Background Corrective squint surgery has a significant psychological impact, affecting both the quality of life and mental health of patients. This study highlights the quantitative and subjective assessment of both the psychological and functional outcomes of squint surgery in adults having horizontal strabismus with no preoperative diplopia using a Quality-Of-Life Adult Strabismus 20 (QOL AS-20) questionnaire. Method The study is a retrospective cohort study on patients with uncomplicated, horizontal squint; with no vertical deviation and was conducted as part of a departmental clinical audit. It also aimed to challenge local clinical commissioning group (CCG) funding restrictions for what they regarded as a ‘cosmetic procedure’. The QOL AS-20 questionnaires were completed before and 3 months after surgery and were analysed using the paired Wilcoxon signed rank t-test which showed significant improvement. A Freedom of Information Act request sought information on strabismus surgery funding restrictions from all CCGs to explore variations in perceptions throughout England. Results 28 patients were included in the study. The overall success of squint surgery was 67.5%. The median QOL AS-20 questionnaire overall score increased from 28.125 to 88.75 (p value<0.00001), functional subscale from 46.25 to 87.5 (p value<0.00001) and psychological subscale from 15 to 90 (p value<0.00001). Conclusion Squint surgery in non-diplopic adults with horizontal squint surgery should be regarded as restorative of normal anatomy from a pathological state rather than a cosmetic procedure. Restrictions to accessing this surgery may increase, especially during post-COVID-19. This patient-focused service evaluation demonstrates the substantial psychosocial benefits of such surgery, as evidenced through quality-of-life assessments. No data are available. Not applicable.

中文翻译：

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使用生活质量 AS-20 问卷对无术前复视的成人进行水平斜视手术的心理和功能结果


背景 矫正斜视手术具有重大的心理影响，影响患者的生活质量和心理健康。本研究强调了使用生活质量成人斜视 20 （QOL AS-20） 问卷对患有水平斜视且术前无复视的成人斜视手术的心理和功能结果进行定量和主观评估。方法 该研究是一项针对无并发症水平斜视患者的回顾性队列研究;没有垂直偏差，并作为部门临床审计的一部分进行。它还旨在挑战当地临床调试小组 （CCG） 对他们认为的“整容手术”的资金限制。QOL AS-20 问卷在手术前和手术后 3 个月完成，并使用配对的 Wilcoxon 符号秩 t 检验进行分析，结果显示有显着改善。《信息自由法》要求所有 CCG 收集有关斜视手术资金限制的信息，以探索整个英格兰的看法差异。结果 纳入 28 例患者。斜视手术的总体成功率为 67.5%。QOL AS-20 问卷总分中位数从 28.125 增加到 88.75 （p 值<0.00001），功能分量表从 46.25 增加到 87.5 （p 值<0.00001） 和心理分量表从 15 增加到 90 （p 值<0.00001）。结论 非复视成人水平斜视手术应视为从病理状态恢复正常解剖结构，而不是整容手术。对进行这种手术的限制可能会增加，尤其是在 COVID-19 后。 这种以患者为中心的服务评估证明了这种手术的巨大社会心理益处，生活质量评估证明了这一点。没有可用的数据。不適用。