The psychosocial effects of strabismus: Effect of patient demographics on the AS-20 score

Improvement in patients' quality-of-life following strabismus surgery: evaluation of postoperative outcomes using the Adult Strabismus 20 (AS-20) score

“…2,5,15,16 In contrast in studies with people rating patients with strabismus, esotropes are usually rated worse. 17,18 Female gender correlated significantly with a lower preoperative AS-20 score.…”

We need to pay heed to the psychosocial aspects of strabismus

“…10 The patients who were female or lived in a more socioeconomically deprived area had a significantly lower AS20 score.…”

The impact of strabismus on quality of life in adults with and without diplopia: a systematic review

“…Similarly, adults with strabismus have significantly poorer QoL compared to visually normal adults 13,19 and adults with other eye conditions including cataracts, cornea, and glaucoma, 19 but no difference was found between esodeviation and exodeviation. 12,13 In addition to the clear impact strabismus can have on a person's QoL, adults with strabismus experience higher levels of anxiety and depression 23,24 and report low selfimage, self-esteem, and self-confidence, 24,31,39 commonly describing themselves as "stupid", "ugly", and "different". 28 Strabismus may affect eye contact and make social communication awkward both for the individual with strabismus and the person interacting with them.…”