Study of the Psychosocial Aspects of Strabismus

Journal of Pediatric Ophthalmology and Strabismus - Tập 39 Số 4 - Trang 203-208 - 2002
Vimla Menon1, Joysree Saha, Radhika Tandon, Minesh P. Mehta
1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi;

Tóm tắt

ABSTRACT Purpose: To systematically evaluate the perception of psychosocial difficulties due to strabismus and the impact of corrective surgery in adolescents and young adults in India. Methods: Patients 1 5 to 25 years of age with childhood onset (≤ 5 years of age) of constant concomitant squint (≥ 30 prism diopters of deviation for distance) were included in the study. After a detailed orthoptic evaluation, demographic data of the patients and their parents were recorded. Postgraduate Institute Health Questionnaire N-2 (standardized in India) was administered to rule out neuroticism in the patients. Psychosocial problems faced by the patients were evaluated with a semistructured interview schedule. Patients were evaluated 3 months after surgery using a similar interview schedule to assess the psychological impact of surgery. Results: Eighty percent of both male and female patients had problems in their social life; 85% of the males and 75% of the females had personal problems due to squint. After surgery, a positive change in appearance was noticed by 97.5% and 95% noticed a change in self-esteem and selfconfidence. Conclusion: These patients had difficulties with self-image and interpersonal relationships, faced ridicule at school and work, and generally avoided activities that brought attention to their defect. Substantial changes were noticed in them after corrective surgery, and the differences in their scores before and after surgery were statistically significant. Journal of Pediatric Ophthalmology and Strabismus 2002;39:203-208.

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Tài liệu tham khảo

1. Satterfield D. Keltner JL. Morrison TL. Psychosocial aspects of strabismus study. Arch Ophthalmol. 1 993; 1 1 1:1 1 00-1 105.

2. Burke JP Leach CM Davis H. Psychosocial implications of strabismus surgery in adults. J Pediatr Ophthalmol Strabismus. 1997:34:159-164.

3. Olitsky SE Sudcsh S. Graziano A Hamblen J Brooks SE. Shaha SH. The negative psychosocial impact of strabismus in adults. J AAPOS. 1999;3:209-211.

4. Lion EG. O'Neill G. Prager RE. Strabismus and children's personality reactions. AmJ Orthopsychiatry. 1943;13:121-124.

5. Gray C Ansons A Kinccy J. Psychological characteristics of orthoptic patients being assessed for cosmetic strabismus surgery. In: Spiritus M ed. Transactions of the 22nd Meeting of the European Strabismological Association. Cambridge UK: Aeolous Press; 1995:91-95.

6. Verma SK. Construction and Standardization of PGI Health Questionnaire N-2. Agra India: Psychological Research Cell; 1978.

7. Burden A. The stigma of strabismus: an ophthalmologist's perspective. Arch Ophthalmol. I994;l 12:302.

8. Lipton EL. A study of the psychological effects of strabismus. Psychoanal Study Child. 1970:25:146-174.

9. Duke-Elder S. Text Book of Ophthalmology: The Neurology of Vision. Motor and Optica/ Anomalies. St. Louis. MO: Mosby; 1949.

10. Tonge BJ. Lipton GL. Crawford G. Psychological and educational correlates of strabismus in school children. Aust N Z J Psychiatry. 1984;18:71-77.

11. Keltner JL. Strabismus surgery in adults: functional and psychosocial implications. Arch Ophthalmol. 1993;1 12:599-600.