Effects of corrective surgery on social phobia, psychological distress, disease-related disability and quality of life in adult strabismus patients

Br J Ophthalmol. 2014 Jul;98(7):876-9. doi: 10.1136/bjophthalmol-2014-304888.


Background: Corrective surgery is done for ocular alignment and disrupted facial expression in some cases of adult strabismus patients. The effects of corrective surgery on the presence of social phobia (SP) diagnosis, the severity of social anxiety symptoms, the disease-related disability and the quality of life (QoL) among strabismus patients have not been thoroughly studied yet.

Methods: The study sample was composed of patients who had undergone corrective surgery for strabismus. Preoperative and postoperative evaluations made by using standardised measures of social phobia diagnosis (DSM-IV-TR) and severity (Liebowitz Social Anxiety Scale (LSAS)), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), disability (Sheehan Disability Scale) and quality of life (short form-36).

Results: Preoperatively, SP diagnosis was detected in 17 of 31 (54.8%) patients, whereas postoperatively 6 of 31 (19.4%) patients had SP (p=0.001). Participants showed a significant decrease in all subscale scores and total score of both LSAS and HADS compared with their preoperative scores. Significant improvements were observed in QoL and disability scores as well.

Conclusions: Adult strabismus patients seem to gain benefits from corrective surgery not only for their ocular misalignment but also for social anxiety levels that may be associated with improvements in their QoL and disability levels.

MeSH terms

  • Adolescent
  • Adult
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / psychology*
  • Disability Evaluation*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Oculomotor Muscles / surgery*
  • Ophthalmologic Surgical Procedures
  • Phobic Disorders / diagnosis
  • Phobic Disorders / psychology*
  • Postoperative Period
  • Quality of Life / psychology*
  • Severity of Illness Index
  • Strabismus / psychology
  • Strabismus / surgery*
  • Stress, Psychological*
  • Surveys and Questionnaires
  • Vision, Binocular / physiology
  • Young Adult