Childhood intermittent exotropia from a different angle: does severity affect quality of life?

Lim, Shin Bin; Wong, Wan Ling; Wong, Inez B.

doi:10.1016/j.jaapos.2015.07.158

Cited by 2 publications

(5 citation statements)

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“…Our results are inconsistent with the findings of Lim et al's recent report in which the Child IXTQ scores were not correlated with strabismus severity, i.e., the deviation, stereo function, and Newcastle control scores [13]. Several reasons might account for this difference between the two studies.…”

Section: Discussioncontrasting

confidence: 99%

“…We found that the proxy child HRQOL and parent HRQOL were associated with the size of deviation and control score. It was also supported by previous studies, as from the parent's prospective, the "comments from others" and "worry about the surgery" were the most concerning to the parents regarding their children's intermittent exotropia [10,11].The parents may worry about the influence of the social prejudice on their child, especially if the child's squinting is more pronounced and less controlled [13].…”

Section: Discussionsupporting

confidence: 64%

“…Sample size: Lim et al [13] did not find significant correlation between child HRQOL and clinical severity with 63 patients. We estimated the sample size for our study before recruiting patients.…”

Section: Methodsmentioning

confidence: 87%

“…However, few studies have evaluated the correlation between the severity of intermittent exotropia and HRQOL. In one recent study by Lim et al [13], child HRQOL did not correlate with clinical severity. However, given the small sample size (i.e., 63) and relatively narrow spectrum of severity of intermittent exotropia in their study, whether HRQOL is correlated with the clinical severity of this condition remains uncertain.…”

Section: Introductionmentioning

confidence: 87%

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Health-related quality of life correlated with the clinical severity of intermittent exotropia in children

Wang

et al. 2019

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Object To evaluate whether the results of the health-related quality of life (HRQOL) is associated with the various clinical aspects of intermittent exotropia in children. Methods The HRQOL of children and their parents was evaluated prospectively using the Intermittent Exotropia Questionnaire (IXTQ). The deviation angle, stereo function, sensory fusion, and strabismus control were measured. Results Two hundred and sixty six children with intermittent exotropia (aged 5-17 years) were included in the study. Child HRQOL was significantly correlated with clinical severity; lower IXTQ scores were associated with a larger deviation (p < 0.001 both for distance and near) and poorer Newcastle control scores (p < 0.001). Proxy child HRQOL was significantly correlated with the deviation (p < 0.001), Newcastle control scores (p < 0.001) and stereo function (p < 0.05). Parent HRQOL was associated with their child's deviation (p < 0.01) and stereo function (p < 0.005). Multiple linear regression analysis suggested that the deviation angle at distance and the Newcastle control score at home were associated with the child's HRQOL. Conclusion Both the child and their parents' HRQOL showed a trend toward correlating with clinical severity. Large deviation, poor control, and poor stereo function were significantly associated with lower IXTQ scores. The deviation angle at distance and exotropia control at home were associated with the child's HRQOL.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 64%

Section: Methodsmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 87%

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Health-related quality of life correlated with the clinical severity of intermittent exotropia in children

Wang

et al. 2019

Eye

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“…87 After strabismus surgery, adults have reported improved confidence, self-esteem, and interpersonal interactions. 80 There is evidence that the severity of exotropia negatively affects a child and/or his or her parent's quality of life, 169,170 whereas surgical intervention may have a positive impact on a child's quality of life. 171,172,200 In a pilot randomized trial comparing surgery with active monitoring, the children randomized to surgery had significantly better quality of life scores for psychosocial and visual function subscales.…”

Section: Rationale For Treatmentmentioning

confidence: 99%