The Impact of Strabismus Surgery on Irish Adults
Aims: Our primary objective was to evaluate our adult strabismus service and the impact strabismus surgery has on quality of life (QOL) in patients from an Irish cohort. Our secondary objective was to compare QOL outcomes across different subgroups. Methods: A service evaluation was prospectively pe...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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White Rose University Press
2018-04-01
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| Series: | British and Irish Orthoptic Journal |
| Subjects: | |
| Online Access: | https://www.bioj-online.com/articles/107 |
| _version_ | 1818285129344221184 |
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| author | Barry Power Melissa Murphy John Stokes |
| author_facet | Barry Power Melissa Murphy John Stokes |
| author_sort | Barry Power |
| collection | DOAJ |
| description | Aims: Our primary objective was to evaluate our adult strabismus service and the impact strabismus surgery has on quality of life (QOL) in patients from an Irish cohort. Our secondary objective was to compare QOL outcomes across different subgroups. Methods: A service evaluation was prospectively performed over an 18-month period. We prospectively audited the preoperative and postoperative QOL scores from 35 adult strabismus procedures using the adult strabismus score (AS-20) (0–100). Results: Postoperative patients achieved an average 14.22 score increase in QOL (p = 0.0018). Females showed lower preoperative scores (46.78 vs. 60.89; p = 0.047) and a trend towards larger increases compared to males (21.05 vs. 51.12; p = 0.1). No significant difference was detected between primary and recurrent strabismus repairs (18.10 vs. 16.55; p = 0.4). Lower preoperative scores (0–33) were associated with higher increases compared with moderate (34–66) and high (67–100) preoperative scores (33.47, 12.03, –4.57 respectively). Patients reporting QOL score decreases after surgery were more likely to come from the high preoperative score group than the moderate or low groups (50%, 19% and 22% respectively). Conclusion: We demonstrate that strabismus surgery has a significant positive impact on QOL scores in Irish adults. We show that patients with high preoperative QOL scores may have a greater chance of QOL score decreases postoperatively, despite good clinical alignment. We believe greater preoperative discussion around patient expectations in these cases, may improve subjective postoperative results. |
| first_indexed | 2024-12-13T01:03:47Z |
| format | Article |
| id | doaj.art-9f317f94396a47a4b33821a23f45f4ad |
| institution | Directory Open Access Journal |
| issn | 2516-3590 |
| language | English |
| last_indexed | 2024-12-13T01:03:47Z |
| publishDate | 2018-04-01 |
| publisher | White Rose University Press |
| record_format | Article |
| series | British and Irish Orthoptic Journal |
| spelling | doaj.art-9f317f94396a47a4b33821a23f45f4ad2022-12-22T00:04:37ZengWhite Rose University PressBritish and Irish Orthoptic Journal2516-35902018-04-0114161010.22599/bioj.107106The Impact of Strabismus Surgery on Irish AdultsBarry Power0Melissa Murphy1John Stokes2Mater Misericordiae University HospitalGalway University HospitalUniversity Hospital WaterfordAims: Our primary objective was to evaluate our adult strabismus service and the impact strabismus surgery has on quality of life (QOL) in patients from an Irish cohort. Our secondary objective was to compare QOL outcomes across different subgroups. Methods: A service evaluation was prospectively performed over an 18-month period. We prospectively audited the preoperative and postoperative QOL scores from 35 adult strabismus procedures using the adult strabismus score (AS-20) (0–100). Results: Postoperative patients achieved an average 14.22 score increase in QOL (p = 0.0018). Females showed lower preoperative scores (46.78 vs. 60.89; p = 0.047) and a trend towards larger increases compared to males (21.05 vs. 51.12; p = 0.1). No significant difference was detected between primary and recurrent strabismus repairs (18.10 vs. 16.55; p = 0.4). Lower preoperative scores (0–33) were associated with higher increases compared with moderate (34–66) and high (67–100) preoperative scores (33.47, 12.03, –4.57 respectively). Patients reporting QOL score decreases after surgery were more likely to come from the high preoperative score group than the moderate or low groups (50%, 19% and 22% respectively). Conclusion: We demonstrate that strabismus surgery has a significant positive impact on QOL scores in Irish adults. We show that patients with high preoperative QOL scores may have a greater chance of QOL score decreases postoperatively, despite good clinical alignment. We believe greater preoperative discussion around patient expectations in these cases, may improve subjective postoperative results.https://www.bioj-online.com/articles/107Adult StrabismusStrabismus SurgeryQuality of LifeStrabismusAS-20 |
| spellingShingle | Barry Power Melissa Murphy John Stokes The Impact of Strabismus Surgery on Irish Adults British and Irish Orthoptic Journal Adult Strabismus Strabismus Surgery Quality of Life Strabismus AS-20 |
| title | The Impact of Strabismus Surgery on Irish Adults |
| title_full | The Impact of Strabismus Surgery on Irish Adults |
| title_fullStr | The Impact of Strabismus Surgery on Irish Adults |
| title_full_unstemmed | The Impact of Strabismus Surgery on Irish Adults |
| title_short | The Impact of Strabismus Surgery on Irish Adults |
| title_sort | impact of strabismus surgery on irish adults |
| topic | Adult Strabismus Strabismus Surgery Quality of Life Strabismus AS-20 |
| url | https://www.bioj-online.com/articles/107 |
| work_keys_str_mv | AT barrypower theimpactofstrabismussurgeryonirishadults AT melissamurphy theimpactofstrabismussurgeryonirishadults AT johnstokes theimpactofstrabismussurgeryonirishadults AT barrypower impactofstrabismussurgeryonirishadults AT melissamurphy impactofstrabismussurgeryonirishadults AT johnstokes impactofstrabismussurgeryonirishadults |