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Xinping Yu; Status of quality of life in adult strabismus with corrective surgery: the long-term results. Invest. Ophthalmol. Vis. Sci. 2013;54(15):3644.
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To evaluate the long-term status of quality of life (QOL) in adult with corrective surgery, and to study the effect factors.
Adult strabismus patients underwent corrective surgery in Eye Hospital of Wenzhou Medical College between 2010.1.1-12.31 were prospectively recruited. The health related qualify of life was evaluated using Chinese version adult strabismus-20(AS-20). Demographic (age, gender, education level, professional type) and clinical data of the recruited subjects were documented. Three postoperative outcome categories were defined: success, partial success, and failure based on the deviation and diplopia. Healthy adult without strabismus were recruited as controls.
One hundred and twenty-three adult strabismus patients with 1 year follow-up (mean 18 m, range 12 to 24 m) postoperatively were recruited in the study. Mean age of the 123 included patients was 26.7 (range 16 to 65) years; 57 (46%) were female. Nity-one of 123 patients underwent uniplanar surgery: 86 were horizontal, 4 were vertical and 1 was torsional. 32 of 123 patients underwent multiplanar surgery: horizontal and vertical. One hundred and eleven (90%) patients had no diplopia and 12(10%) still had diplopia. According to the criteria of success, 93(76%) patients were success, 14 (12%) were partial success and 15 (12%) were failure. The scores of total scale, psychosocial subscale and function subscale were 70.5±17.1 (18.8-95), 74±19.4 (22.5-100) and 66.9±19.2 (15-90) prospectively, was lower than the score of the 120 normal control. There was significant difference between the scores of patients with success, partial success and failure (P<0.05). Patients with self sense of still had deviation had worse QOL than those self sense without deviation (P<0.001). QOLwas significantly correlated with the post-operative eye position, self sense of deviation and diplopia, while without significant correlation with age, gender, deviation type, education level, extraocular movement, binocular vision and professional type.
The QOL of adult strabismus patients with long-term corrective surgery was still worse than the controls without strabismus. The status of QOL after surgery was associated with the surgery success and patient self sense of deviation.
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