Existe relação entre o uso excessivo do telefone celular e o desenvolvimento de esotropia concomitante aguda adquirida entre crianças e adolescentes? Uma revisão sistemática
Conteúdo do artigo principal
Resumo
Introdução: A esotropia concomitante aguda adquirida (AACE) é uma condição ocular caracterizada por desvio convergente dos olhos, concomitante, o qual ocorre repentinamente. Desenvolve-se ao longo da vida e parece ser precipitada pela exposição prolongada a dispositivos móveis. Objetivo: Investigar a possível correlação entre o uso excessivo de telefones celulares e o desenvolvimento de AACE em crianças e adolescentes. Métodos: Trata-se de uma revisão sistemática com estratégia de busca por estudos publicados e indexados nas bases de dados MEDLINE via Pubmed, Scielo e Lilacs durante o mês de agosto de 2024. Os descritores utilizados foram: (Smartphone and strabismus) or (Cell phone and strabismus) or (Smartphone and esotropia) or (Cell phone and esotropia) or (Smartphone and exotropia) or (Cell phone and exotropia). O desenho da revisão segue a estratégia PECO: P = crianças e adolescentes, E= uso excessivo de smartphone/ cell phone C= Não uso excessivo de smartphone/ cell phone e O = esotropia concomitante aguda adquirida. Resultados: Foram recuperados 86 artigos em total, através de uma busca sistemática em três bases de dados bibliográficas: MEDLINE (n= 70), LILACS (n= 13), e Scielo (n= 3). Ao final da análise, cinco estudos foram considerados elegíveis para inclusão na presente revisão sistemática. Conclusão: Os resultados deste estudo sugerem associação entre o uso prolongado de dispositivos móveis e o desenvolvimento de AACE em crianças e adolescentes. No entanto, é fundamental realizar mais estudos para melhor compreender os mecanismos subjacentes a essa associação.
Downloads
Detalhes do artigo

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Referências
1. American Optometric Association. Computer vision syndrome [Internet]. St. Louis: AOA; 2017 [cited 2024 Aug 20]. Available from: http://www.aoa.org/patients-and-public/caring-for-your-vision/protecting-your-vision/computer-vision-syndrome.
2. De' R, Pandey N, Pal A. Impact of digital surge during Covid-19 pandemic: a viewpoint on research and practice. Int J Inf Manag. 2020;55:102171. doi: 10.1016/j.ijinfomgt.2020.102171
3. Mohan A, Sen P, Mujumdar D, Shah C, Jain E. Series of cases of acute acquired comitant esotropia in children associated with excessive online classes on smartphone during COVID-19 pandemic; Digital Eye Strain Among Kids (DESK) study-3. Strabismus. 2021;29(3):163-7. doi: 10.1080/09273972.2021.1954420
4. Mohan A, Sen P, Shah C, Datt K, Jain E. Binocular accommodation and vergence dysfunction in children attending online classes during the COVID-19 pandemic: Digital Eye Strain in Kids (DESK) Study-2. J Pediatr Ophthalmol Strabismus. 2021;58(4):224-31. doi: 10.3928/01913913-20210128-01
5. Alabdulkader B. Effect of digital device use during COVID-19 on digital eye strain. Clin Exp Optom. 2021;104(6):698-704. doi: 10.1080/08164622.2021.1878843
6. Kumari K, Kaur S, Sukhija J. Commentary: Myopia progression during the COVID-19 pandemic. Indian J Ophthalmol. 2022;70(1):245-6. doi: 10.4103/ijo.IJO_2512_21
7. Cantó-Sancho N, Ronda E, Cabrero-García J, et al. Rasch-validated Italian scale for diagnosing digital eye strain: the computer vision syndrome questionnaire IT©. Int J Environ Res Public Health. 2022;19(8):4506. doi: 10.3390/ijerph19084506
8. Campbell FW, Robson JG, Westheimer G. Fluctuations of accommodation under steady viewing conditions. J Physiol. 1959;145(3):579-94. doi: 10.1113/jphysiol.1959.sp006164
9. Meng Y, Hu X, Huang X, et al. Clinical characteristics and aetiology of acute acquired comitant esotropia. Clin Exp Optom. 2022;105(3):293-7. doi: 10.1080/08164622.2021.1961016
10. Lee HS, Park SW, Heo H. Acute acquired comitant esotropia related to excessive smartphone use. BMC Ophthalmol. 2016;16:37. doi: 10.1186/s12886-016-0213-5
11. Nouraeinejad A. Neurological pathologies in acute acquired comitant esotropia. Graefes Arch Clin Exp Ophthalmol. 2023;261(12):3347-54. doi: 10.1007/s00417-023-06069-8
12. Lyons CJ, Tiffin PA, Oystreck D. Acute acquired comitant esotropia: a prospective study. Eye (Lond). 1999;13(Pt 5):617-20. doi: 10.1038/eye.1999.161
13. Simon AL, Borchert M. Etiology and prognosis of acute, late-onset esotropia. Ophthalmology. 1997;104(8):1348-52. doi: 10.1016/S0161-6420(97)30149-X
14. Clark AC, Nelson LB, Simon JW, et al. Acute acquired comitant esotropia. Br J Ophthalmol. 1989;73(8):636-8. doi: 10.1136/bjo.73.8.636
15. Goldman HD, Nelson LB. Acute acquired comitant esotropia. Ann Ophthalmol. 1985;17(12):777-8.
16. Kemmanu V, Hegde K, Seetharam R, et al. Varied aetiology of acute acquired comitant esotropia: a case series. Oman J Ophthalmol. 2012;5(2):103-5. doi: 10.4103/0974-620X.99371
17. Wu Y, Feng X, Li J, et al. Prismatic treatment of acute acquired concomitant esotropia of 25 prism diopters or less. BMC Ophthalmol. 2022;22(1):276. doi: 10.1186/s12886-022-02489-8
18. Song J, Kim SK, Choi MY. Clinical characteristics and outcomes of smartphone overusers with acute acquired comitant esotropia. J Korean Ophthalmol Soc. 2018;59(2):169-75. doi: 10.3341/jkos.2018.59.2.169
19. Vagge A, Giannaccare G, Scarinci F, et al. Acute acquired concomitant esotropia from excessive application of near vision during the COVID-19 lockdown. J Pediatr Ophthalmol Strabismus. 2020;57:e88-91. doi: 10.3928/01913913-20200821-01
20. Mehta A, Greensher JE, Dahl GJ, Miller KE. Acute onset esotropia from excessive smartphone use in a teenager. J Pediatr Ophthalmol Strabismus. 2018;55:e42-4. doi: 10.3928/01913913-20181031-02
21. Neena R, Remya S, Anantharaman G. Acute acquired comitant esotropia precipitated by excessive near work during the COVID-19-induced home confinement. Indian J Ophthalmol. 2022;70(4):1359-64. doi: 10.4103/ijo.IJO_2783_21
22. Hoolst EV, Beelen L, Clerck I, et al. Association between near viewing and acute acquired esotropia in children during tablet and smartphone use. Strabismus. 2022;30(2):59-64. doi: 10.1080/09273972.2022.2049449
23. Turan KE, Kansu T. Acute acquired comitant esotropia in adults: is it neurologic or not? J Ophthalmol. 2016;2016:2856128. doi: 10.1155/2016/2856128
24. Zheng K, Han T, Han Y, et al. Acquired distance esotropia associated with myopia in the young adult. BMC Ophthalmol. 2018;18:51. doi: 10.1186/s12886-018-0714-y
25. Ruatta C, Schiavi C. Acute acquired concomitant esotropia associated with myopia: is the condition related to any binocular function failure? Graefes Arch Clin Exp Ophthalmol. 2020;258:2509-15. doi: 10.1007/s00417-020-04836-1
26. Hentschel SJ, Yen KG, Lang FF. Chiari I malformation and acute acquired comitant esotropia: case report and review of the literature. J Neurosurg. 2005;102(4 Suppl):407-12. doi: 10.3171/ped.2005.102.4.0407
27. Parentin F, Marchetti F, Faleschini E, et al. Acute comitant esotropia secondary to idiopathic intracranial hypertension in a child receiving recombinant human growth hormone. Can J Ophthalmol. 2009;44(1):110-1. doi: 10.3129/i08-195
28. Wong SH, Patel L, Plant GT. Acquired esotropia in cerebellar disease: a case series illustrating misdiagnosis as isolated lateral rectus paresis and progression over time. Neuroophthalmology. 2015;39(2):59-63. doi: 10.3109/01658107.2014.990498
29. Hoyt CS, Fredrick DR. Serious neurologic disease presenting as comitant esotropia. In: Rosenbaum AL, Santiago AP, editors. Clinical strabismus management: principles and surgical techniques. Philadelphia: WB Saunders; 1999. p. 152-7.
30. Von Noorden GK, Campos EC. Binocular vision and ocular motility. 6th ed. St. Louis: Mosby; 2002.
31. Hayashi R, Hayashi S, Nishimura T, Machida S. Conformation of horizontal extraocular muscle insertions in acute acquired concomitant esotropia induced by excessive digital device usage. Clin Ophthalmol. 2024;18:41-7. doi: 10.2147/OPTH.S436528