J Korean Ophthalmol Soc.  2009 May;50(5):756-761. 10.3341/jkos.2009.50.5.756.

Attention Deficit Hyperactivity in Exotropia Before and After Strabismus Surgery

Affiliations
  • 1The Institute of vision research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. 491209@yuhs.ac
  • 2Department of Ophthalmology, Ajou University School of Medicine, Suwon, Korea.

Abstract

PURPOSE:To evaluate the effect of strabismus surgery in exotropia patients suspected of attention deficit hyperactivity disorder (ADHD).
METHODS
Parents of 67 exotropia patients answered the Conner Teacher Rating Scale-Revised for suspecting ADHD before and after 3 months of surgery. Patients were divided into 2 groups by preoperative scale scores. Group 1 had scores under 15 and group 2 who were suspected to have ADHD had scores above 15. Characteristics of exotropia and scale score differences were evaluated.
RESULTS
Group 1 had 43 patients and group 2 had 24 patients. The ratio of group 2 was significantly higher in boys than in girls (P=0.048). The scale scores increased by 1.30 points in group 1 and decreased by 1.04 points in group 2 but there was no significant difference. Scale scores in each group showed no significant difference according to surgical outcome.
CONCLUSIONS
In exotropia patients, there was no significant change in scale scores of ADHD after strabismus surgery.

Keyword

Attention deficit hyperactivity disorder (ADHD); Exotropia

MeSH Terms

Attention Deficit Disorder with Hyperactivity
Exotropia
Humans
Parents
Strabismus

Figure

  • Figure 1. Conners Teacher Rating Scale-Revised.

  • Figure 2. Frequency of preoperative attention deficit hyperactivity aspect (* p-value=0.048).

  • Figure 3. Proportion of difference in scale scores after surgery (p-value=0.62).


Reference

References

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV-TR. 4th ed. Text revision. Washington DC: American Psychiatric Association;2000. p. 85–93.
2. Jensen P, Kettle L, Roper M, et al. Are stimulants overprescribed? Treatment of ADHD in four U.S. communities. J Am Acad Child Adolesc Psychiatry. 1999; 38:797–804.
Article
3. Goldman L, Genel M, Bezman R, Slanetz P. Diagnosis and treatment of attention-deficit/hyperactivity disorder in children and adolescents. JAMA. 1998; 279:1100–7.
Article
4. Leslie LK, Weckerly J, Plemmons D, et al. Implementing the American Academy of Pediatrics attention-deficit/hyperactivity disorder diagnostic guidelines in primary care settings. Pediatrics. 2004; 114:129–40.
Article
5. Cho SC, Shin YO. Prevalence of disruptive behavior disorders. J Kor Acad Child Adolesc Psychiatry. 1991; 41:147–259.
6. Kim YS, Yu So YK, Noh JS, et al. Normative data on the Korean ADHD Rating Scales (K-ARS) for Parents and Teacher. J Korean Neuropsychiatr Assoc. 2003; 42:352–9.
7. Mostoofsky SH, Lasker AG, Cutting LE, et al. Oculomotor abnormalities in attention deficit hyperactivity disorder; A preliminary study. Neurology. 2001; 57:423–30.
8. Gould TD, Bastain TM, Israel ME, et al. Altered performance on an ocular fixation task in attention-deficit/hyperactivity disorder. Biol Psychiatry. 2001; 50:633–5.
Article
9. Feifel D, Farber RH, Clementz BA, et al. Inhibitory deficits in ocular motor behavior in adults with attention-deficit/hyperactivity disorder. Biol Psychiatry. 2004; 56:333–9.
Article
10. Munoz DP, Armstrong IT, Hampton KA, Moore KD. Altered control of visual fixation and saccadic eye movements in attention–deficit hyperactivity disorder. J Neurophysiol. 2003; 90:503–14.
11. Grönlund MA, Aring E, Landgren M, Hellström A. Visual function and ocular features in children and adolescents with attention deficit hyperactivity disorder, with and without treatment with stimulants. Eye. 2007; 21:494–502.
Article
12. Granet DB, Gomi CF, Ventura R, Miller-Scholte A. The relationship between convergence insufficiency and ADHD. Strabismus. 2005; 13:163–8.
Article
13. Klein C, Jr Fischer B, Fischer B, Hartnegg K. Effects of methylphenidate on saccadic responses in patients with ADHD. Exp Brain Res. 2002; 145:121–5.
Article
14. Lew H, Lee JB, Han SH, et al. Clinical study on emotion and behavioral disturbance in children with strabismus. J Korean Ophthalmol Soc. 1999; 40:2611–6.
15. Goyette CH, Conners CK, Ulrich RF. Normative data on revised Conners Parent and Teacher Rating Scales. J Abnorm Child Psychol. 1978; 6:221–36.
Article
16. Conners CK, Sitarenios G, Parker JD, Epstein JN. Revision and restandardization of the Conners Teacher Rating Scale (CTRS-R): factor structure, reliability, and criterion validity. J Abnorm Child Psychol. 1998; 26:279–91.
17. Conners CK. A teacher rating scale for use in drug studies with children. Am J Psychiatry. 1969; 126:884–8.
Article
18. Oh KJ, Lee H. Assessment of ADHD with abbreviated Corners Rating Scale. The Korean Journal of Clinical Psychology. 1989; 8:135–42.
19. Oh KJ. Assessment of children with attention deficit hyperactivity disorder. J Kor Acad Child Adolesc Psychiatry. 1990; 1:65–76.
20. Bennett FC, Brown RT, Craver J, Anderson D. Stimulant medication for the child with attention-deficit/hyperactivity disorder. Pediatr Clin North Am. 1999; 46:929–44.
Article
21. Lee SY, Kim JH, Thacker NM. Augmented bilateral lateral rectus recessions in basic intermittent exotropia. J AAPOS. 2007; 11:266–8.
Article
22. Spierer A, Ben-Simon GJ. Unilateral and bilateral lateral rectus recession in exotropia. Ophthalmic Surg Lasers Imaging. 2005; 36:114–7.
Article
23. Figueira EC, Hing S. Intermittent exotropia: comparison of treatments. Clin Experiment Ophthalmol. 2006; 34:245–51.
Article
24. Asjes-Tydeman WL, Groenewoud H, van der Wilt GJ. Timing of surgery for primary exotropia in children. Strabismus. 2007; 15:95–101.
Article
25. Fiorelli VM, Goldchmit M, Uesuqui CF, Souza-Dias C. Intermittent exotropia: comparative surgical results of lateral rectirecession and monocular recess-resect. Arq Bras Oftalmol. 2007; 70:429–32.
Article
26. Chia A, Seenyen L, Long QB. Surgical experiences with two-muscle surgery for the treatment of intermittent exotropia. J AAPOS. 2006; 10:206–11.
Article
Full Text Links
  • JKOS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr