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DOI: 10.1055/s-0038-1629390
Akuter Strabismus im Kindesalter
Acute-onset strabismus in childrenPublication History
Eingereicht am:25 November 2013
angenommen am:04 December 2013
Publication Date:
31 January 2018 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00034917/201403/lookinside/thumbnails/10-1055-s-0038-1629390_de-1.jpg)
Zusammenfassung
Akut einsetzendes Schielen bei Kindern ist für Eltern durch die auffällige Augenstellung eine beunruhigende Situation, die sie veranlasst, umgehend einen Kinder- oder Augenarzt aufzusuchen.
Da akutes Schielen Symptom einer bedrohli-chen Erkrankung sein kann, muss eine Diagnostik unverzüglich erfolgen.
Die strabologisch-neuroophthalmologische Untersuchung mit einer okulären Motilitätsanalyse, Refraktionsbestimmung und Papillenbeurteilung kann klären, ob eine harmlose dekompensierende oder kongenitale Schiel-form zugrunde liegt, oder ob eine neuropädiatrische Abklärung des Schielens erforderlich ist.
Die Differenzialdiagnosen sowohl häufiger als auch seltener Erkrankungen werden an-hand klinischer Zeichen, spezieller Diagnostik und deren Therapiemöglichkeiten detailliert dargestellt.
Summary
Acute-onset strabismus in children, with its conspicuous appearance, is always disconcerting for parents and leads them to seek prompt medical attention from a paediatrician or ophthalmologist.
Since life-threatening conditions can cause acute strabismus, diagnostics must be performed immediately.
A strabologic-neuroophthalmologic examination, including motility testing, determination of refraction, and assessment of the optic disc, can clarify whether a harmless, de-compensation or congenital strabismus is present or whether a neuropaediatric evaluation is necessary.
The differential diagnosis, from common to rare disorders, as well as their clinical, special diagnostics, and therapeutic options are discussed in detail.
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