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P.A. Wren, D.C. Musch, S.M. Archer, K.E. Guire, M.A. Del Monte, E.M. Levin; Impact of Childhood Strabismus Surgery on Social and Emotional Aspects of Quality of Life . Invest. Ophthalmol. Vis. Sci. 2003;44(13):1924.
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Purpose: To determine the effect of strabismus surgery on the child’s social and emotional status. Methods: After obtaining informed consent, parents or guardians of children diagnosed with strabismus were administered a pilot version of a health-related quality of life (QOL) questionnaire before and two-months after the child’s operation. Trained staff conducted the interviews by telephone with parents or guardians at their homes. The questionnaire, based on a RAND-developed instrument used in the Health Insurance Study, included measures of physical, mental, and social dimensions of health status. Results: The 98 children undergoing surgery were on average 4 years old. Reliability measures (Chronbach alpha coefficients) indicated good internal consistency (alpha>0.7 in most sub-scales). From pre- to post-surgery, significant improvements were noted, especially within the functional limitations (P=0.001), social relations (P=0.008), general health perceptions (P<0.001), and developmental satisfaction (P<0.001) subscales. Conclusions: Obtaining parental proxy evaluations provides insight to the effect of strabismus surgery on a child’s social and emotional status. Substantial improvements were noted in multiple dimensions of quality of life from pre- to post-operative measures.
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