Is the frequency of adult strabismus surgery increasing?

Astle, Andrew T.; Foulsham, Thomas; Foss, Alexander J.; McGraw, Paul V.

Abstract

Purpose
In recent years there has been an increase in evidence for the functional and psychosocial benefits of correcting strabismus/heterotropia in adults. This study aimed to establish whether there has been an associated change in the frequency of strabismus surgery performed on adults in England since 2000.

Methods
Data on strabismus surgery performed in England between 2000 and 2014 were obtained from Hospital Episode Statistics, Health and Social Care Information Centre, England. The frequency of strabismus surgery was analysed for different age groups. Data were considered in the context of total population data for England, obtained from the Office for National Statistics

Results
There was little change in the total number of strabismus operations performed in 2000 to 2014 (1% reduction). In the same period the number of operations performed on children aged 0-¬‐15 years decreased by 17%. In contrast, there was a 24% increase in the number of strabismus operations performed on patients aged 15 years or older.

Conclusions
Although strabismus surgery is still most commonly performed on children, the data show there has been a significant increase in the number of strabismus operations performed on adults. We speculate that this increase is connected to the growing weight of evidence detailing the functional and psychosocial consequences of strabismus. These results have potential implications for the delivery of future care

Citation

Astle, A. T., Foulsham, T., Foss, A. J., & McGraw, P. V. (in press). Is the frequency of adult strabismus surgery increasing?. Ophthalmic and Physiological Optics, 36(4), https://doi.org/10.1111/opo.12306

• Journal Article Type: Article
• Acceptance Date: May 11, 2016
• Online Publication Date: Jun 28, 2016
• Deposit Date: May 16, 2016
• Publicly Available Date: Jun 28, 2016
• Journal: Ophthalmic and Physiological Optics
• Print ISSN: 0275-5408
• Electronic ISSN: 1475-1313
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 36
• Issue: 4
• DOI: https://doi.org/10.1111/opo.12306
• Keywords: strabismus; heterotropia; surgery; amblyopia
• Public URL: https://nottingham-repository.worktribe.com/output/793119
• Publisher URL: http://onlinelibrary.wiley.com/doi/10.1111/opo.12306/abstract;jsessionid=E35A0CF52318FF29B21E0B7789439180.f03t02
• Additional Information: This is the peer reviewed version of the following article: Astle A.T., Foulsham T., Foss A.J. & McGraw P.V. Is the frequency of adult strabismus surgery increasing? Ophthalmic Physiol Opt 2016; 36: 487–493, which has been published in final form at doi:10.1111/opo.12306. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.