The psychosocial effects of adult strabismus: a review

@article{Durnian2010ThePE,
  title={The psychosocial effects of adult strabismus: a review},
  author={Jonathan Mark Durnian and Carmel P. Noonan and Ian Bruce Marsh},
  journal={British Journal of Ophthalmology},
  year={2010},
  volume={95},
  pages={450 - 453}
}
Correction of adult strabismus is not a cosmetic procedure but one that restores normality to an individual's appearance that has been altered by a disease process. Two fundamental principles underpinning facial attractiveness are symmetry and averageness—manifest strabismus affects both of these giving an unconscious signal of poor genetic history. The presence of manifest strabismus adversely affects many aspects of patients' lives including finding a partner, job prospects and interaction… 

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The psychological impact of strabismus does not appear to be related to the patient’s angle of deviation, age, sex, presence of diplopia, visual acuity or direction of deviation.

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