Purpose: To determine the reasons behind delayed surgical correction in patients with strabismus, to
reveal motivations for seeking treatment and to study the psychosocial and functional impacts of
strabismus on patients.
Method: It was prospective study included 52 patients with strabismus since Januarys’ 2023 to
October ‘2023 at Ispahani Islamia Eye Institute & Hospital. Patients aged >12 years with strabismus
for at least one year before surgical correction were included and excluded patients below 12 years
age, strabismus less than one-year duration, mental disabilities ,patients with facial abnormality and
paralytic squints. A validated questionnaire was used to collect data on age, gender, social class, level
of education, family history and presence of diplopia. All patients were underwent comprehensive
ophthalmic examination during preoperative and postoperative visit. Total SS-20 (and its subscales:
psychosocial and function) scores were calculated and analyzed.
Result: Study population was 52. Mean age was 25.29(range: 12-46) (SD=9.89). Female was (42.3%,
n= 22) where’s male was (57.7%, n=30).Commonest cause of delayed surgical correction was fear
from surgical complications (42.3%) followed by financial crisis 12(23%) and cause of undergo
surgery after this delay were to improve cosmesis (30.7%). Mean psycho social score was 58.15;
SD=7.68 where’s mean functional score was 55.75; SD=7.63. P Value is >0.05 which show no
significant difference between male and female.
Conclusion: Public education, increased awareness among health professionals and health insurance
policies can change this delayed surgery trend in Bangladeshi population and keep positive impact on
psychosocial and functional aspect on affected individuals.