The incidence and clinical outcome of complications in 4,000 consecutive strabismus operations

Ritchie, Ailsa E.; Ali, Nadeem

doi:10.1016/j.jaapos.2018.08.015

Cited by 5 publications

(1 citation statement)

References 15 publications

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“…Strabismus surgery for psychosocial reasons is considered low cost, relatively low risk (Bradbury & Taylor 2013;Ritchie & Ali 2019), highly cost effective (Beauchamp et al 2005;Beauchamp et al 2006;Fujiike et al 2011) and beneficial for patients (Das et al 2017;Royal College of Ophthalmologists 2016). Whilst the NHS has not withdrawn funding for strabismus surgery, some areas of England were no longer funding strabismus surgery, unless the patient has visual symptoms (such as diplopia) or proven visual benefit from treatment (such as regaining BSV).…”

Section: Introductionmentioning

confidence: 99%

Strabismus Surgery for Psychosocial Reasons—A Literature Review

Arblaster,

Buckley,

Barnes

et al. 2024

British and Irish Orthoptic Journal

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Introduction: Strabismus surgery may be undertaken for visual benefit, to improve or eliminate diplopia symptoms, or to restore or improve binocular single vision (BSV). In patients without visual symptoms or expected visual benefit, strabismus surgery may still be undertaken if the presence of strabismus causes the patient psychosocial symptoms. To evaluate strabismus surgery undertaken for psychosocial reasons, evidence of postoperative outcomes in this specific cohort is needed. Methods:A systematic search of the literature was conducted to identify evidence where postoperative outcomes were reported for adult patients (age 18 years and above) who had undergone strabismus surgery for psychosocial reasons.Results: Sixty-nine papers were included in the literature review. Most sources of evidence included patients within heterogeneous cohorts of strabismus surgery outcomes, with a range of symptoms and differing surgical aims.Discussion: In adults who underwent strabismus surgery for psychosocial reasons, improved postoperative ocular alignment and/or improved health related quality of life (HRQoL) were common. Strabismus surgery outcomes appeared to be measured satisfactorily at three months postoperatively. Additional surgical outcomes, including an expanded field of vision, unexpected BSV, improved binocular summation, improved task performance and improved eye movements have been reported, but not fully investigated. There was a lack of consensus on how postoperative success should be defined and measured. A core outcome set for strabismus has been suggested and there is potential to add to the available evidence by investigating which outcome measures are most relevant to those with strabismus and psychosocial symptoms. There is a growing need for robust evidence in this specific subgroup of patients due to a lack of evidence specifically reporting postoperative outcomes in adults with strabismus and psychosocial symptoms.

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