosocial effects are well documented among patients afflicted with strabismus, recent studies have shown that children with intermittent exotropia, unlike the more prevalent forms of esotropia, are at an increased risk for developing frank mental illness by early adulthood. The purpose of the study was to provide a brief overview of current findings regarding the nonophthalmic aspects of this common condition.

Patients and Method

Recent reports will be reviewed regarding psychosocial effects and mental illness among children with intermittent exotropia.

Results

Children with intermittent exotropia have been shown to have a nearly three-fold increased incidence of developing mental illness, compared to controls, by the third decade of life. Moreover, males had significantly more mental health morbidity than females. Although quality of life measures have demonstrated improved psychosocial outcomes among children who underwent successful strabismus surgery, frank mental illness appears to be less amenable to such intervention.

Conclusion

In addition to the adverse psychosocial affects observed in children with strabismus, intermittent exotropia, especially among boys, appears to confer a specific risk for developing frank mental illness. Clinicians managing such patients should consider the entire physical and psychological aspects of this condition and develop strategies for minimizing adverse psychosocial outcomes.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.