Strabismus surgery for Medicare-aged patients

more than a decade of insights

Sophia Y Fang, Nandini G Gandhi, Denise Satterfield, Mary A O'Hara

Research output: Contribution to journalArticle

Abstract

Background: The psychosocial and functional impact of strabismus among the elderly is increasingly important as life expectancy increases and factors that enhance the quality of life become more significant. The purpose of this study was to characterize the demographics, presenting complaints, health status, underlying etiology, and outcomes of strabismus surgery in three age cohorts of Medicare-aged patients. Methods: The medical records of patients at least 65 years of age who underwent strabismus surgery between 2004 and 2015 in a university-based strabismus practice were reviewed retrospectively. Results: A total of 110 patients were identified and divided into three age cohorts for analysis: young-old (age 65-74), middle-old (age 75-84), and old-old (age 85+). At least 75% of patients in all cohorts cited diplopia as their chief complaint (P = 0.87). There was no difference in sex distribution, type of deviation, underlying etiology, or preoperative American Society of Anesthesiologists physical status classification scores between the cohorts (P = 0.68, P = 0.53, P = 0.71, P = 0.93, resp.). By the 6- to 8-week postoperative visit, 63% of all patients reported complete resolution of their presenting chief complaint, 23% reported some improvement, and 11% reported no improvement, with no difference between the cohorts (P = 0.12). Conclusions: Given the functional and psychosocial impact of strabismus in the elderly, this study lends support to consideration of surgery as a viable option to successfully treat strabismus among the oldest age cohorts.

Original languageEnglish (US)
Pages (from-to)170-173.e1
JournalJournal of AAPOS
Volume22
Issue number3
DOIs
StatePublished - Jun 1 2018

Fingerprint

Strabismus
Medicare
Paraphilic Disorders
Sex Distribution
Diplopia
Life Expectancy
Health Status
Medical Records
Cohort Studies
Quality of Life
Demography

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Ophthalmology

Cite this

Strabismus surgery for Medicare-aged patients : more than a decade of insights. / Fang, Sophia Y; Gandhi, Nandini G; Satterfield, Denise; O'Hara, Mary A.

In: Journal of AAPOS, Vol. 22, No. 3, 01.06.2018, p. 170-173.e1.

Research output: Contribution to journalArticle

@article{04cf8d55600642099ffcbcf0fe2f7c09,
title = "Strabismus surgery for Medicare-aged patients: more than a decade of insights",
abstract = "Background: The psychosocial and functional impact of strabismus among the elderly is increasingly important as life expectancy increases and factors that enhance the quality of life become more significant. The purpose of this study was to characterize the demographics, presenting complaints, health status, underlying etiology, and outcomes of strabismus surgery in three age cohorts of Medicare-aged patients. Methods: The medical records of patients at least 65 years of age who underwent strabismus surgery between 2004 and 2015 in a university-based strabismus practice were reviewed retrospectively. Results: A total of 110 patients were identified and divided into three age cohorts for analysis: young-old (age 65-74), middle-old (age 75-84), and old-old (age 85+). At least 75{\%} of patients in all cohorts cited diplopia as their chief complaint (P = 0.87). There was no difference in sex distribution, type of deviation, underlying etiology, or preoperative American Society of Anesthesiologists physical status classification scores between the cohorts (P = 0.68, P = 0.53, P = 0.71, P = 0.93, resp.). By the 6- to 8-week postoperative visit, 63{\%} of all patients reported complete resolution of their presenting chief complaint, 23{\%} reported some improvement, and 11{\%} reported no improvement, with no difference between the cohorts (P = 0.12). Conclusions: Given the functional and psychosocial impact of strabismus in the elderly, this study lends support to consideration of surgery as a viable option to successfully treat strabismus among the oldest age cohorts.",
author = "Fang, {Sophia Y} and Gandhi, {Nandini G} and Denise Satterfield and O'Hara, {Mary A}",
year = "2018",
month = "6",
day = "1",
doi = "10.1016/j.jaapos.2017.12.017",
language = "English (US)",
volume = "22",
pages = "170--173.e1",
journal = "Journal of AAPOS",
issn = "1091-8531",
publisher = "Mosby Inc.",
number = "3",

}

TY - JOUR

T1 - Strabismus surgery for Medicare-aged patients

T2 - more than a decade of insights

AU - Fang, Sophia Y

AU - Gandhi, Nandini G

AU - Satterfield, Denise

AU - O'Hara, Mary A

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Background: The psychosocial and functional impact of strabismus among the elderly is increasingly important as life expectancy increases and factors that enhance the quality of life become more significant. The purpose of this study was to characterize the demographics, presenting complaints, health status, underlying etiology, and outcomes of strabismus surgery in three age cohorts of Medicare-aged patients. Methods: The medical records of patients at least 65 years of age who underwent strabismus surgery between 2004 and 2015 in a university-based strabismus practice were reviewed retrospectively. Results: A total of 110 patients were identified and divided into three age cohorts for analysis: young-old (age 65-74), middle-old (age 75-84), and old-old (age 85+). At least 75% of patients in all cohorts cited diplopia as their chief complaint (P = 0.87). There was no difference in sex distribution, type of deviation, underlying etiology, or preoperative American Society of Anesthesiologists physical status classification scores between the cohorts (P = 0.68, P = 0.53, P = 0.71, P = 0.93, resp.). By the 6- to 8-week postoperative visit, 63% of all patients reported complete resolution of their presenting chief complaint, 23% reported some improvement, and 11% reported no improvement, with no difference between the cohorts (P = 0.12). Conclusions: Given the functional and psychosocial impact of strabismus in the elderly, this study lends support to consideration of surgery as a viable option to successfully treat strabismus among the oldest age cohorts.

AB - Background: The psychosocial and functional impact of strabismus among the elderly is increasingly important as life expectancy increases and factors that enhance the quality of life become more significant. The purpose of this study was to characterize the demographics, presenting complaints, health status, underlying etiology, and outcomes of strabismus surgery in three age cohorts of Medicare-aged patients. Methods: The medical records of patients at least 65 years of age who underwent strabismus surgery between 2004 and 2015 in a university-based strabismus practice were reviewed retrospectively. Results: A total of 110 patients were identified and divided into three age cohorts for analysis: young-old (age 65-74), middle-old (age 75-84), and old-old (age 85+). At least 75% of patients in all cohorts cited diplopia as their chief complaint (P = 0.87). There was no difference in sex distribution, type of deviation, underlying etiology, or preoperative American Society of Anesthesiologists physical status classification scores between the cohorts (P = 0.68, P = 0.53, P = 0.71, P = 0.93, resp.). By the 6- to 8-week postoperative visit, 63% of all patients reported complete resolution of their presenting chief complaint, 23% reported some improvement, and 11% reported no improvement, with no difference between the cohorts (P = 0.12). Conclusions: Given the functional and psychosocial impact of strabismus in the elderly, this study lends support to consideration of surgery as a viable option to successfully treat strabismus among the oldest age cohorts.

UR - http://www.scopus.com/inward/record.url?scp=85046167129&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85046167129&partnerID=8YFLogxK

U2 - 10.1016/j.jaapos.2017.12.017

DO - 10.1016/j.jaapos.2017.12.017

M3 - Article

VL - 22

SP - 170-173.e1

JO - Journal of AAPOS

JF - Journal of AAPOS

SN - 1091-8531

IS - 3

ER -