Improved quality of life in patients following strabismus surgery
Qianwen Gong, Jihong Zeng, Guoyuan Yang, Wenqiu Zhang, Longqian Liu
Published 2015-04-25
Cite as Chin J Optom Ophthalmol Vis Sci, 2015, 17(4): 206-208. DOI: 10.3760/cma.j.issn.1674-845X.2015.04.004
Abstract
ObjectiveTo evaluate the effect of strabismus surgery on the quality of life in strabismus patients.
MethodsFrom November 2013 to September 2014, 89 strabismus patients at West China Hospital were evaluated with an Adult Strabismus (AS-20) test and were followed up for (83.6±34.0) days. The difference between pre- and postoperative scores was analyzed using the AS- 20 test and its subscales (psychosocial and functional). The influence of age, gender, deviation type, and the existence or non- existence of binocular vision were compared using independent samples t test, rank sum test, Spearman test.
ResultsThe preoperative AS-20 total score was 50.3±18.5 and was significantly higher at 80.8±20.6 postoperatively (t=9.975, P<0.01). Females had a lower preoperative AS-20 total score but had greater improvement compared to males (tpre=2.050, tchange=-2.593, P<0.05). Patients with esotropia and exotropia (tpre=- 0.480, tpost=0.237, tchange=1.495, P>0.05) and the existence of binocular vision (tpre=0.446, tpost=0.498, P>0.05) did not show a statistically significant difference in the AS-20 total scores or a change in AS-20 scores. There was no correlation between age and the change in AS- 20 scores (r=0.021, P>0.05).
ConclusionStrabismus surgery resulted in a highly significant improvement in quality- of- life scores. Females had a lower quality-of-life preoperatively but had a greater benefit. There was no relationship between the deviation type, age, or the existence or non-existence of binocular vision and the AS-20 scores.
Key words:
Strabismus surgery; Vision, binocular; Adult strabismus health related quality of life questionnaire; Quality of life; Adults
Contributor Information
Qianwen Gong
Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, China
Jihong Zeng
Guoyuan Yang
Wenqiu Zhang
Longqian Liu