Development of a Persian Version of the Adult Strabismus Questionnaire and Evaluating the Effect of Strabismus Surgery on Health-Related Quality of Life

Akbari, Mohammad Reza; Masoomian, Babak; Alipour, Ahmad; Jaafari, Alireza Keshtkar; Mirmohammadsadeghi, Arash

doi:10.3109/09273972.2015.1025986

Cited by 7 publications

(4 citation statements)

References 16 publications

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“…Few studies on Rb patients have been conducted regarding strabismus in patients with salvaged globes and the prevalence and features of strabismus have mostly been mentioned descriptively [ 12 , 13 ]. Strabismus has significant effects on the health-related quality of life (HRQOL) of the patients [ 14 , 15 ]. People with strabismus live with more clinical anxiety or depression compared to the general population and the levels of social anxiety and social avoidance were significantly poorer than population norms [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Apart from the reconstructive realignment of eyes and psychological benefits once the ocular alignment is restored, strabismus surgeries may be restoration of binocular single vision, binocular visual field expansion and unexpected recovery of sensory fusion [ 15 , 16 ]. However, due to low vision in most involved eyes, we could not report the improvement in the sensory functions after surgery.…”

Section: Discussionmentioning

confidence: 99%

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Strabismus management in retinoblastoma survivors

Masoomian,

Shields,

Esfahani

et al. 2024

BMC Ophthalmol

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Purpose To report the result of strabismus surgery in eye-salvaged retinoblastoma (Rb) patients. Methods A retrospective case series including 18 patients with Rb and strabismus who underwent strabismus surgery after completing tumor treatment by a single pediatric ophthalmologist. Results A total of 18 patients (10 females and 8 males) were included with a mean age of 13.3 ± 3.0 (range, 2–39) months at the time tumor presentation and 6.0 ± 1.5 (range, 4–9) years at the time of strabismus surgery. Ten (56%) patients had unilateral and 8(44%) had bilateral involvement and the most common worse eye tumor’s group was D (n = 11), C (n = 4), B (n = 2) and E (n = 1). Macula was involved by the tumors in 12 (67%) patients. The tumors were managed by intravenous chemotherapy (n = 8, 47%), intra-arterial chemotherapy (n = 7, 41%) and both (n = 3, 17%). After complete treatment, the average time to strabismus surgery was 29.9 ± 20.5 (range, 12–84) months. Except for one, visual acuity was equal or less than 1.0 logMAR (≤ 20/200) in the affected eye. Seven (39%) patients had exotropia, 11(61%) had esotropia (P = 0.346) and vertical deviation was found in 8 (48%) cases. The angle of deviation was 42.0 ± 10.4 (range, 30–60) prism diopter (PD) for esotropic and 35.7 ± 7.9 (range, 25–50) PD for exotropic patients (P = 0.32) that after surgery significantly decreased to 8.5 ± 5.3 PD in esotropic cases and 5.9 ± 6.7 PD in exotropic cases (P < 0.001). The mean follow-up after surgery was 15.2 ± 2.0 (range, 10–24) months, in which, 3 (17%) patients needed a second surgery. Conclusion Strabismus surgery in treated Rb is safe and results of the surgeries are acceptable and close to the general population. There was not associated with tumor recurrence or metastasis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Strabismus management in retinoblastoma survivors

Masoomian,

Shields,

Esfahani

et al. 2024

BMC Ophthalmol

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“…Age did not affect the results, but females and ETs reported greater improvements in psychosocial functioning compared to males and XTs. Greater improvements in HRQoL in females postoperatively has also been reported using the AS-20 (Akbari et al 2015;Alam et al 2014;Glasman et al 2013). Xu et al (2012) used their own questionnaire to investigate social and psychological effects of strabismus and surgical correction.…”

Section: Questionnairesmentioning

confidence: 97%

“…In those without diplopia, successful outcomes had significantly higher VFQ-25 scores (composite score, all vision-specific subscales, driving subscale, and colour vision subscale) . Akbari et al (2015) reported good correlation between the AS-20 and VFQ-25 (Persian versions) but did not analyse their results based on surgical success. Jackson et al (2006) used visual analogue scales to report coping, lifestyle, worry, noticeable strabismus, and strabismus severity on a 0-10 scale, as well as the DAS-24, HADS and the WHOQoLBref.…”

Section: Visual Functionmentioning

confidence: 99%

Strabismus Surgery for Psychosocial Reasons—A Literature Review

Arblaster,

Buckley,

Barnes

et al. 2024

British and Irish Orthoptic Journal

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Introduction: Strabismus surgery may be undertaken for visual benefit, to improve or eliminate diplopia symptoms, or to restore or improve binocular single vision (BSV). In patients without visual symptoms or expected visual benefit, strabismus surgery may still be undertaken if the presence of strabismus causes the patient psychosocial symptoms. To evaluate strabismus surgery undertaken for psychosocial reasons, evidence of postoperative outcomes in this specific cohort is needed. Methods:A systematic search of the literature was conducted to identify evidence where postoperative outcomes were reported for adult patients (age 18 years and above) who had undergone strabismus surgery for psychosocial reasons.Results: Sixty-nine papers were included in the literature review. Most sources of evidence included patients within heterogeneous cohorts of strabismus surgery outcomes, with a range of symptoms and differing surgical aims.Discussion: In adults who underwent strabismus surgery for psychosocial reasons, improved postoperative ocular alignment and/or improved health related quality of life (HRQoL) were common. Strabismus surgery outcomes appeared to be measured satisfactorily at three months postoperatively. Additional surgical outcomes, including an expanded field of vision, unexpected BSV, improved binocular summation, improved task performance and improved eye movements have been reported, but not fully investigated. There was a lack of consensus on how postoperative success should be defined and measured. A core outcome set for strabismus has been suggested and there is potential to add to the available evidence by investigating which outcome measures are most relevant to those with strabismus and psychosocial symptoms. There is a growing need for robust evidence in this specific subgroup of patients due to a lack of evidence specifically reporting postoperative outcomes in adults with strabismus and psychosocial symptoms.

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