Objective      To investigate the status of quality of life (QOL) and its influencing factors of strabismus in adults.       Methods      Convenience sampling was performed on all adult out-patients with strabismus in one Grade A Class 3 hospital in Chongqing from January 2012 to June 2013. Then a total of 304 obtained patients were surveyed with the adult strabismus questionnaire (AS-20)

hospital anxiety and depression scale

simplified coping style questionnaire and social support review survey.       Results      The score of QOL in the cohort was 61.41±18.23

with the score of psychosocial dimension 58.70±21.63

  and the score of physical function dimension 64.13±19.71. Female

over 30 years old

educational level under senior middle school

and suffering from esotropia and diplopia had a worse QOL. The total score of QOL was positively correlated with the scores of social support and positive coping style

with correlation coefficients of 0.693 (P0.01) and 0.160 (P0.05)

respectively. The total score of QOL was negatively correlated with the scores of negative coping style

anxiety and depression

and the correlation coefficients were -0.218

-0.472 and -0.454

respectively (all P0.01). Multi-factor regression analysis demonstrated that social support

anxiety

sex

and with or without diplopia were influencing factors for patients’ QOL.       Conclusion      The adult strabismus patients are commonly in poor QOL

which are affected by multiple factors. More efforts should be done to strengthen health service mode

afford sufficient social support and emphasize health education so as to improve the quality of life of them.