Chinese Journal of Ophthalmology and Otorhinolaryngology, Volume. 25, Issue 4, 306(2025)

Current status of medical quality control in strabismus and amblyopia care: a review of national and international practices

XI Sida1, CHU Ruilin1, LIU Fengyu1, LI Junhong2, ZHANG Wei3, ZHAO Chen1, and WEN Wen1、*
Author Affiliations
  • 1Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai 200031, China
  • 2Department of Ophthalmology, Shanxi Eye Hospital, Taiyuan 030072, China
  • 3Department of Ophthalmology, Tianjin Eye Hospital, Tianjin 300020, China
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    References(24)

    [1] [1] CHEN D, LI R, LI X, et al. Prevalence, incidence and risk factors of strabismus in a Chinese population based cohort of preschool children: the Nanjing eye study[J]. Br J Ophthalmol, 2021, 105(9): 1203-1210. DOI: 10.1136/bjophthalmol2020316807.

    [2] [2] FU J, LI SM, LIU L R, et al. Prevalence of amblyopia and strabismus in a population of 7th grade junior high school students in central China: the Anyang childhood eye study (ACES)[J]. Ophthalmic Epidemiol, 2014, 21(3): 197-203. DOI: 10.3109/09286586.2014.904371.

    [3] [3] CHEN X, FU Z, YU J, et al. Prevalence of amblyopia and strabismus in Eastern China: results from screening of preschool children aged 36-72 months[J]. Br J Ophthalmol, 2016, 100(4): 515-519. DOI: 10.1136/bjophthalmol-2015-306999.

    [4] [4] FU J, LI S M, LI S Y, et al. Prevalence, causes and associations of amblyopia in year 1 students in Central China[J]. Graefes Arch Clin Exp Ophthalmol, 2014, 252(1): 137-143. DOI: 10.1007/s00417-013-2451-z.

    [5] [5] HUANG D, CHEN X, ZHU H, et al. Prevalence of amblyopia and its association with refraction in Chinese preschool children aged 36-48 months[J]. Br J Ophthalmol, 2018, 102(6): 767-771. DOI: 10.1136/bjophthalmol-2016-310083.

    [6] [6] ZHU H, PAN C, SUN Q, et al. Prevalence of amblyopia and strabismus in Hani school children in rural southwest China: a cross-sectional study[J]. BMJ Open, 2019, 9(2): e025441. DOI: 10.1136/bmjopen-2018-025441.

    [10] [10] WALLACE D K, CHRISTIANSEN S P, SPRUNGER D T, et al. Esotropia and exotropia preferred practice pattern®[J]. Ophthalmology, 2018, 125(1): P143-P183. DOI: 10.1016/j.ophtha.2017.10.007.

    [11] [11] WALLACE D K, REPKA M X, LEE K A, et al. Amblyopia preferred practice pattern®[J]. Ophthalmology, 2018, 125(1): P105-P142. DOI: 10.1016/j.ophtha.2017.10.008.

    [12] [12] American Optometric Association. Care of the Patient with Strabismus: Esotropia and Exotropia[EB/OL]. (2011) [2025-04-21]. https://www.aoa.org/aoa/documents/practice%20management/clinical%20guidelines/consensus-based%20guidelines/care%20of%20patient%20with%20amblyopia.pdf

    [13] [13] The Royal College of Ophthalmologists. Guidelines for the Management of Strabismus in Childhood[EB/OL]. (2012-03-16) [2025-04-21]. https://www.rcophth.ac.uk/resources-listing/guidelines-for-the-management-of-strabismus-in-childhood/.

    [17] [17] American Academy of Ophthalmology. Amblyopia PPP 2022 -Updated 2024 - American Academy of Ophthalmology[EB/OL]. (2022-12) [2025-04-21]. https://www.aao.org/education/preferred-practice-pattern/amblyopia-ppp-2022.

    [18] [18] XIAO S, ANGJELI E, WU H C, et al. Randomized controlled trial of a dichoptic digital therapeutic for amblyopia[J]. Ophthalmology, 2022, 129(1): 77-85. DOI: 10.1016/j.ophtha.2021.09.001.

    [19] [19] JOST R M, HUDGINS L A, DAO L M, et al. Randomized clinical trial of streaming dichoptic movies versus patching for treatment of amblyopia in children aged 3 to 7 years[J]. Sci Rep, 2022, 12(1): 4157. DOI: 10.1038/s41598-022-08010-9.

    [20] [20] WYGNANSKI-JAFFE T, KUSHNER B J, MOSHKOVITZ A, et al. An eye-tracking–based dichoptic home treatment for amblyopia[J]. Ophthalmology, 2023, 130(3): 274-285. DOI: 10.1016/j.ophtha.2022.10.020.

    [21] [21] ZHAO Z, MENG H, LI S, et al. High-accuracy intermittent strabismus screening via wearable eye-tracking and AI-enhanced ocular feature analysis[J]. Biosensors (Basel), 2025, 15(2): 110. DOI: 10.3390/bios15020110.

    [22] [22] WU D, LI Y, ZHANG H, et al. An artificial intelligence platform for the screening and managing of strabismus[J]. Eye (Lond), 2024, 38(16): 3101-3107. DOI: 10.1038/s41433-024-03228-5.

    [23] [23] YARKHEIR M, SADEGHI M, AZARNOUSH H, et al. Automated strabismus detection and classification using deep learning analysis of facial images[J]. Sci Rep, 2025, 15(1): 3910. DOI: 10.1038/s41598-025-88154-6.

    [24] [24] REPKA M X, LUM F, BURUGAPALLI B. Strabismus, strabismus surgery, and reoperation rate in the United States: analysis from the IRIS registry[J]. Ophthalmology, 2018, 125(10): 1646-1653. DOI: 10.1016/j.ophtha.2018.04.024.

    [25] [25] OKE I, HALL N, ELZE T, et al. Adjustable suture technique is associated with fewer strabismus reoperations in the intelligent research in sight registry[J]. Ophthalmology, 2022, 129(9): 1028-1033. DOI: 10.1016/j.ophtha.2022.04.021.

    [26] [26] LEFFLER C T, VAZIRI K, SCHWARTZ S G, et al. Rates of reoperation and abnormal binocularity following strabismus surgery in children[J]. Am J Ophthalmol, 2016, 162: 159-166.e9. DOI: 10.1016/j.ajo.2015.10.022.

    [27] [27] HEO H, LAMBERT S R. Effect of age on reoperation rate in children undergoing exotropia surgery[J]. Acta Ophthalmol, 2021, 99(7): e1206-e1211. DOI: 10.1111/aos.14771.

    [28] [28] COLAS Q, CAPSEC J, ARSNE S, et al. Strabismus outcomes after surgery: the nationwide SOS France study[J]. Graefes Arch Clin Exp Ophthalmol, 2022, 260(6): 2037-2043. DOI: 10.1007/s00417-021-05541-1.

    [29] [29] BENSON M D, WOZNIAK J, MACDONALD I M. An analysis of strabismus reoperations in northern Alberta, Canada from 1995 to 2015[J]. Can J Ophthalmol, 2019, 54(1): 94-97. DOI: 10.1016/j.jcjo.2018.04.007.

    [30] [30] NIU R, LV P, HAO R, et al. Comprehensive analysis of strabismus reoperations: clinical insights and progression factors[J]. BMC Ophthalmol, 2024, 24(1): 446. DOI: 10.1186/s12886-024-03712-2.

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    XI Sida, CHU Ruilin, LIU Fengyu, LI Junhong, ZHANG Wei, ZHAO Chen, WEN Wen. Current status of medical quality control in strabismus and amblyopia care: a review of national and international practices[J]. Chinese Journal of Ophthalmology and Otorhinolaryngology, 2025, 25(4): 306

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    Paper Information

    Special Issue:

    Received: Apr. 22, 2025

    Accepted: Aug. 25, 2025

    Published Online: Aug. 25, 2025

    The Author Email: WEN Wen (wenweneye@126.com)

    DOI:10.14166/j.issn.1671-2420.2025.04.011

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