Psychosocial implications of strabismus surgery in adults

J Pediatr Ophthalmol Strabismus. 1997 May-Jun;34(3):159-64. doi: 10.3928/0191-3913-19970501-06.


Purpose: Adults with socially noticeable strabismus have been known to experience psychosocial difficulties as a result of their abnormal eye position. This study was designed to assess the impact of noticeable strabismus in adults and the psychosocial effects of surgical correction.

Methods: A total of 31 adults who underwent surgery for longstanding horizontal strabismus where poor alignment was the primary reason for consenting to surgery were requested to complete a self-reporting repertory grid to appraise the psychosocial consequences of corrective strabismus surgery.

Results: Prior to corrective surgery, the majority of subjects reported various psychosocial difficulties, considered by them to be wholly or partly due to their unsightly strabismus. A significant improvement in interpersonal interactions is apparent following strabismus surgery.

Conclusion: Surgery to improve ocular alignment appears to herald major improvements in the quality of psychosocial functioning for the majority of adults undergoing such surgical procedures (P < 0.001).

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Attitude to Health
  • Esotropia / psychology
  • Esotropia / surgery
  • Exotropia / psychology
  • Exotropia / surgery
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psychology
  • Strabismus / psychology*
  • Strabismus / surgery*
  • Surgical Procedures, Operative / psychology*