TY  - JOUR
PY  - 2009//
TI  - Prevalence and sex differences of psychiatric disorders in young adults who had intermittent exotropia as children
JO  - Archives of ophthalmology (1960)
A1  - McKenzie, Jeff A.
A1  - Capo, Jason A.
A1  - Nusz, Kevin J.
A1  - Diehl, Nancy N.
A1  - Mohney, Brian G.
SP  - 743
EP  - 747
VL  - 127
IS  - 6
N2  - OBJECTIVE: To evaluate the prevalence and sex differences of mental disorders diagnosed among young adults who had intermittent exotropia (IXT) as children. METHODS: The medical records of all children (<19 years) diagnosed as having IXT as residents of Olmsted County, Minnesota, from January 1, 1975, through December 31, 1994, and their randomly selected nonstrabismic birth- and sex-matched controls (1:1) were retrospectively reviewed. RESULTS: A mental health disorder was diagnosed in 97 (53.0%) of the 183 patients with childhood IXT followed to a mean age of 22 years compared with 55 (30.1%) controls (P < .001). Patients with IXT were 2.7 (95% confidence interval, 1.7-4.1) times more likely to develop a psychiatric illness than controls. A mental health disorder was diagnosed in 63% (41 of 65) and 47% (56 of 118) of males and females with IXT, respectively, compared with 33% (22 of 66) and 28% (33 of 117) of male and female controls, respectively. Additionally, males with IXT had a greater use of psychotropic medication (P = .003), psychiatric emergency department visits (P < .001), psychiatric hospital admissions (P = .04), suicide attempts (P = .004), and suicidal ideation (P = .002) than controls, and females with IXT had more suicidal ideation (P = .02) than controls. CONCLUSIONS: Children diagnosed as having IXT, especially males, are more likely to develop mental illness by the third decade of life compared with children without strabismus.<p /> <p>Language: en</p>
LA  - en
SN  - 0003-9950
UR  - http://dx.doi.org/10.1001/archophthalmol.2009.68
ID  - ref1
ER  -