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The Impact of Congenital Strabismus Surgery on Quality of Life in Children
PURPOSE: To assess quality of life (QOL) in children undergoing strabismus surgery. METHODS: This prospective cohort study included 87 children (including 41 boys, 47.1%) with mean age of 8.7 ± 4.1 years at three academic eye hospitals in Tehran. A modified version of the RAND Health Insurance Study...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4926567/ https://www.ncbi.nlm.nih.gov/pubmed/27413500 http://dx.doi.org/10.4103/2008-322X.183918 |
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author | Ziaei, Hossein Katibeh, Marzieh Mohammadi, Shadin Mirzaei, Mahbobeh Moein, Hamid-Reza Kheiri, Bahareh Taghaddos, Shoreh Rajavi, Zhale |
author_facet | Ziaei, Hossein Katibeh, Marzieh Mohammadi, Shadin Mirzaei, Mahbobeh Moein, Hamid-Reza Kheiri, Bahareh Taghaddos, Shoreh Rajavi, Zhale |
author_sort | Ziaei, Hossein |
collection | PubMed |
description | PURPOSE: To assess quality of life (QOL) in children undergoing strabismus surgery. METHODS: This prospective cohort study included 87 children (including 41 boys, 47.1%) with mean age of 8.7 ± 4.1 years at three academic eye hospitals in Tehran. A modified version of the RAND Health Insurance Study QOL questionnaire was filled based on interviews with parents before and three months after surgery. The questionnaire consisted of 36 Likert scale items ranging in score from 0 to 100, with higher scores representing better function. Relevant items were averaged together and categorized into 11 distinct QOL dimensions. RESULTS: The majority of QOL dimensions improved after strabismus surgery including functional limitation (92.36 ± 16.78 vs. 82.15 ± 20.92, P < 0.01), anxiety (68.61 ± 18.15 vs. 60.28 ± 19.19, P < 0.01), depression (82.31 ± 16.42 vs. 72.36 ± 17.72, P < 0.01), positive well-being (73.33 ± 14.69 vs. 70.56 ± 15.96, 0.048), social relations (79.43 ± 11.52 vs. 68.69 ± 30.98, 0.002), general health perception (76.4 ± 16.48 vs. 67.36 ± 18.9, P < 0.01), resistance/susceptibility (79.72 ± 13.4 vs. 71.02 ± 14.58, P < 0.01), satisfaction with development (73.81 ± 16.07 vs. 70.07 ± 14.98, P = 0.006), and eye alignment concerns (75.44 ± 15.89 vs. 53.14 ± 26.61, P < 0.01). Only self-reported prior health (71.73 ± 15.9 vs. 72.78 ± 15.29, P = 0.33) and parent-child closeness (72.92 ± 15.82 vs. 72.5 ± 17.99, P = 0.73) did not significantly improve. The amount of ocular realignment (more vs. less than 20 prism diopters [PD]) had a direct correlation with improvement in subscales of satisfaction with development (0.019) and eye alignment concerns (0.028). CONCLUSION: Strabismus surgery positively impacts physical and psychosocial function in children. Children with a greater amount of correction experienced more QOL improvement after surgery. |
format | Online Article Text |
id | pubmed-4926567 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-49265672016-07-13 The Impact of Congenital Strabismus Surgery on Quality of Life in Children Ziaei, Hossein Katibeh, Marzieh Mohammadi, Shadin Mirzaei, Mahbobeh Moein, Hamid-Reza Kheiri, Bahareh Taghaddos, Shoreh Rajavi, Zhale J Ophthalmic Vis Res Original Article PURPOSE: To assess quality of life (QOL) in children undergoing strabismus surgery. METHODS: This prospective cohort study included 87 children (including 41 boys, 47.1%) with mean age of 8.7 ± 4.1 years at three academic eye hospitals in Tehran. A modified version of the RAND Health Insurance Study QOL questionnaire was filled based on interviews with parents before and three months after surgery. The questionnaire consisted of 36 Likert scale items ranging in score from 0 to 100, with higher scores representing better function. Relevant items were averaged together and categorized into 11 distinct QOL dimensions. RESULTS: The majority of QOL dimensions improved after strabismus surgery including functional limitation (92.36 ± 16.78 vs. 82.15 ± 20.92, P < 0.01), anxiety (68.61 ± 18.15 vs. 60.28 ± 19.19, P < 0.01), depression (82.31 ± 16.42 vs. 72.36 ± 17.72, P < 0.01), positive well-being (73.33 ± 14.69 vs. 70.56 ± 15.96, 0.048), social relations (79.43 ± 11.52 vs. 68.69 ± 30.98, 0.002), general health perception (76.4 ± 16.48 vs. 67.36 ± 18.9, P < 0.01), resistance/susceptibility (79.72 ± 13.4 vs. 71.02 ± 14.58, P < 0.01), satisfaction with development (73.81 ± 16.07 vs. 70.07 ± 14.98, P = 0.006), and eye alignment concerns (75.44 ± 15.89 vs. 53.14 ± 26.61, P < 0.01). Only self-reported prior health (71.73 ± 15.9 vs. 72.78 ± 15.29, P = 0.33) and parent-child closeness (72.92 ± 15.82 vs. 72.5 ± 17.99, P = 0.73) did not significantly improve. The amount of ocular realignment (more vs. less than 20 prism diopters [PD]) had a direct correlation with improvement in subscales of satisfaction with development (0.019) and eye alignment concerns (0.028). CONCLUSION: Strabismus surgery positively impacts physical and psychosocial function in children. Children with a greater amount of correction experienced more QOL improvement after surgery. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4926567/ /pubmed/27413500 http://dx.doi.org/10.4103/2008-322X.183918 Text en Copyright: © Journal of Ophthalmic and Vision Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Ziaei, Hossein Katibeh, Marzieh Mohammadi, Shadin Mirzaei, Mahbobeh Moein, Hamid-Reza Kheiri, Bahareh Taghaddos, Shoreh Rajavi, Zhale The Impact of Congenital Strabismus Surgery on Quality of Life in Children |
title | The Impact of Congenital Strabismus Surgery on Quality of Life in Children |
title_full | The Impact of Congenital Strabismus Surgery on Quality of Life in Children |
title_fullStr | The Impact of Congenital Strabismus Surgery on Quality of Life in Children |
title_full_unstemmed | The Impact of Congenital Strabismus Surgery on Quality of Life in Children |
title_short | The Impact of Congenital Strabismus Surgery on Quality of Life in Children |
title_sort | impact of congenital strabismus surgery on quality of life in children |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4926567/ https://www.ncbi.nlm.nih.gov/pubmed/27413500 http://dx.doi.org/10.4103/2008-322X.183918 |
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