Adult-onset nonparalytic, small-angle hypertropia
Purpose: To describe the prevalence and clinical features of a common but underrecognized disorder of adult vertical strabismus.Methods: The medical records of all adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with nonparalytic, small-angle hypertropia (NPSAH) from Janua...
Ausführliche Beschreibung
Autor*in: |
Shah, Saumya M. [verfasserIn] Martinez-Thompson, Jennifer M. [verfasserIn] Diehl, Nancy N. [verfasserIn] Mohney, Brian G. [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2018 |
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Übergeordnetes Werk: |
Enthalten in: Journal of the American Association for Pediatric Ophthalmology and Strabismus - American Association of Pediatric Ophthalmology and Strabismus ; ID: gnd/5267488-5, [S.l.] : Elsevier, 1997, 22, Seite 438-440 |
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Übergeordnetes Werk: |
volume:22 ; pages:438-440 |
DOI / URN: |
10.1016/j.jaapos.2018.07.348 |
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Katalog-ID: |
ELV001211870 |
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520 | |a Purpose: To describe the prevalence and clinical features of a common but underrecognized disorder of adult vertical strabismus.Methods: The medical records of all adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with nonparalytic, small-angle hypertropia (NPSAH) from January 1, 1985, through December 31, 2004, were retrospectively reviewed for demographic and clinical features.Results: Of 753 patients diagnosed with adult-onset strabismus, 99 (13.1%) were found to have NPSAH, yielding an annual incidence of 7.50 per 100,000 patients >18 years of age and a cumulative incidence of 1.28%. The median age at diagnosis was 71 years (range, 27-98 years); 63 (64%) were women. Diplopia was reported at the initial diagnosis in 91 patients (93.8%), with 90 (92.8%) having the diplopia in primary or reading position. The median initial angle of hypertropia was 2Δ (range, 1Δ-22Δ) at near and 2Δ (range, 0Δ-12Δ) at distance. After a median follow-up of 10.8 years (range, 6.2 months to 23.7 years), the final median angle of vertical deviation was 4Δ (range, 0Δ-20Δ) at near and 4Δ (range, 0Δ-16Δ) at distance for all 99 patients.Conclusions: NPSAH is a relatively common but infrequently recognized disorder among adults. More prevalent among elderly and female patients in this study cohort, the vast majority presented with diplopia and a hypertropia of ≤10Δ that progressed over time. | ||
700 | 1 | |a Martinez-Thompson, Jennifer M. |e verfasserin |4 aut | |
700 | 1 | |a Diehl, Nancy N. |e verfasserin |4 aut | |
700 | 1 | |a Mohney, Brian G. |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |a American Association of Pediatric Ophthalmology and Strabismus ; ID: gnd/5267488-5 |t Journal of the American Association for Pediatric Ophthalmology and Strabismus |d [S.l.] : Elsevier, 1997 |g 22, Seite 438-440 |h Online-Ressource |w (DE-627)320596796 |w (DE-600)2019660-X |w (DE-576)271360704 |x 1528-3933 |7 nnns |
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2018 |
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10.1016/j.jaapos.2018.07.348 doi (DE-627)ELV001211870 (ELSEVIER)S1091-8531(18)30541-X DE-627 ger DE-627 rda eng 610 DE-600 44.95 bkl Shah, Saumya M. verfasserin aut Adult-onset nonparalytic, small-angle hypertropia 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: To describe the prevalence and clinical features of a common but underrecognized disorder of adult vertical strabismus.Methods: The medical records of all adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with nonparalytic, small-angle hypertropia (NPSAH) from January 1, 1985, through December 31, 2004, were retrospectively reviewed for demographic and clinical features.Results: Of 753 patients diagnosed with adult-onset strabismus, 99 (13.1%) were found to have NPSAH, yielding an annual incidence of 7.50 per 100,000 patients >18 years of age and a cumulative incidence of 1.28%. The median age at diagnosis was 71 years (range, 27-98 years); 63 (64%) were women. Diplopia was reported at the initial diagnosis in 91 patients (93.8%), with 90 (92.8%) having the diplopia in primary or reading position. The median initial angle of hypertropia was 2Δ (range, 1Δ-22Δ) at near and 2Δ (range, 0Δ-12Δ) at distance. After a median follow-up of 10.8 years (range, 6.2 months to 23.7 years), the final median angle of vertical deviation was 4Δ (range, 0Δ-20Δ) at near and 4Δ (range, 0Δ-16Δ) at distance for all 99 patients.Conclusions: NPSAH is a relatively common but infrequently recognized disorder among adults. More prevalent among elderly and female patients in this study cohort, the vast majority presented with diplopia and a hypertropia of ≤10Δ that progressed over time. Martinez-Thompson, Jennifer M. verfasserin aut Diehl, Nancy N. verfasserin aut Mohney, Brian G. verfasserin aut Enthalten in American Association of Pediatric Ophthalmology and Strabismus ; ID: gnd/5267488-5 Journal of the American Association for Pediatric Ophthalmology and Strabismus [S.l.] : Elsevier, 1997 22, Seite 438-440 Online-Ressource (DE-627)320596796 (DE-600)2019660-X (DE-576)271360704 1528-3933 nnns volume:22 pages:438-440 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.95 Augenheilkunde AR 22 438-440 |
spelling |
10.1016/j.jaapos.2018.07.348 doi (DE-627)ELV001211870 (ELSEVIER)S1091-8531(18)30541-X DE-627 ger DE-627 rda eng 610 DE-600 44.95 bkl Shah, Saumya M. verfasserin aut Adult-onset nonparalytic, small-angle hypertropia 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: To describe the prevalence and clinical features of a common but underrecognized disorder of adult vertical strabismus.Methods: The medical records of all adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with nonparalytic, small-angle hypertropia (NPSAH) from January 1, 1985, through December 31, 2004, were retrospectively reviewed for demographic and clinical features.Results: Of 753 patients diagnosed with adult-onset strabismus, 99 (13.1%) were found to have NPSAH, yielding an annual incidence of 7.50 per 100,000 patients >18 years of age and a cumulative incidence of 1.28%. The median age at diagnosis was 71 years (range, 27-98 years); 63 (64%) were women. Diplopia was reported at the initial diagnosis in 91 patients (93.8%), with 90 (92.8%) having the diplopia in primary or reading position. The median initial angle of hypertropia was 2Δ (range, 1Δ-22Δ) at near and 2Δ (range, 0Δ-12Δ) at distance. After a median follow-up of 10.8 years (range, 6.2 months to 23.7 years), the final median angle of vertical deviation was 4Δ (range, 0Δ-20Δ) at near and 4Δ (range, 0Δ-16Δ) at distance for all 99 patients.Conclusions: NPSAH is a relatively common but infrequently recognized disorder among adults. More prevalent among elderly and female patients in this study cohort, the vast majority presented with diplopia and a hypertropia of ≤10Δ that progressed over time. Martinez-Thompson, Jennifer M. verfasserin aut Diehl, Nancy N. verfasserin aut Mohney, Brian G. verfasserin aut Enthalten in American Association of Pediatric Ophthalmology and Strabismus ; ID: gnd/5267488-5 Journal of the American Association for Pediatric Ophthalmology and Strabismus [S.l.] : Elsevier, 1997 22, Seite 438-440 Online-Ressource (DE-627)320596796 (DE-600)2019660-X (DE-576)271360704 1528-3933 nnns volume:22 pages:438-440 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.95 Augenheilkunde AR 22 438-440 |
allfields_unstemmed |
10.1016/j.jaapos.2018.07.348 doi (DE-627)ELV001211870 (ELSEVIER)S1091-8531(18)30541-X DE-627 ger DE-627 rda eng 610 DE-600 44.95 bkl Shah, Saumya M. verfasserin aut Adult-onset nonparalytic, small-angle hypertropia 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: To describe the prevalence and clinical features of a common but underrecognized disorder of adult vertical strabismus.Methods: The medical records of all adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with nonparalytic, small-angle hypertropia (NPSAH) from January 1, 1985, through December 31, 2004, were retrospectively reviewed for demographic and clinical features.Results: Of 753 patients diagnosed with adult-onset strabismus, 99 (13.1%) were found to have NPSAH, yielding an annual incidence of 7.50 per 100,000 patients >18 years of age and a cumulative incidence of 1.28%. The median age at diagnosis was 71 years (range, 27-98 years); 63 (64%) were women. Diplopia was reported at the initial diagnosis in 91 patients (93.8%), with 90 (92.8%) having the diplopia in primary or reading position. The median initial angle of hypertropia was 2Δ (range, 1Δ-22Δ) at near and 2Δ (range, 0Δ-12Δ) at distance. After a median follow-up of 10.8 years (range, 6.2 months to 23.7 years), the final median angle of vertical deviation was 4Δ (range, 0Δ-20Δ) at near and 4Δ (range, 0Δ-16Δ) at distance for all 99 patients.Conclusions: NPSAH is a relatively common but infrequently recognized disorder among adults. More prevalent among elderly and female patients in this study cohort, the vast majority presented with diplopia and a hypertropia of ≤10Δ that progressed over time. Martinez-Thompson, Jennifer M. verfasserin aut Diehl, Nancy N. verfasserin aut Mohney, Brian G. verfasserin aut Enthalten in American Association of Pediatric Ophthalmology and Strabismus ; ID: gnd/5267488-5 Journal of the American Association for Pediatric Ophthalmology and Strabismus [S.l.] : Elsevier, 1997 22, Seite 438-440 Online-Ressource (DE-627)320596796 (DE-600)2019660-X (DE-576)271360704 1528-3933 nnns volume:22 pages:438-440 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.95 Augenheilkunde AR 22 438-440 |
allfieldsGer |
10.1016/j.jaapos.2018.07.348 doi (DE-627)ELV001211870 (ELSEVIER)S1091-8531(18)30541-X DE-627 ger DE-627 rda eng 610 DE-600 44.95 bkl Shah, Saumya M. verfasserin aut Adult-onset nonparalytic, small-angle hypertropia 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: To describe the prevalence and clinical features of a common but underrecognized disorder of adult vertical strabismus.Methods: The medical records of all adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with nonparalytic, small-angle hypertropia (NPSAH) from January 1, 1985, through December 31, 2004, were retrospectively reviewed for demographic and clinical features.Results: Of 753 patients diagnosed with adult-onset strabismus, 99 (13.1%) were found to have NPSAH, yielding an annual incidence of 7.50 per 100,000 patients >18 years of age and a cumulative incidence of 1.28%. The median age at diagnosis was 71 years (range, 27-98 years); 63 (64%) were women. Diplopia was reported at the initial diagnosis in 91 patients (93.8%), with 90 (92.8%) having the diplopia in primary or reading position. The median initial angle of hypertropia was 2Δ (range, 1Δ-22Δ) at near and 2Δ (range, 0Δ-12Δ) at distance. After a median follow-up of 10.8 years (range, 6.2 months to 23.7 years), the final median angle of vertical deviation was 4Δ (range, 0Δ-20Δ) at near and 4Δ (range, 0Δ-16Δ) at distance for all 99 patients.Conclusions: NPSAH is a relatively common but infrequently recognized disorder among adults. More prevalent among elderly and female patients in this study cohort, the vast majority presented with diplopia and a hypertropia of ≤10Δ that progressed over time. Martinez-Thompson, Jennifer M. verfasserin aut Diehl, Nancy N. verfasserin aut Mohney, Brian G. verfasserin aut Enthalten in American Association of Pediatric Ophthalmology and Strabismus ; ID: gnd/5267488-5 Journal of the American Association for Pediatric Ophthalmology and Strabismus [S.l.] : Elsevier, 1997 22, Seite 438-440 Online-Ressource (DE-627)320596796 (DE-600)2019660-X (DE-576)271360704 1528-3933 nnns volume:22 pages:438-440 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.95 Augenheilkunde AR 22 438-440 |
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10.1016/j.jaapos.2018.07.348 doi (DE-627)ELV001211870 (ELSEVIER)S1091-8531(18)30541-X DE-627 ger DE-627 rda eng 610 DE-600 44.95 bkl Shah, Saumya M. verfasserin aut Adult-onset nonparalytic, small-angle hypertropia 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: To describe the prevalence and clinical features of a common but underrecognized disorder of adult vertical strabismus.Methods: The medical records of all adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with nonparalytic, small-angle hypertropia (NPSAH) from January 1, 1985, through December 31, 2004, were retrospectively reviewed for demographic and clinical features.Results: Of 753 patients diagnosed with adult-onset strabismus, 99 (13.1%) were found to have NPSAH, yielding an annual incidence of 7.50 per 100,000 patients >18 years of age and a cumulative incidence of 1.28%. The median age at diagnosis was 71 years (range, 27-98 years); 63 (64%) were women. Diplopia was reported at the initial diagnosis in 91 patients (93.8%), with 90 (92.8%) having the diplopia in primary or reading position. The median initial angle of hypertropia was 2Δ (range, 1Δ-22Δ) at near and 2Δ (range, 0Δ-12Δ) at distance. After a median follow-up of 10.8 years (range, 6.2 months to 23.7 years), the final median angle of vertical deviation was 4Δ (range, 0Δ-20Δ) at near and 4Δ (range, 0Δ-16Δ) at distance for all 99 patients.Conclusions: NPSAH is a relatively common but infrequently recognized disorder among adults. More prevalent among elderly and female patients in this study cohort, the vast majority presented with diplopia and a hypertropia of ≤10Δ that progressed over time. Martinez-Thompson, Jennifer M. verfasserin aut Diehl, Nancy N. verfasserin aut Mohney, Brian G. verfasserin aut Enthalten in American Association of Pediatric Ophthalmology and Strabismus ; ID: gnd/5267488-5 Journal of the American Association for Pediatric Ophthalmology and Strabismus [S.l.] : Elsevier, 1997 22, Seite 438-440 Online-Ressource (DE-627)320596796 (DE-600)2019660-X (DE-576)271360704 1528-3933 nnns volume:22 pages:438-440 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.95 Augenheilkunde AR 22 438-440 |
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Journal of the American Association for Pediatric Ophthalmology and Strabismus |
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Adult-onset nonparalytic, small-angle hypertropia |
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Adult-onset nonparalytic, small-angle hypertropia |
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Shah, Saumya M. |
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Journal of the American Association for Pediatric Ophthalmology and Strabismus |
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Journal of the American Association for Pediatric Ophthalmology and Strabismus |
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2018 |
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Shah, Saumya M. Martinez-Thompson, Jennifer M. Diehl, Nancy N. Mohney, Brian G. |
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Elektronische Aufsätze |
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Shah, Saumya M. |
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10.1016/j.jaapos.2018.07.348 |
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610 |
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verfasserin |
title_sort |
adult-onset nonparalytic, small-angle hypertropia |
title_auth |
Adult-onset nonparalytic, small-angle hypertropia |
abstract |
Purpose: To describe the prevalence and clinical features of a common but underrecognized disorder of adult vertical strabismus.Methods: The medical records of all adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with nonparalytic, small-angle hypertropia (NPSAH) from January 1, 1985, through December 31, 2004, were retrospectively reviewed for demographic and clinical features.Results: Of 753 patients diagnosed with adult-onset strabismus, 99 (13.1%) were found to have NPSAH, yielding an annual incidence of 7.50 per 100,000 patients >18 years of age and a cumulative incidence of 1.28%. The median age at diagnosis was 71 years (range, 27-98 years); 63 (64%) were women. Diplopia was reported at the initial diagnosis in 91 patients (93.8%), with 90 (92.8%) having the diplopia in primary or reading position. The median initial angle of hypertropia was 2Δ (range, 1Δ-22Δ) at near and 2Δ (range, 0Δ-12Δ) at distance. After a median follow-up of 10.8 years (range, 6.2 months to 23.7 years), the final median angle of vertical deviation was 4Δ (range, 0Δ-20Δ) at near and 4Δ (range, 0Δ-16Δ) at distance for all 99 patients.Conclusions: NPSAH is a relatively common but infrequently recognized disorder among adults. More prevalent among elderly and female patients in this study cohort, the vast majority presented with diplopia and a hypertropia of ≤10Δ that progressed over time. |
abstractGer |
Purpose: To describe the prevalence and clinical features of a common but underrecognized disorder of adult vertical strabismus.Methods: The medical records of all adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with nonparalytic, small-angle hypertropia (NPSAH) from January 1, 1985, through December 31, 2004, were retrospectively reviewed for demographic and clinical features.Results: Of 753 patients diagnosed with adult-onset strabismus, 99 (13.1%) were found to have NPSAH, yielding an annual incidence of 7.50 per 100,000 patients >18 years of age and a cumulative incidence of 1.28%. The median age at diagnosis was 71 years (range, 27-98 years); 63 (64%) were women. Diplopia was reported at the initial diagnosis in 91 patients (93.8%), with 90 (92.8%) having the diplopia in primary or reading position. The median initial angle of hypertropia was 2Δ (range, 1Δ-22Δ) at near and 2Δ (range, 0Δ-12Δ) at distance. After a median follow-up of 10.8 years (range, 6.2 months to 23.7 years), the final median angle of vertical deviation was 4Δ (range, 0Δ-20Δ) at near and 4Δ (range, 0Δ-16Δ) at distance for all 99 patients.Conclusions: NPSAH is a relatively common but infrequently recognized disorder among adults. More prevalent among elderly and female patients in this study cohort, the vast majority presented with diplopia and a hypertropia of ≤10Δ that progressed over time. |
abstract_unstemmed |
Purpose: To describe the prevalence and clinical features of a common but underrecognized disorder of adult vertical strabismus.Methods: The medical records of all adult (≥19 years of age) residents of Olmsted County, Minnesota, diagnosed with nonparalytic, small-angle hypertropia (NPSAH) from January 1, 1985, through December 31, 2004, were retrospectively reviewed for demographic and clinical features.Results: Of 753 patients diagnosed with adult-onset strabismus, 99 (13.1%) were found to have NPSAH, yielding an annual incidence of 7.50 per 100,000 patients >18 years of age and a cumulative incidence of 1.28%. The median age at diagnosis was 71 years (range, 27-98 years); 63 (64%) were women. Diplopia was reported at the initial diagnosis in 91 patients (93.8%), with 90 (92.8%) having the diplopia in primary or reading position. The median initial angle of hypertropia was 2Δ (range, 1Δ-22Δ) at near and 2Δ (range, 0Δ-12Δ) at distance. After a median follow-up of 10.8 years (range, 6.2 months to 23.7 years), the final median angle of vertical deviation was 4Δ (range, 0Δ-20Δ) at near and 4Δ (range, 0Δ-16Δ) at distance for all 99 patients.Conclusions: NPSAH is a relatively common but infrequently recognized disorder among adults. More prevalent among elderly and female patients in this study cohort, the vast majority presented with diplopia and a hypertropia of ≤10Δ that progressed over time. |
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title_short |
Adult-onset nonparalytic, small-angle hypertropia |
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Martinez-Thompson, Jennifer M. Diehl, Nancy N. Mohney, Brian G. |
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