Different outcome criteria (namely motor, diplopia and health-related quality of life (HRQOL)) currently exist to evaluate postoperative success following adult strabismus surgery [1]. Of these, motor alignment is the most frequently applied criterion in the literature to define a desirable outcome [2]. However, this falls short of addressing other key aspects such as the impact of strabismus surgery on patients’ quality of life. Correspondingly, the HRQOL criterion has gained increasing popularity due to its utility in providing a holistic assessment of surgical outcomes [3].

While the success rates of different criteria have been described [1], there is currently no literature exploring the relationship between the success rates in these criteria. We therefore evaluated success using motor and HRQOL criteria in adult strabismic patients and investigated any relationship between the two.

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