Gå direkt till huvudinnehållet

Skelning hos barn

Senast reviderad:
Sakkunnig:

Definition:
Strabism. Bilden av en punkt faller på fovea i ena ögat, men inte i det andra. Tillståndet kan vara manifest eller latent.
Förekomst:
Inget ovanligt tillstånd bland barn.
Symtom:
Synlig skelning.
Kliniska fynd:
Ljusreflextest visar att ljusreflexen från hornhinnan är asymmetrisk på ögonen.
Diagnostik:
Andra undersökningar görs av ortopist.
Behandling:
Glasögon, ocklusionsbehandling, ortoptisk träning, behandling med botulinumtoxin och operation är aktuella åtgärder som initieras av specialist.
  1. Hubel DH, Wiesel TN. Binocular interaction in striate cortex of kittens reared with artificial squint. J Neurophysiol 1965; 28: 1041-59. PubMed  
  2. Donahue SP. Pediatric strabismus. N Engl J Med 2007; 356: 1040-7. PubMed  
  3. Keech RV, Kutschke PJ. Upper age limit for the development of amblyopia. J Pediatr Ophthalmol Strabismus 1995; 32: 89-93. PubMed  
  4. Archer SM, Sondhi N, Helveston EM. Strabismus in infancy. Ophthalmology 1989; 96: 133-7. PubMed  
  5. Sondhi N, Archer SM, Helveston EM. Development of normal ocular alignment. J Pediatr Ophthalmol Strabismus 1988; 25: 210-1. PubMed  
  6. Doshi NR, Rodriguez MLF. Amblyopia. Am Fam Physician 2007; 75: 361-7. PMID: 17304867. PubMed  
  7. Taylor K, Elliott S. Interventions for strabismic amblyopia. Cochrane Database Syst Rev. 2014 Jul 23;7:CD006461. DOI: 10.1002/14651858.CD006461.PMID: 25051925. PubMed  
  8. The Pediatric Eye Disease Investigator Group. A randomized trial of patching regimens for treatment of moderate amblyopia in children . Arch Ophthalmol 2003; 121: 603-11. PubMed  
  9. Clarke MP, Wright CM, Hrisos S, Anderson JD, Henderson J, Richardson SR. Randomised controlled trial of treatment of unilateral visual impairment detected at preschool vision screening. BMJ 2003; 327: 1251. PubMed  
  10. de Alba Campomanes AG, Binenbaum G, Campomanes Eguiarte. Comparison of botulinum toxin with surgery as primary treatment for infantile esotropia.J AAPOS. 2010 Apr;14(2):111-6. PMID: 20451851. PubMed  
  11. Birch EE, Stager DR Sr, Berry P, Leffler J. Stereopsis and long-term stability of alignment in esotropia. J AAPOS 2004; 8: 146-50. PubMed  
  12. Ing MR. Outcome of surgical alignment before six months of age for congenital esotropia. Ophthalmology 1995; 102: 2041-5. PubMed  
  13. Dang Y, Racu C, Isenberg SJ. Scleral penetrations and perforations in strabismus surgery and associated risk factors. J AAPOS 2004; 8: 325-31. PubMed  
  14. Birch EE, Fawcett S, Stager DR. Why does early surgical alignment improve stereoacuity outcome in infantile esotropia? J AAPOS 2000; 4: 10-4. PubMed  
  15. Birch EE, Stager DR Sr, Berry P, Leffler J. Stereopsis and long-term stability of alignment in esotropia. J AAPOS 2004; 8: 146-50. PubMed  
  16. Birch EE. Marshall Parks lecture: binocular sensory outcomes in accommodative ET. J AAPOS 2003; 7: 369-73. PubMed  
  17. Biglan AW, Davis JS, Cheng KP, Pettapiece MC. Infantile exotropia. J Pediatr Ophthalmol Strabismus 1996; 33: 79-84. PubMed  
  18. Hunter DG, Kelly JB, Buffenn AN, Ellis FJ. Long-term outcome of uncomplicated infantile exotropia. J AAPOS 2001; 5: 352-6. PubMed  
  19. Pediatric Eye Disease Investigator Group. Randomized trial of treatment of amblyopia in children aged 7 to 17 years. Arch Ophthalmol 2005; 123: 437-47. PubMed  
  20. Paysse EA, Steele EA, McCreery KM, Wilhelmus KR, Coats DK. Age of the emergence of negative attitudes toward strabismus. J AAPOS 2001; 5: 361-6. PubMed  
  21. Satterfield D, Keltner JL, Morrison TL. Psychosocial aspects of strabismus study. Arch Ophthalmol 1993; 111: 1100-5. PubMed  
  22. Archer SM, Musch DC, Wren PA, Guire KE, Del Monte MA. Social and emotional impact of strabismus surgery on quality of life in children. J AAPOS 2005; 9: 148-151. PubMed  
  • Anders Behndig, professor och överläkare, Ögonkliniken, Norrlands universitetssjukhus, Umeå