DOI: 10.4103/ojo.ojo_525_25 ISSN: 0974-620X

Strabismus surgery in elderly: Worth the trouble? results of objective and subjective analysis

R. Neena, Anjusree Nair

Abstract:

AIM:

The aim of the study was to analyze the functional and psychosocial impact of strabismus surgery in the elderly.

MATERIALS AND METHODS:

Prospective analysis of patients ≥60 years who underwent strabismus surgery (January 2022–January 23). Objective analysis with complete ophthalmic workup and strabismus evaluation, subjective analysis with questionnaires about the functional and psychosocial changes pre- and poststrabismus surgery. Objective and subjective scores calculated and compared.

RESULTS:

Total 16 patients (60–84 years); most were males. The majority had large-angle exotropia. About 93.75% opted for surgery for functional difficulties rather than cosmetic concerns. About 62.5% with preoperative compromised binocular vision (suppression/diplopia) attained fusion, and 43.75% achieved excellent stereopsis postsurgery. All had good cosmesis. Statistically significant changes were noted in objective score ( P < 0.001) and subjective score ( P < 0.001) postsurgery.

CONCLUSION:

Strabismus surgery in the elderly significantly improves the quality of life both functionally and psychosocially.

CLINICAL SIGNIFICANCE:

Strabismus surgery significantly improves the quality of life of the elderly, and the general misconception that it has limited benefits needs to be changed.

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