We need to pay heed to the psychosocial aspects of strabismus

Marsh, Ian

doi:10.1038/eye.2014.283

Cited by 15 publications

(13 citation statements)

References 16 publications

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“…For reading function, Surgery group reached values very close to the healthy Control group. This is in accordance with other studies that emphasize the reconstructive character of strabismus surgery and suggest not to use the term cosmetic, because of its potential impact on functions (Marsh, 2015;Mollenhauer & Haase, 2003).…”

Section: Discussionsupporting

confidence: 92%

“…Other authors found increases of nearly all psychosocial dimensions used in their study (Alpak et al, 2014). Marsh reports very similar results in his overview (Marsh, 2015).…”

Section: Discussionsupporting

confidence: 63%

“…The results of the studies show a clear improvement in the quality of life and a decrease in the negative psychosocial effects. The patients report to have increased self-esteem, higher self-worth, feel more attractive, and dare to get in touch with the opposite sex (Alpak et al, 2014;Durnian et al, 2011;Marsh, 2015).…”

Section: Introductionmentioning

confidence: 94%

“…The conclusion of these studies is that reconstructive strabismus surgery can result in both psychosocial and functional benefits in general, as well as in adulthood (Alpak et al, 2014;Durnian et al, 2011;Marsh, 2015;Mollenhauer & Haase, 2003). This knowledge is becoming increasingly widespread.…”

Section: Introductionmentioning

confidence: 99%

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Reconstructive surgery in strabismus patients and perceived quality of life

Schrank

Augner

2020

Advanced Research in Psychology

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Purpose: Data of the subjective assessment of strabismus-related quality of life from patients with manifest strabismus are important in order to obtain the best possible treatment recommendations for affected people. The aim of this study is the analysis of the quality of life based on squinting Austrians with and without reconstructive strabismus surgery. Methods: The strabismus-specific AS-20 questionnaire was completed by 26 strabismus patients without reconstructive surgery, 27 strabismus patients with reconstructive surgery and 35 non-squinting people from Austria. These data were evaluated and analyzed. Results: In the German version of the AS-20, clear evidence could be provided for group differences of perceived strabismus-related quality of life after reconstructive strabismus surgery. In the two psychosocial sub-scales (self-perception & interaction) significant differences were found in the comparison of the groups (p < .001). Also in the functional subcategories (reading function & general function), highly significant differences were determined (p < .001). Conclusions: Untreated manifest strabismus leads to negative psychosocial effects on the quality of life of those affected. Reconstructive strabismus surgery reduces these discomforts and leads to a significant increase in the quality of life related to strabismus in both psychosocial and functional areas.

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Section: Discussionsupporting

confidence: 92%

“…Other authors found increases of nearly all psychosocial dimensions used in their study (Alpak et al, 2014). Marsh reports very similar results in his overview (Marsh, 2015).…”

Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Reconstructive surgery in strabismus patients and perceived quality of life

Schrank

Augner

2020

Advanced Research in Psychology

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“…When there is no diplopia present, realignment surgery is regarded as a cosmetic procedure and therefore is not always covered by insurance (Marsh, 2014), but the American Association for Pediatric Ophthalmology and Strabismus (AAPOS) argues that strabismus surgery is reconstructive, not cosmetic, and that most insurance companies should cover the cost (American Association for Pediatric Ophthalmology and Strabismus, 2019). The appearance of strabismus is associated with a variety of negative psychosocial consequences.…”

Section: Quality Of Lifementioning

confidence: 99%

Transfer and retention of oculomotor alignment rehabilitation training

2020

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Ocular alignment defects such as strabismus affect around 5% of people and are associated with binocular vision impairments. Current nonsurgical treatments are controversial and have high levels of recidivism. In this study, we developed a rehabilitation method for ocular alignment training and examined the rate of learning, transfer to untrained alignments, and retention over time. Ocular alignment was controlled with a real-time dichoptic feedback paradigm where a static fixation target and white gaze-contingent ring were presented to the dominant eye and a black gaze-contingent ring with no fixation target was presented to the nondominant eye. Observers were required to move their eyes to center the rings on the target, with real-time feedback provided by the size of the rings. Offsetting the ring of the nondominant temporal or nasal visual field required convergent or divergent ocular deviation, respectively, to center the ring on the fixation target. Learning was quantified as the time taken to achieve target deviation of 2°(easy, E) or 4°(hard, H) for convergence (CE, CH) or divergence (DE, DH) over 40 trials. Thirty-two normally sighted observers completed two training sequences separated by one week. Subjects were randomly assigned to a training sequence: CE-CH-DE, CH-CEDE , DE-DH-CE, or DH-DE-CE. The results showed that training was retained over the course of approximately one week across all conditions. Training on an easy deviation angle transferred to untrained hard angles within convergence or divergence but not between these directions. We conclude that oculomotor alignment can be rapidly trained, retained, and transferred with a feedback-based dichoptic paradigm. Feedback-based oculomotor training may therefore provide a noninvasive method for the rehabilitation of ocular alignment defects.

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Childhood esotropia: child and parent concerns

Liebermann

Castañeda

Hatt

et al. 2016

Journal of American Association for Pediatric Ophthalmology and

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Purpose To identify specific health-related quality of life (HRQOL) concerns affecting children with esotropia as expressed by children or one of their parents (proxy) and concerns affecting the parents themselves. Methods Sixty children with esotropia (0–17 years of age) and 1 parent for each child were prospectively enrolled. Individual semistructured interviews were conducted with children aged 5–17 years (n = 40) and 1 parent each for child ages 0–17 years. Transcripts of recorded interviews were evaluated using NVivo software. Specific concerns were identified from both child and parent interviews and coded. From these specific codes, broad themes were identified. Frequency of each theme was calculated, along with the frequency of specific codes within each theme. Results Regarding the child’s experience 6 broad themes were identified: visual function (mentioned by 32 of 40 children (80%) and by 50 of 60 parents (proxy assessment of child, 83%), treatment (78% and 85%), emotions (65% and 67%), social (58% and 68%), physical (58% and 32%), and worry (45% and 7%). Regarding the parents’ own experience, 5 broad themes were identified: treatment (59 of 60 parents, 98%), worry (97%), emotions (82%), compensation for condition (80%), and affects family (23%). Conclusions A wide range of concerns were identified from interviews of children with esotropia and their parents. Concerns reflect the impact of esotropia in physical, emotional, and social domains, and specific concerns will be used for the development of questionnaires to quantify the effects of esotropia on children’s and parents’ quality of life.

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We need to pay heed to the psychosocial aspects of strabismus

Cited by 15 publications

References 16 publications

Reconstructive surgery in strabismus patients and perceived quality of life

Reconstructive surgery in strabismus patients and perceived quality of life

Transfer and retention of oculomotor alignment rehabilitation training

Childhood esotropia: child and parent concerns

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