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  6. Impact Of Horizontal Strabismus On Mental Health Among Children And Adults In China.
  1. Home
  2. Research Domains
  3. Biomedical And Clinical Sciences
  4. Paediatrics
  5. Infant And Child Health
  6. Impact Of Horizontal Strabismus On Mental Health Among Children And Adults In China.

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Impact of horizontal strabismus on mental health among children and adults in China.

Zhengyang Tao1, Zhixin Chen1, Jiao Wang2

  • 1Shenzhen Eye Hospital, Shenzhen Eye Medical Center, Southern Medical University, Shenzhen 518040, Guangdong Province, China.

Photodiagnosis and Photodynamic Therapy
|November 22, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Horizontal strabismus significantly impacts children's social anxiety, influenced by age and binocular function. Restoring binocular function post-surgery is crucial for ocular alignment and psychological well-being.

Keywords:
CAS-20Mental healthSASCSCL-90

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Area of Science:

  • Ophthalmology
  • Psychiatry
  • Pediatrics

Background:

  • Strabismus, a common eye condition, can affect visual perception and potentially impact mental health.
  • Previous research has explored the psychological effects of strabismus, but specific data on Chinese populations are limited.

Purpose of the Study:

  • To investigate the relationship between horizontal strabismus and mental health outcomes in pediatric and adult populations in China.
  • To identify factors associated with mental health status in individuals with strabismus.

Main Methods:

  • A cross-sectional study involving 49 children and 48 adults with horizontal strabismus was conducted.
  • Mental health was assessed using the Social Anxiety Scale for Children (SASC), Chinese Adult Strabismus Quality of Life Scale (CAS-20), and Symptom Checklist-90 (SCL-90).
Strabismus

Main Results:

  • No significant correlation was found between the angle of deviation and SCL-90 scores.
  • Social anxiety in children (SASC scores) was positively associated with age and negatively associated with binocular fusion.
  • Participants without binocular fusion exhibited higher social anxiety scores, particularly in social avoidance and distress.

Conclusions:

  • Horizontal strabismus significantly affects social anxiety in children, with age and binocular function being key factors.
  • Restoring binocular function through surgery may be vital for both visual alignment and psychological well-being in pediatric patients.