<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1029-3019</journal-id>
<journal-title><![CDATA[MEDISAN]]></journal-title>
<abbrev-journal-title><![CDATA[MEDISAN]]></abbrev-journal-title>
<issn>1029-3019</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1029-30192018000900909</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Valoración de la autoestima en pacientes adultos con estrabismo]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of self-esteem in adult patients with strabismus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Gonzalez]]></surname>
<given-names><![CDATA[María Emilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Frómeta Rivaflecha]]></surname>
<given-names><![CDATA[Grisel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vidal Rodríguez]]></surname>
<given-names><![CDATA[Elizabeth Leyte]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Infantil Sur &#8220;Dr. Antonio María Béguez César&#8221; ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas Policlínico Docente &#8220;Armando García Aspurú&#8221; ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>22</volume>
<numero>9</numero>
<fpage>909</fpage>
<lpage>919</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30192018000900909&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30192018000900909&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30192018000900909&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se efectuó un estudio longitudinal, prospectivo y comparativo de 43 adultos con estrabismo, quienes acudieron al Servicio de Oftalmología del Hospital Infantil Sur de Santiago de Cuba, desde enero del 2015 hasta mayo del 2017, a fin de valorar su autoestima. A todos se les realizó un examen oftalmológico completo, que mostró el grado de desviación media antes y después de la cirugía. Se les aplicó una prueba de autoestima de Rosenberg, previa a la intervención y 2 meses después de esta. Prevalecieron el sexo femenino, la edad media de 48,5 años y la exotropía. Antes de la cirugía, el nivel de autoestima estuvo por debajo de 25 puntos en la mayoría de los pacientes (81,3 %); sin embargo, posterior a esta fue baja en solo 2,3 % y normal en 90,6 %, lo que causó un impacto favorable en la calidad de vida e integración social de los afectados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT A longitudinal, prospective and comparative study of 43 adults with strabismus who went to the Ophthalmology Service of the Southern Pediatric Hospital in Santiago de Cuba, from January, 2015 to May, 2017 was carried out, in order to evaluate their self-esteem. A complete ophthalmological exam was carried out to all, which showed the average deviation degree before and after surgery. A Rosenberg self-esteem test was applied, previous to the intervention and 2 months after it. The female sex, the mean age of 48.5 years and the exotropy prevailed. Before surgery, the self-esteem level was below 25 points in most of the patients (81.3 %); however, after this it was low in only 2.3 % and normal in 90.6 %, what caused a favourable impact in the life quality and social integration of the affected patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[adulto]]></kwd>
<kwd lng="es"><![CDATA[estrabismo]]></kwd>
<kwd lng="es"><![CDATA[escala de autoestima de Rosenberg]]></kwd>
<kwd lng="es"><![CDATA[autoestima baja]]></kwd>
<kwd lng="es"><![CDATA[autoestima normal]]></kwd>
<kwd lng="es"><![CDATA[atención secundaria de salud]]></kwd>
<kwd lng="en"><![CDATA[adult]]></kwd>
<kwd lng="en"><![CDATA[strabismus]]></kwd>
<kwd lng="en"><![CDATA[Rosenberg self-esteem scale]]></kwd>
<kwd lng="en"><![CDATA[low self-esteem]]></kwd>
<kwd lng="en"><![CDATA[normal self-esteem]]></kwd>
<kwd lng="en"><![CDATA[secondary health care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Durnian]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Noonan]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Marsh]]></surname>
<given-names><![CDATA[IB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The psychosocial effects of adult strabismus]]></article-title>
<source><![CDATA[Br J Ophthalmol]]></source>
<year>2011</year>
<volume>95</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>450-3</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nelson]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Gunton]]></surname>
<given-names><![CDATA[KB]]></given-names>
</name>
<name>
<surname><![CDATA[Lasker]]></surname>
<given-names><![CDATA[JN]]></given-names>
</name>
<name>
<surname><![CDATA[Nelson]]></surname>
<given-names><![CDATA[LB]]></given-names>
</name>
<name>
<surname><![CDATA[Drohan]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The psychosocial aspects of strabismus in teenagers and adults and the impact of surgical correction]]></article-title>
<source><![CDATA[J AAPOS]]></source>
<year>2008</year>
<volume>12</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>72-6</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baker]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The value of adult strabismus correction to the patient]]></article-title>
<source><![CDATA[J AAPOS]]></source>
<year>2002</year>
<volume>6</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>136-40</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mojon Azzi]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Potnik]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Mojon]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Opinions of dating agents about strabismic subject's ability to find a partner]]></article-title>
<source><![CDATA[Br J Ophthalmol]]></source>
<year>2008</year>
<volume>92</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>765-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Santos]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Castro Pérez]]></surname>
<given-names><![CDATA[PD]]></given-names>
</name>
<name>
<surname><![CDATA[Ruban Rodríguez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pons Castro]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Lora Domínguez]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Borrego Oduardo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Resultados quirúrgicos en adultos con exotropia de gran ángulo]]></article-title>
<source><![CDATA[Rev Cubana Oftalmol]]></source>
<year>2013</year>
<volume>26</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>227-35</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bez]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Coþkun]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Erol]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Cingu]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Eren]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Topçuoðlu]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adult strabismus and social phobia a case-controlled study]]></article-title>
<source><![CDATA[J AAPOS]]></source>
<year>2009</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>249-52</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Méndez Sánchez]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
<name>
<surname><![CDATA[Trujillo Sánchez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Dorrego Oduardo]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Santos]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[López Felipe]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Naranjo Fernández]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cirugía de estrabismo en adultos: resultados motores y sensoriales]]></article-title>
<source><![CDATA[Rev Cubana Oftalmol]]></source>
<year>2016</year>
<volume>29</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>612-6121</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hatt]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
<name>
<surname><![CDATA[Leske]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Bradley]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Cole]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
<name>
<surname><![CDATA[Holmes]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Development of a quality - of - life questionnaire for adults with strabismus]]></article-title>
<source><![CDATA[Ophthalmology]]></source>
<year>2009</year>
<volume>116</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>139-44</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vásquez Morejón]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez García Bóveda]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez Morejón Jiménez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Escala de autoestima de Rosenberg: Fiabilidad y validez en población clínica española]]></article-title>
<source><![CDATA[Apuntes de Psicología]]></source>
<year>2004</year>
<volume>22</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="">
<source><![CDATA[La percepción de uno mismo: autoconcepto y autoestima]]></source>
<year>2008</year>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez Thompson]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Diehl]]></surname>
<given-names><![CDATA[NN]]></given-names>
</name>
<name>
<surname><![CDATA[Holmes]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Mohney]]></surname>
<given-names><![CDATA[BG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence, types and lifetime risk of adult-onset strabismus]]></article-title>
<source><![CDATA[Ophthalmology]]></source>
<year>2014</year>
<volume>121</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>877-82</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="">
<source><![CDATA[Significado de autoestima]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Merino]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Blanco]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Resultados de la cirugía de estrabismo mínimamente invasiva en las desviaciones horizontales]]></article-title>
<collab>Gómez de Liaño P</collab>
<source><![CDATA[Arch Soc Esp Oftalmol]]></source>
<year>2016</year>
<volume>91</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>69-73</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez de Liaño Sánchez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Olavarri González]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Merino Sanz]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Escribano Villafruela]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Age related distance esotropia Clinical features and therapeutic outcomes]]></article-title>
<source><![CDATA[Arch Soc Esp Oftalmol]]></source>
<year>2016</year>
<volume>91</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>561-6</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Santos]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Castro Pérez]]></surname>
<given-names><![CDATA[PD]]></given-names>
</name>
<name>
<surname><![CDATA[Ruban Rodríguez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pons Castro]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Estévez Miranda]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Resultados quirúrgicos a largo plazo en adultos con exotropía de gran ángulo]]></article-title>
<source><![CDATA[Rev Cubana Oftalmol]]></source>
<year>2015</year>
<volume>28</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="">
<source><![CDATA[Significado de las relaciones humanas]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="">
<collab>España. Consejería de Educación</collab>
<source><![CDATA[Las relaciones Interpersonales. Gobierno de Cantabria: Departamento de Orientación Psicología]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="book">
<collab>España. Universidad del País Vasco</collab>
<source><![CDATA[Relaciones Interpersonales. Generalidades]]></source>
<year></year>
<publisher-loc><![CDATA[País Vasco ]]></publisher-loc>
<publisher-name><![CDATA[Universidad del País Vasco]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cisneros Castillo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Test de relaciones interpersonales]]></source>
<year></year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
