title: Quality of life in adults with strabismus.
abstract: To assess relative quality of life in patients with strabismus.
  
  
  
  Retrospective cohort study.
  
  
  
  The 25-item National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25) was performed in 42 strabismic adults over the age of 50 years at a single institution. Subscale scores were compared with those of patients with other ocular diseases, including diabetic retinopathy, age-related macular degeneration (AMD), glaucoma, cataract, cytomegalovirus (CMV) retinitis, and low vision.
  
  
  
  Median visual acuity was 20/20 (range 20/12.5-20/50), and 34 patients (81%) reported diplopia. Strabismic patients performed the same or worse on nearly all vision-related subscales than did patients with diabetic retinopathy, age-related macular degeneration, glaucoma, cataract, and CMV retinitis. Additionally, strabismic patients reported significantly worse ocular pain than all comparison groups before any surgery was performed.
  
  
  
  Strabismus impacts quality of life through both functional and psychosocial factors. Physicians treating strabismic patients should recognize these quality-of-life issues and address them accordingly.
authors.affiliation: Stein Eye Institute and the Department of Ophthalmology, University of California, Los Angeles, Los Angeles, California.
authors.forename: Melinda Y
authors.initials: MY
authors.lastname: Chang
authors.affiliation: Stein Eye Institute and the Department of Ophthalmology, University of California, Los Angeles, Los Angeles, California.
authors.forename: Federico G
authors.initials: FG
authors.lastname: Velez
authors.affiliation: Stein Eye Institute and the Department of Ophthalmology, University of California, Los Angeles, Los Angeles, California.
authors.forename: Joseph L
authors.initials: JL
authors.lastname: Demer
authors.affiliation: Stein Eye Institute and the Department of Ophthalmology, University of California, Los Angeles, Los Angeles, California.
authors.forename: Sherwin J
authors.initials: SJ
authors.lastname: Isenberg
authors.affiliation: Stein Eye Institute and the Department of Ophthalmology, University of California, Los Angeles, Los Angeles, California.
authors.forename: Anne L
authors.initials: AL
authors.lastname: Coleman
authors.affiliation: Stein Eye Institute and the Department of Ophthalmology, University of California, Los Angeles, Los Angeles, California.
authors.forename: Stacy L
authors.initials: SL
authors.lastname: Pineles
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000523:psychology; D015331:Cohort Studies; D017726:Cytomegalovirus Retinitis / Q000523:psychology; D003930:Diabetic Retinopathy / Q000523:psychology; D005260:Female; D005901:Glaucoma / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D012189:Retrospective Studies; D018434:Sickness Impact Profile; D013285:Strabismus / Q000523:psychology*; D011795:Surveys and Questionnaires; D015354:Vision, Low / Q000523:psychology; D014792:Visual Acuity