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Brianna Volk, Donny W Suh; Psychosocial Benefits of Strabismus Surgery in Adult Patients. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2601.
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To show psychosocial benefits of strabismus surgery as reported from postoperative patient perspectives in a community based adult strabismus clinic population.
Fifty-eight adult patients were interviewed postoperatively and asked to identify the most significant changes, positive or negative, following their surgeries. A Patient Surgery Satisfaction score (PSS) was then assigned based on a predetermined scoring scale, ranging from +3 to -3 where positive numbers corresponded to positive impacts on the patient’s day-to-day life and negative numbers to negative impacts.
Of the 58 participating patients, 51 (87.9%) patients indicated positive PSS scores; 4 (6.9%) patients indicated negative PSS scores; and 3 (5.2%) patients indicated PSS scores of zero. A collective mean PSS score of 2.03 indicated that strabismus surgery had a moderately positive impact on the patient population (P < 0.05). Preoperative concerns voluntarily expressed by patients included: double vision, poor depth perception, self-consciousness, poor peripheral vision, difficulty reading, tilting/turning of the head, blurry vision, and eye misalignment. Of these, the primary concerns were double vision, self-consciousness, and eye misalignment, each of which were mentioned by at least 28 (48.3%) patients. Comparing the pre- and postoperative patient concerns, all categories showed a decrease. The most drastic decreases occurred in patients’ concerns about self-consciousness and eye misalignment. Preoperatively 39 (67.2%) patients mentioned being self-conscious while postoperatively 3 (5.1%) patients remained concerned with self-consciousness. Similarly, preoperatively 36 (62.1%) patients expressed concern with their eye misalignments while postoperatively eye misalignment was a concern addressed by 3 (5.1%) patients.
Strabismus surgery benefits adult patients in many aspects including: double vision, depth perception, self-consciousness, peripheral vision, reading, head tilting, blurry vision, and eye misalignment. There is a significant psychosocial benefit in strabismus surgery.
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