Does strabismus surgery improve quality and mood, and what factors influence this?

McBain, Hayley; MacKenzie, Kent S.; Hancox, Joanne; Ezra, Daniel G.; Adams, Gillian; Newman, Stanton

doi:10.1038/eye.2016.70

Cited by 21 publications

(21 citation statements)

References 22 publications

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“…Correction of strabismus offers improvement in psychosocial functioning. [ 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ] In a study by Menon et al .,[ 21 ] 95% of participants reported positive changes in appearance, self-confidence, self-esteem, and relationship with friends after being treated for strabismus. However, they found no influence of the type of strabismus on the problems perceived by their study participants.…”

Section: Discussionmentioning

confidence: 99%

To assess knowledge and attitude of parents toward children suffering from strabismus in Indian subcontinent

Singh

Rana

Patyal

et al. 2017

Indian J Ophthalmol

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Purpose:Strabismus and anisometropia are the most common causes of amblyopia. It can be easily prevented or treated if detected early. With the changing socio-cultural-economic milieu of the society, the perspectives of strabismus in society are gradually changing but still adequate knowledge, awareness, and attitude of parents toward strabismus will help in preventing amblyopia and aid in the proper psychosocial adaptation of such children. This study aimed to assess knowledge and attitude of parents toward children suffering from strabismus.Methods:A prospective study was carried out from January 1 to February 29, 2016, through a structured questionnaire to assess the level of knowledge and attitude of parents of children suffering from strabismus.Results:One hundred and twenty parents of children with strabismus were interviewed through a questionnaire. Education level of 78 parents was less than graduation (60%) and of 42 parents (40%) was graduation or higher. The majority of the parents, i.e., 116 (96.67%) were bothered due to strabismus. One hundred and one (84.17%) parents felt that their child's strabismus was noticed by others during interaction. Seventy-four (61.67%) parents felt that their children will have difficulty in making friends. Ninety (75%) parents felt uncomfortable if someone asked something about their child's strabismus. One hundred and ten (91.67%) parents considered strabismus as cosmetic stigma.Conclusion:Some parents, especially from the lower educated segment, had poor understanding of strabismus, thus resulting in late presentation and ineffective countermeasures. The key to prevent strabismic amblyopia and its psychosocial impacts is to provide health education regarding strabismus.

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Section: Discussionmentioning

confidence: 99%

To assess knowledge and attitude of parents toward children suffering from strabismus in Indian subcontinent

Singh

Rana

Patyal

et al. 2017

Indian J Ophthalmol

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“…32,33 Previous studies have indicated that patients with strabismus experience longterm negative emotions and can obtain significant improvements in their psychosocial quality of life after undergoing strabismus surgery. 34,35 We speculatively suggest that the decreased RD values in several tracts, as seen in our study, may reveal the neuropathologic mechanism of comitant exotropia, which attempts to compensate for impairment of neuronal tracts by reducing neuronal branching. Moreover, we speculate that those fasciculi with increased FA values and decreased RD values in patients with exotropia have a more dense alignment and less neuron branching to improve the function they handle; furthermore, the connections among those fiber bundles are weakened.…”

Section: Discussionmentioning

confidence: 68%

Analysis of alterations in white matter integrity of adult patients with comitant exotropia

Zeng

2018

J Int Med Res

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ObjectiveThis study was performed to investigate structural abnormalities of the white matter in patients with comitant exotropia using the tract-based spatial statistics (TBSS) method.MethodsDiffusion tensor imaging data from magnetic resonance images of the brain were collected from 20 patients with comitant exotropia and 20 age- and sex-matched healthy controls. The FMRIB Software Library was used to compute the diffusion measures, including fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), and radial diffusivity (RD). These measures were obtained using voxel-wise statistics with threshold-free cluster enhancement.ResultsThe FA values in the right inferior fronto-occipital fasciculus (IFO) and right inferior longitudinal fasciculus were significantly higher and the RD values in the bilateral IFO, forceps minor, left anterior corona radiata, and left anterior thalamic radiation were significantly lower in the comitant exotropia group than in the healthy controls. No significant differences in the MD or AD values were found between the two groups.ConclusionsAlterations in FA and RD values may indicate the underlying neuropathologic mechanism of comitant exotropia. The TBSS method can be a useful tool to investigate neuronal tract participation in patients with this disease.

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“…Adult Strabismus‐20 (AS‐20) questionnaire (Original [n = 24], Adapted [n = 1], Chinese [n = 4], Danish [n = 1])…”

Section: Resultsmentioning

confidence: 99%

Patient‐reported outcome measures in amblyopia and strabismus: a systematic review

Kumaran

Khadka

Baker

et al. 2018

Clinical and Experimental Optometry

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Background: Many patient-reported outcome measures (PROMs) have been developed and/or used to measure the impact of amblyopia and strabismus on quality of life (QoL). Identifying the one with superior quality is important for evaluating the effectiveness of novel therapy for amblyopia and for directing improved clinical decision-making in adults considering strabismic surgery. Therefore, the aim of this review is to identify all PROMs previously developed/used to study the impact of amblyopia and/or strabismus on QoL and to appraise the quality and comprehensiveness of content of the disease-specific instruments. Methods: A systematic search was carried out in the electronic databases of PubMed, Cochrane, Web of Science and PsycINFO. The quality of content and measurement properties of all the disease-specific instruments were assessed using established quality standards. Further, the content of the instruments were examined for comprehensiveness by categorising each item across the eight ophthalmic QoL domains (activity limitation, concerns, emotional well-being, social well-being, economic, convenience, symptoms and mobility). Results: Seventy-one PROMs were identified, out of which 32 were amblyopia-and/or strabismus-specific. Out of all the disease-specific instruments, just four have been subjected to modern psychometric tests and only the adult strabismus questionnaire demonstrated good measurement properties. Most of the amblyopia-specific instruments measured the impact of the treatment of amblyopia on children, while most of the strabismus-specific instruments measured concerns related to appearance and treatment outcome in adults. All instruments have gaps in their content and failed to address QoL comprehensively. Conclusion: All the existing amblyopia-and/or strabismus-specific instruments fall short of desired quality and/or comprehensiveness of content. The review identifies the need for developing an instrument with superior quality and discusses potential directions of future research.Key words: amblyopia, patient reported outcome, quality assessment, quality of life, questionnaire, strabismus Amblyopia and strabismus are common developmental conditions of childhood and are known to cause functional deficits like impaired stereoscopic depth perception and defective sensory, motor, visual cognition and prehension skills.1-3 These functional deficits manifest in the individual as imprecise or inefficient performance of real-life activities like reading, grasping and driving and affect quality of life (QoL). 4,5 Apart from the implications of these functional deficits, socially noticeable strabismus also affects the psychosocial and emotional well-being of individuals. [6][7][8][9][10] Analysis of the cost-effectiveness of screening for amblyopia and its utility are limited by the lack of evidence about the long-term impact, the degree of disability and the impact of amblyopia on QoL. 11-13Incorporating patient-reported outcome measures (PROMs) as one of the treatment outcomes is considered importa...

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Does strabismus surgery improve quality and mood, and what factors influence this?

Cited by 21 publications

References 22 publications

To assess knowledge and attitude of parents toward children suffering from strabismus in Indian subcontinent

To assess knowledge and attitude of parents toward children suffering from strabismus in Indian subcontinent

Analysis of alterations in white matter integrity of adult patients with comitant exotropia

Patient‐reported outcome measures in amblyopia and strabismus: a systematic review

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