In this study the authors used the Pediatric Quality of Life Inventory (version 4.0) to evaluate impact of strabismus on health-related quality of life in Portuguese children. This was a prospective study of children aged 5–12 years over a nine-month period. They recruited 71 children – 35 as controls with no strabismus, and 36 children with strabismus. Mean age was 8.06 years (7.9 years for controls and 8.1 years for strabismics). Fifty-three-and-a-half percent were male. There were no significant differences between these two groups. Strabismus included 83.3% esotropia and the remainder with intermittent exotropia: 44.4% <10PD, 38.9% with 10–30PD and 16.7% with >30PD. Strabismic amblyopia was present in 16.7%. No / gross stereoacuity was in 16.7%, moderate stereo in 44.4% and fine stereo in 38.9%. History of prior strabismus surgery >6 months ago was in 72.2%. Overall, the strabismic group had slightly inferior quality of life performance scores. The esotropia children scored lower only in the emotional and social scores. The exotropia children scored worse in all dimensions. Scores were generally worse overall in those with large deviations. A trend to higher sores was found with better stereoacuity, along with higher scores in those with prior surgery.
Quality of life scores in strabismic children
Reviewed by Fiona Rowe
Strabismus and health-related quality of life in a pediatric Portuguese population.
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
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