{
  "abstract": "The Adult-Strabismus-20 (AS-20) questionnaire is a validated tool to assess health-related quality-of-life, helpful to incorporate into strabismus-surgical care-pathway.Pre/postoperative AS-20 scores extracted from a single surgeon’s logbook, 2014–2025.174 consecutive datasets (23 excluded with incomplete datasets, 45% male) were analysed. AS-20 significantly improved postoperatively (psychosocial median 52.25/100 to 90/100, functional 50/100 to 82.5/100, p<0.00001). Redo-surgery had worse preoperative (median 37.5/100 vs 62.5/100, p=0.00452) and postoperative (median 80/100 vs 95/100, p=0.01352) psychosocial scores, compared to first-time surgeries. Diplopia was associated with lower preoperative functional scores (mean 47.20 vs 53.66, p=0.05644), and higher psychosocial scores both preoperatively (median 65/100 vs 37.5/100, p<0.00001) and postoperatively (median 83.75/100 vs 80.6/100, p=0.04236), compared to nondiplopic patients. Lower socio-economic deprivation indices correlated with lower preoperative psychosocial scores (r=0.22, p=0.00568), and bigger improvement (r=-0.24, p=0.00306) post-operatively. Larger preoperative deviation-angles correlated with worse psychosocial scores (r=-0.42, p<0.00001). Greater deviation-angle correction correlated with greater improvement (r=0.30, p=0.00015). Postoperative final deviation-angle did not influence final-AS-20 (psychosocial p=0.45083, functional p=0.30713). Females had lower preoperative (mean 45.83/100 vs 55.67/100) and postoperative (median 80/100 vs 95/100) scores. Younger patients had worse preoperative psychosocial scores (r=0.25, p=0.00210), but experienced greater improvement (r=-0.27, p=0.00081). Older patients had better postoperative functional scores (r=-0.15522, p=0.05703). Functional scores were not impacted by redo-surgery, deviation-angle or deprivation indices (p-range 0.10960–0.99200).AS-20 remains a valuable tool for capturing patient-centred outcomes, useful for strabismologists to consider and be mindful in managing patient expectations.Ocular-realignment surgery improves quality-of-life. Sociodemographic, redo-surgery, deviation-angle, gender and age can influence patients’ subjective self-reported health-related quality-of-life.",
  "authors": [
    {
      "affiliations": [
        "Sheffield University, UK"
      ],
      "name": "Milad Sammouh"
    },
    {
      "affiliations": [
        "Sheffield Teaching Hospitals NHS Foundation Trust, UK"
      ],
      "name": "Jessy Choi"
    }
  ],
  "title": "130031 Sociodemographic and clinical quality-of-life predictors following adult strabismus surgery: an observational cohort using AS-20—are patients scoring what truly matters?",
  "uid": "e195e129-2040-5f20-8337-20b772a2e2d2"
}