Other or unspecified paralytic strabismus

H7_PARASTRANAS

paralytic strabismus: An ocular deviation caused by a palsy to one or more of the extraocular muscles or nerves supplying them. [database_cross_reference: ORCID:0000-0003-0986-4123][database_cross_reference: ORCID:0000-0003-0986-4123]

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Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 H49.8, H49.9
  • Hospital discharge: ICD-9 3785
  • Hospital discharge: ICD-8 37304
  • Cause of death: ICD-10 H49.8, H49.9
  • Cause of death: ICD-9 3785
  • Cause of death: ICD-8 37304

2 out of 7 registries used, show all original rules.

257

4. Check minimum number of events

None

257

5. Include endpoints

None

257

6. Filter based on genotype QC (FinnGen only)

257

Control definitions (FinnGen only)

Control exclude
H7_OCUMUSCLE

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 2784 1425 1332
Only index persons 1919 1005 914
Unadjusted period prevalence (%)
Whole population 0.04 0.04 0.04
Only index persons 0.04 0.04 0.03
Median age at first event (years)
Whole population 47.92 50.73 44.72
Only index persons 40.99 43.75 37.95

-FinnGen-

Key figures

All Female Male
Number of individuals 257 132 125
Unadjusted period prevalence (%) 0.05 0.04 0.06
Median age at first event (years) 44.56 42.47 46.78

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS (R11)

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
229
Matched controls
2291
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
3785A
ICD-9 Finland
Strabismus and other disorders of binocular eye movements, Paralytic strabismus
+∞
98.2
87
*
37304
ICD-8 Finland
Strabismus, paralyticus. Paresis nervorum III, IV, VI
+∞
81.2
73
*
H49.9
ICD-10 Finland
Paralytic strabismus, unspecified
+∞
46.5
43
*
H49.8
ICD-10 Finland
Other paralytic strabismus
+∞
34.2
32
*
H53.2
ICD-10 Finland
Diplopia
26.3
24.8
34
15
H49.2
ICD-10 Finland
Sixth [abducent] nerve palsy
+∞
23.3
22
*
H49.0
ICD-10 Finland
Third [oculomotor] nerve palsy
+∞
21.2
20
*
3503
FHL
Single muscle retroposition
+∞
15.8
15
*
H50.2
ICD-10 Finland
Vertical strabismus
+∞
11.6
11
*
XCW99
NOMESCO Finland
Other investigative procedure of eye
4.7
11.0
38
92
37300
ICD-8 Finland
Strabismus, Concomitans convergens
+∞
10.5
10
*
CEC10
NOMESCO Finland
Recession and resection of extraocular muscle
+∞
9.4
9
*
3505
FHL
Single muscle resection
+∞
9.4
9
*
CEC00
NOMESCO Finland
Recession of extraocular muscle
+∞
9.4
9
*
H49.1
ICD-10 Finland
Fourth [trochlear] nerve palsy
+∞
9.4
9
*
Z01.0
ICD-10 Finland
Examination of eyes and vision
2.9
6.9
44
176
N07AA02
ATC
pyridostigmine; systemic
71.8
6.5
7
*
CK2S4
NOMESCO Finland
Plain photography of ocular fundus
4.3
6.3
22
55
3507
FHL
Retroposition and resection
+∞
6.3
6
*
CEW99
NOMESCO Finland
Other operation on extraocular muscle
+∞
6.3
6
*
CEC60
NOMESCO Finland
Transposition of extraocular muscle with adjustable suture
+∞
6.3
6
*
H49.4
ICD-10 Finland
Progressive external ophthalmoplegia
+∞
6.3
6
*
H02.4
ICD-10 Finland
Ptosis of eyelid
6.3
6.1
15
25

Mortality – FinRegistry

Association

Association between endpoint H7_PARASTRANAS and mortality.

Females

Parameter HR [95% CI] p-value
H7_PARASTRANAS 1.516 [1.09, 2.11] 0.013
Birth year 0.989 [0.98, 1.0] 0.017

During the follow-up period (1.1.1998 — 31.12.2019), 71 out of 277 females with H7_PARASTRANAS died.

Males

Parameter HR [95% CI] p-value
H7_PARASTRANAS 1.878 [1.32, 2.67] < 0.001
Birth year 0.986 [0.98, 1.0] 0.005

During the follow-up period (1.1.1998 — 31.12.2019), 75 out of 298 males with H7_PARASTRANAS died.

Mortality risk

Mortality risk for people of age

years, who have H7_PARASTRANAS.

N-year risk Females Males
1 0.103% 0.306%
5 0.822% 1.925%
10 1.879% 5.128%
15 3.335% 9.938%
20 6.096% 16.04%

Relationships between endpoints

Index endpoint: H7_PARASTRANAS – Other or unspecified paralytic strabismus

GWS hits: -

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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