Document Detail

Improvement in patients' quality-of-life following strabismus surgery: evaluation of postoperative outcomes using the Adult Strabismus 20 (AS-20) score.
MedLine Citation:
PMID:  23928880     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Quantification of the psychosocial effects of manifest strabismus has been made possible by the introduction of the Adult Strabismus 20 (AS-20) questionnaire. We investigated the effects of strabismus surgery and patient demographics on the pre- and postoperative AS-20 scores.
METHODS: A prospective, cohort study of adult patients undergoing strabismus surgery. Full pre- and postoperative orthoptic measurements were analysed and compared with the AS-20 total scores and its subscales (psychosocial and functional). Any relationship between: gender; direction; and size of preoperative deviation and the changes in AS-20 score was investigated.
RESULTS: Eighty-six patients were included with a follow-up of 91 days following surgery. Median deviation preoperatively was 30.5 prism diopters (PD) and the median preoperative AS-20 score was 45. Postoperatively, the median deviation was 8 PD and the AS-20 score was significantly (Z=-7.83, P<0.0001) higher at 73.1. Females have a lower preoperative AS-20 score (P=0.01) but show a greater improvement in scores following surgery compared with males (P=0.058). There is a close correlation between change in AS-20 score and change in deviation size (r=0.291, P=0.006).
CONCLUSION: Strabismus surgery gives a highly significant improvement in quality-of-life scores. Females gain more benefit from surgery and there is a greater improvement in the score with larger changes in deviation size. The smaller the postoperative angle, the larger the final AS-20 score.
P Glasman; R Cheeseman; V Wong; J Young; J M Durnian
Publication Detail:
Type:  Journal Article     Date:  2013-08-09
Journal Detail:
Title:  Eye (London, England)     Volume:  27     ISSN:  1476-5454     ISO Abbreviation:  Eye (Lond)     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2013-11-14     Completed Date:  2014-04-28     Revised Date:  2014-11-04    
Medline Journal Info:
Nlm Unique ID:  8703986     Medline TA:  Eye (Lond)     Country:  England    
Other Details:
Languages:  eng     Pagination:  1249-53     Citation Subset:  IM    
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MeSH Terms
Middle Aged
Prospective Studies
Quality of Life*
Regression Analysis
Sex Factors
Sickness Impact Profile
Strabismus / psychology,  surgery*
Young Adult

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