Muhammad Nazim, Muhammad Bilal, Lal Muhammad, Muhammad Naeem, Mushtaq Ahmad, Bilal Bashir.
Evaluation of Functional & Psycho-social Impact in Adult Strabismus.
Ophthalmol Update Jan ;12(2):92-4.

Objective: To evaluate functional and psychosocial impact of strabismus in adult patients using adult strabismus 20 questionnaire (AS-20). Material and Methods: Patients were selected from in and out patient of Hayatabad Medical Complex from March 2012 to January 2013. 26 non-diplopiac strabismic patients, aged 17 years and above were interviewed using AS-20 questionnaire (10 psychosocial items and 10 functional items). Questions were presented in a simple understandable way. Patients responses were recorded using 5-point Likert scale (never =100, rarely =75, sometimes =50, often =25 and always =0). Mean overall, psychosocial and functional scores were recorded (Lower score worse impact). Scores were also recorded for both genders and different age groups. Results: The mean overall, psychosocial and functional scores were 51, 39 and 63 (mean score 84 for normal non strabismic). The difference between male and female group were not statistically significant (p-value >0.05). The mean psychosocial score in patient group above 30 years was 30 while it was 45 in below 30 years. This difference was statistically significant (p value < 0.05). Conclusion: AS-20 is a good tool for evaluation of psychosocial and function impact in adult strabismic patients. Affected patients may be considered for proper psychological counseling.

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