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

McBain, H. B., Au, C. K., Hancox, J. , MacKenzie, K., Ezra, D. G., Adams, G. G. W. & Newman, S. P. (2014). The impact of strabismus on quality of life in adults with and without diplopia: a systematic review. Survey of Ophthalmology, 59(2), pp. 185-191. doi: 10.1016/j.survophthal.2013.04.001


Strabismus affects approximately 4% of the adult population and can cause substantial physical disturbance and changes to appearance. This article aims to examine the impact of strabismus in adults both with and without diplopia, focusing primarily on quality of life (QoL). We highlight the value of measuring QoL, assess the ways in which it can be measured, and the impact the disease, diplopia, and surgery have on the patient. QoL differs for strabismus patients based on their diplopia status. Patients with diplopia tend to have more concerns relating to functional QoL, whereas patients without diplopia have primarily psychosocial concerns. Two diplopia-specific questionnaires have been designed to assess QoL and the perceived severity of symptoms. Further research is needed to identify the variables which influence QoL so that appropriate support can be given to all patients with strabismus to improve their QoL.

Publication Type: Article
Additional Information: NOTICE: this is the author’s version of a work that was accepted for publication in Survey of Ophthalmology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Survey of Ophthalmology, Volume 59, Issue 2, March–April 2014, Pages 185–191,
Publisher Keywords: diplopia; strabismus; quality of life; measurement; anxiety; depression
Subjects: R Medicine > RC Internal medicine
R Medicine > RE Ophthalmology
Departments: School of Health & Psychological Sciences > Nursing
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