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Refractive Status and Amblyopia Risk Factors in Chinese Children with Autism Spectrum Disorder

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Abstract

Amblyopia risk factors in children with autism spectrum disorders (ASD) are usually hard to detect in early childhood due to poor cooperation and has not been reported in the Chinese population. We screened 168 Chinese children with ASD, aged between 3 and 8 years, and 264 age-matched neurotypical children with Spot photoscreener and basic ophthalmologic examinations. Children with ASD were found to have normal refractive status but significantly higher incidence of strabismus (16.1%), compared with control children (1.5%) (p < 0.01). Most of the cases of strabismus found in children with ASD were classified as esodeviation. Strabismus in children with ASD should be considered more seriously as an amblyopia risk factor by ophthalmologists and other healthcare professionals.

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Study concept and design: JW and XQ. Acquisition of data: GD, NH, NW, XQi, YN, YZ, XL, JL, LS and XQ. Analysis or interpretation of data: All authors. Drafting of the manuscript: JW and YL. Critical revision of the manuscript for important intellectual content: All authors.

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Correspondence to Xuehan Qian.

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The authors declare that they have no conflict of interests.

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Wang, J., Ding, G., Li, Y. et al. Refractive Status and Amblyopia Risk Factors in Chinese Children with Autism Spectrum Disorder. J Autism Dev Disord 48, 1530–1536 (2018). https://doi.org/10.1007/s10803-017-3387-7

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  • DOI: https://doi.org/10.1007/s10803-017-3387-7

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