Prevalence and risk factors of strabismus in children and adolescents in South Korea: Korea national health and nutrition examination survey, 2008 ± 2011

Kyung Eun Han, Seung Hee Baek, Seung Hyun Kim, Key Hwan Lim

Research output: Contribution to journalReview articlepeer-review

33 Scopus citations

Abstract

Purpose To evaluate the prevalence and risk factors associated with horizontal strabismus in children and adolescents in South Korea. Methods A total of 5,935 children and adolescents 5±18 years of age who participated in the fourth and fifth Korean National Health and Nutrition Examination Survey (KNHANES IV-V) from July 2008 to December 2011 were evaluated and the prevalence of horizontal strabismus was estimated. Univariate and multivariate logistic regression analyses were conducted to determine the association between demographic, socioeconomic and clinical risk factors and clinically significant exodeviation (>15 prism diopters [PD]) and esodeviation (> 10 PD). Results Among 5,935 eligible subjects, 84 subjects had clinically significant exodeviation and 13 had clinically significant esodeviation. The overall prevalence of clinically significant horizontal strabismus was 1.6% (95% confidence interval [CI], 1.2±2.1): 1.3% (95% CI, 1.0±1.7) for clinically significant exodeviation and 0.3% (95% CI, 0.1±0.6) for clinically significant esodeviation. Clinically significant exodeviation was associated with amblyopia (adjusted odds ratio [aOR], 6.45; 95% CI, 2.14±19.44), family history of strabismus (aOR, 4.91; 95% CI, 1.71±14.08) and astigmatism > 1.0 D (aOR, 1.84; 95% CI, 1.13±2.98). Clinically significant esodeviation was associated with hyperopia (aOR, 12.16; 95% CI, 1.31±113.04) and amblyopia (aOR, 4.70; 95% CI, 1.12±19.81). Other demographic, socioeconomic, and clinical variables were not associated with strabismus. Conclusion This study provides data on the prevalence and independent risk factors for clinically significant exodeviation and esodeviation in a representative population of children and adolescents in South Korea.

Original languageEnglish
Article numbere0191857
JournalPLoS ONE
Volume13
Issue number2
DOIs
StatePublished - Feb 2018

Bibliographical note

Publisher Copyright:
© 2018 Han et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Fingerprint

Dive into the research topics of 'Prevalence and risk factors of strabismus in children and adolescents in South Korea: Korea national health and nutrition examination survey, 2008 ± 2011'. Together they form a unique fingerprint.

Cite this