title: Discrepancies between parental reports and clinical diagnoses of strabismus in Korean children.
abstract: OBJECTIVE
  To compare the accuracy of parental observation of strabismus with clinical evaluation in Korean children.
  
  
  METHODS
  The medical records of 228 children <15 years of age who visited the pediatric strabismus clinic from 2002 to 2007 and whose parents reported a horizontal deviation were retrospectively reviewed. We compared subjective parent-reported direction of ocular deviation with the objective results after clinical evaluation.
  
  
  RESULTS
  The mean age of the 228 children was 3.9 ± 3.0 years. Of these, 178 children (78%) were diagnosed with strabismus; 50 (22%), with orthotropia. The overall concordance rate was 67% (152/228). The concordance rate was lower for parents reporting inward deviation of the eye (P < 0.001), younger age group at presentation (P = 0.004), experienced onset of ocular deviation at younger age group (P = 0.001), and had fewer diopters of deviation (P < 0.001). Patient sex, family history of strabismus, observed frequency of deviation, and laterality of deviated eye did not show statistical differences in concordance rates (all P values >0.05).
  
  
  CONCLUSIONS
  Parental observation correlated with clinical assessment two-thirds of the time. Exotropia was more reliably detected by the parents than esotropia.
authors.affiliation: Department of Ophthalmology, Ewha Womans University, School of Medicine, Seoul, Korea.
authors.forename: Kyung Eun
authors.initials: KE
authors.lastname: Han
authors.forename: Key Hwan
authors.initials: KH
authors.lastname: Lim
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006304:Health Status; D006801:Humans; D007223:Infant; D008297:Male; D010290:Parents; D010808:Physical Examination; D056910:Republic of Korea; D012189:Retrospective Studies; D013285:Strabismus / Q000175:diagnosis*; D011795:Surveys and Questionnaires