Strabismus Clinical Trial
Official title:
Assessing the Functional and Psychosocial Impact of Strabismus in Asian Children Using the AS-20 and IXTQ Questionnaires
Studies suggest that strabismus has a negative impact on a person's self-image,
interpersonal relationships, emotional and psychosocial state (4-15). There are, however,
few such studies based in Asia, and the functional and psycho-social impact of disease is
often neglected in our management of strabismus in Singapore. The aim of this pilot study is
to measure quality-of-life (QOL) among strabismic children in Singapore so as to better
understand the functional and psychosocial issues faced by these children in their daily
living. The investigators also hope to evaluate the performance of the Intermittent
Exotropia Questionnaire (IXTQ) (2) and Adult Strabismus Quality of Life Questionnaire
(AS-20) (1) and to determine if differences between child and parental perceptions exist.
60 children with strabismus presenting to the KKWCH Eye Centre and their parents will be
invited to participate in the study and answer questions in 2 Pediatric Eye Disease
Investigator Group (PEDIG)-validated questionnaires (i.e. the IXTQ and AS-20). 30 children
aged 5-7 years will answer the 12-question IXTQ (5-7 years), while 30 children aged 8-16
years will answer the 12-question IXTQ (8-16 years) and the 20-question AS-20
questionnaires. Their parents will answer the self-administered IXTQ child-proxy (12
questions), IXTQ parental (17 questions) and modified AS20 child-proxy questionnaires (20
questions). For comparison, 60 aged-matched children without strabismus or amblyopia (30
aged 5-7 years, and 30 aged 8-16) and their parents will also be invited to answer similar
questionnaires (controls).
Results will be analysed question-by-question and then by composite score, and comparison
will be made between child and parental-proxy measures, as well as with scores obtained from
myopic children. It is hoped, that from this study, we will be able to assess the usefulness
of the IXTQ and AS-20 instruments as measures of QOL in strabismic children, and to assess
the feasibility of its use in a larger study looking at the impact of strabismus and its
treatment in Singaporean children.
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