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Identification of strabismus in children born to mothers misusing substances during pregnancy: A clinical and research challenge
Authors:Elena Ghetau  Roger Bloor  Alison Y. Firth
Affiliation:1. Mentally Disordered Offenders Team, Aspen Unit, Bucknall Hospital, Eavas Lane, Stoke-on-Trent, Staffordshire, UKElena.Ghetau@northstaffs.nhs.uk;3. Academic Psychiatry Department, Keele University, Harplands Hospital, Hilton Road, Stoke-on-Trent, Staffordshire, UK;4. Academic Unit of Ophthalmology and Orthoptics, Royal Hallamshire Hospital, Glossop Road, Sheffield, UK
Abstract:
Purpose: To increase awareness of the causal relationship between illicit drug use in pregnancy and the occurrence of strabismus in children amongst the relevant professionals and encourage the use of local arrangements for referral, assessment and treatment of this population at risk.

Method: A review of the literature regarding the occurrence of strabismus in children of mothers misusing substances and an outline the consequences of strabismus.

Results: Children prenatally exposed to the effects of psychoactive substances are at increased risk of neurodevelopmental and neurobehavioural abnormalities; ocular defects are frequently mentioned as some of them. Strabismus, the consequences of which are treatable, is amongst these.

Conclusion: Research in this area is challenging, but while more evidence is awaited, current evidence indicates the increased risk of strabismus in this group and recommendations regarding the early detection of, and referral for, this condition are made.
Keywords:
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