Parent-Reported Symptoms of Attention Deficit Hyperactivity Disorder in Children with Intermittent Exotropia before and after Strabismus Surgery.
10.3349/ymj.2012.53.4.806
- Author:
Seung Ah CHUNG
1
;
Yoon Hee CHANG
;
Soolienah RHIU
;
Helen LEW
;
Jong Bok LEE
Author Information
1. Department of Ophthalmology, Ajou University School of Medicine, Suwon, Korea.
- Publication Type:Original Article
- Keywords:
Attention deficit hyperactivity disorder;
intermittent exotropia;
strabismus surgery
- MeSH:
Attention Deficit Disorder with Hyperactivity/*diagnosis;
Child;
Child, Preschool;
Exotropia/*physiopathology;
Female;
Humans;
Male;
*Parents;
Strabismus/*surgery
- From:Yonsei Medical Journal
2012;53(4):806-811
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To investigate the symptoms of attention deficit hyperactivity disorder (ADHD) as reported by parents in children with intermittent exotropia [X(T)] and to determine whether strabismus surgery for X(T) affects ADHD symptoms. MATERIALS AND METHODS: Fifty-one consecutive children undergoing muscle surgery for X(T) were prospectively recruited. One parent of each child completed the ADHD rating scale IV (ADHD RS-IV) assessment consecutively before and one year after surgery. Patients whose preoperative scores were above the cut-off point, the 90th percentile based on a Korean sample, were regarded as demonstrating the ADHD trait. The impact of muscle surgery on ADHD symptoms was assessed by comparing the preoperative scores with the post-operative scores. RESULTS: Eight (15.7%) of the 51 patients demonstrated the ADHD trait. ADHD RS-IV scores following strabismus surgery significantly decreased in patients with the ADHD trait (p=0.014), while they did not differ in patients without the ADHD trait. Seven (87.5%) of the 8 patients with the ADHD trait showed improvement in their ADHD RS-IV scores after surgery. There was no difference in surgical success rates between X(T) patients with and without the ADHD trait. CONCLUSION: The ADHD trait was relatively common in children with X(T), and the parent-reported symptoms of the children with the ADHD trait improved after strabismus surgery. These results suggest that childhood X(T) may be one contributing factor to ADHD-related symptoms.
