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Research article
Factors influencing the self-reported sense of deviation in adults with successful surgical outcomes for strabismus
Xinping Yu
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3849-4275
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This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Ophthalmology.
Background To determine whether a sense of deviation remains in adults with successful motor alignment who fulfil diplopia criteria after surgery and to examine the factors associated with this judgement. Methods This was a retrospective study. Adult patients defined as having a successful outcome based on more than one year of post-operative follow-up visits were included in the study. The sense of deviation was determined at the last visit. Pre- and post-operative deviation and characteristics including age, gender, education level, occupation, diagnosis, size of deviation, extraocular movement (EOM), binocular function, and health-related quality of life (HRQOL) were recorded. Results In total, 22 (24%) of the 91 adults with successful surgical outcomes reported a sense of deviation. No significant differences were noted between subjects with and without a sense of deviation regarding patient demographics, pre- and post-operative deviation, changes in deviation, sensory fusion or EOM. Subjects with a sense of deviation had an increased prevalence of and larger post-operative vertical deviation, poorer stereo function, and lower HRQOL scores than those with no sense of deviation. The presence of post-operative vertical deviation was associated with a sense of deviation. Conclusions Approximately one-fourth (24%) of adults defined as having successful surgical outcomes who still had a sense of deviation exhibited worse stereo function, higher vertical deviation size and lower HRQOL scores. The presence of 3 to 5 prism dioptres(pd) of vertical deviation would be the main factor associated with a sense of deviation post-operatively.
Keywords
strabismus, surgery, self-sense, outcome，deviation
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CURRENT STATUS: Published
Version 4
Posted 02 Jan, 2020
Published
On 06 Jan, 2020
No community comments so far
Submission checks complete
On 29 Dec, 2019
Editorial decision: Accept
On 28 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 21 Dec, 2019
Review #1 received
Received 19 Dec, 2019
Reviewers invited
Invitations sent on 18 Dec, 2019
Reviewer #1 agreed
On 18 Dec, 2019
Editor assigned
On 16 Dec, 2019
Submission checks complete
On 15 Dec, 2019
Editor invited
On 15 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 01 Dec, 2019
Reviewer #2 agreed
On 29 Nov, 2019
Review #2 received
Received 29 Nov, 2019
Review #1 received
Received 14 Nov, 2019
Reviewers invited
Invitations sent on 06 Nov, 2019
Reviewer #1 agreed
On 06 Nov, 2019
Editor assigned
On 28 Oct, 2019
Submission checks complete
On 27 Oct, 2019
Editor invited
On 27 Oct, 2019
No comments provided
Editorial decision: Major revision
On 30 Aug, 2019
Review #2 received
Received 05 Jul, 2019
Reviewer #3 agreed
On 30 Jun, 2019
Reviewer #2 agreed
On 26 Jun, 2019
Review #1 received
Received 15 Jan, 2019
Reviewer #1 agreed
On 07 Jan, 2019
Editor assigned
On 11 Nov, 2018
Reviewers invited
Invitations sent on 11 Nov, 2018
Editor invited
On 09 Nov, 2018
Submission checks complete
On 09 Nov, 2018
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PDF Downloads: ...
HTML Views: ...
Subject Areas
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This preprint is under consideration at BMC Ophthalmology. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Factors influencing the self-reported sense of deviation in adults with successful surgical outcomes for strabismus
Xinping Yu
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3849-4275
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 4
Posted 02 Jan, 2020
Published
On 06 Jan, 2020
No community comments so far
Submission checks complete
On 29 Dec, 2019
Editorial decision: Accept
On 28 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 21 Dec, 2019
Review #1 received
Received 19 Dec, 2019
Reviewers invited
Invitations sent on 18 Dec, 2019
Reviewer #1 agreed
On 18 Dec, 2019
Editor assigned
On 16 Dec, 2019
Submission checks complete
On 15 Dec, 2019
Editor invited
On 15 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 01 Dec, 2019
Reviewer #2 agreed
On 29 Nov, 2019
Review #2 received
Received 29 Nov, 2019
Review #1 received
Received 14 Nov, 2019
Reviewers invited
Invitations sent on 06 Nov, 2019
Reviewer #1 agreed
On 06 Nov, 2019
Editor assigned
On 28 Oct, 2019
Submission checks complete
On 27 Oct, 2019
Editor invited
On 27 Oct, 2019
No comments provided
Editorial decision: Major revision
On 30 Aug, 2019
Review #2 received
Received 05 Jul, 2019
Reviewer #3 agreed
On 30 Jun, 2019
Reviewer #2 agreed
On 26 Jun, 2019
Review #1 received
Received 15 Jan, 2019
Reviewer #1 agreed
On 07 Jan, 2019
Editor assigned
On 11 Nov, 2018
Reviewers invited
Invitations sent on 11 Nov, 2018
Editor invited
On 09 Nov, 2018
Submission checks complete
On 09 Nov, 2018
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Internal Medicine Specialties
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Ophthalmology.
Background To determine whether a sense of deviation remains in adults with successful motor alignment who fulfil diplopia criteria after surgery and to examine the factors associated with this judgement. Methods This was a retrospective study. Adult patients defined as having a successful outcome based on more than one year of post-operative follow-up visits were included in the study. The sense of deviation was determined at the last visit. Pre- and post-operative deviation and characteristics including age, gender, education level, occupation, diagnosis, size of deviation, extraocular movement (EOM), binocular function, and health-related quality of life (HRQOL) were recorded. Results In total, 22 (24%) of the 91 adults with successful surgical outcomes reported a sense of deviation. No significant differences were noted between subjects with and without a sense of deviation regarding patient demographics, pre- and post-operative deviation, changes in deviation, sensory fusion or EOM. Subjects with a sense of deviation had an increased prevalence of and larger post-operative vertical deviation, poorer stereo function, and lower HRQOL scores than those with no sense of deviation. The presence of post-operative vertical deviation was associated with a sense of deviation. Conclusions Approximately one-fourth (24%) of adults defined as having successful surgical outcomes who still had a sense of deviation exhibited worse stereo function, higher vertical deviation size and lower HRQOL scores. The presence of 3 to 5 prism dioptres(pd) of vertical deviation would be the main factor associated with a sense of deviation post-operatively.