Research Article Adults with Longstanding Strabismus: Psychosocial and Functional Impacts and Reasons behind Surgery Delay Rami Al-Omari , 1 Hisham M Jammal , 2 Yousef Khader , 3 Dema Atoum, 1 Wedad Al-dolat , 1 and Moawiah Khatatbeh 4 1 Department of Ophthalmology, Yarmouk University, Irbid, Jordan 2 Department of Ophthalmology, Jordan University of Science and Technology, Irbid, Jordan 3 Department of Public Health, Jordan University of Science and Technology, Irbid, Jordan 4 Department of Basic Medical Sciences, Yarmouk University, Irbid, Jordan Correspondence should be addressed to Rami Al-Omari; rami.omari@yu.edu.jo Received 11 March 2022; Revised 20 May 2022; Accepted 23 May 2022; Published 16 June 2022 Academic Editor: Dirk Sandner Copyright © 2022 Rami Al-Omari et al. is is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. e aims of the study were to determine the reasons behind surgical correction delay in adult patients with strabismus, reveal motivations for seeking treatment, and study the psychosocial and functional impacts of strabismus on patients using an Arabic version of the Adult Strabismus-20 (AS-20) questionnaire. Methods and Patients. is study included 79 patients aged ≥18 years and had strabismus for at least one year prior to surgical correction and 40 controls without known visual defects. After a comprehensive ophthalmic exam during their preoperative visit, a validated questionnaire was administered to patients to collect sociodemographic data, reasons for surgery delay, and motivations for seeking treatment now. A translated version of the AS-20 questionnaire was then presented to patients and controls. Total AS-20 (and its subscales: psychosocial and function) scores were calculated and analyzed. All relationships between sociodemographic characteristics, the onset of deviation, presence of diplopia, type and size of deviation, and the changes in the scores of AS-20 (and its subscales) were investigated. Results. A total of 79 adult patients with strabismus (cases) and 40 subjects with normal vision (control group) were included in this study. e mean age (SD) was 34.10 (11.5) years for cases (range: 18–61) and 34.20 (11.2) years for controls (range: 18–65) (p  0.964). About half (55.7%, n  44) of the patients were males compared to (57.5%, n  23) of the controls. e reasons for strabismus surgery delay reported by the patients were the following: surgery was not offered by an ophthalmologist (35.4%), surgery was offered but declined by the patient due to fear from surgical complications (22.8%), nonaffordability (17.7%), surgery was offered but refused because patients thought they were too old for surgery or patient was not bothered by appearance (15.2%), and patient never sought care (8.9%). e reasons for seeking surgical treatment after this delay were as follows: for cosmetic issues (27.8%), a better understanding of strabismus surgery and its potential complications (20.3%), pressure from family and friends (16.5%), improved economic status (13.9%), relationship/marriage prospects (13.9%), and to improve chances of getting a job (7.6%). When compared to control, patients have significantly lower mean scores of total AS-20 (50.57 vs. 88.01) and its psychosocial (49.59 vs. 87.84) and functional (51.55 vs. 88.19) subscales. AS-20 total score was significantly lower among females and in patients with large deviation size (>25 PD). e psychosocial subscale of AS-20 was significantly lower in females, patients with younger age of onset, and those with large deviation size (>25 PD). Female gender, large deviation size, vertical deviation, and having diplopia correlated significantly with a lower functional score. Conclusion. Strabismus has a profound psychosocial and functional impact on affected individuals, especially females and patients with large deviation sizes. Many adult patients with strabismus tend to delay surgical correction; most of these delays could be avoided by better public education, increased awareness among health care providers, and changing health insurance policies to cover the costs of strabismus surgery. Hindawi Journal of Ophthalmology Volume 2022, Article ID 8682675, 7 pages https://doi.org/10.1155/2022/8682675