Visual quality of life after macular hole surgery: outcome and predictive factors
| Autor: | Anselm Kampik, Christos Haritoglou, Aljoscha Steffen Neubauer, Carolin A Gass, Christoph Hirneiss, I. W. Reiniger, Siegfried G. Priglinger |
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| Rok vydání: | 2006 |
| Předmět: |
Male
Pars plana medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Eye disease Vision Disorders Visual Acuity Vitrectomy Physical examination Cellular and Molecular Neuroscience Quality of life Ophthalmology medicine Health Status Indicators Humans Macular hole Aged medicine.diagnostic_test business.industry Clinical Science - Extended Report Middle Aged Prognosis Retinal Perforations medicine.disease eye diseases Sensory Systems Surgery Treatment Outcome medicine.anatomical_structure Quality of Life Female sense organs medicine.symptom business Tomography Optical Coherence Follow-Up Studies Retinopathy |
| Zdroj: | British Journal of Ophthalmology. 91:481-484 |
| ISSN: | 0007-1161 |
| Popis: | In the present study we evaluated the functional success after macular hole surgery in correlation to visual quality of life and looked for predictive factors determining surgical success.Fifty-nine patients that underwent pars plana vitrectomy for idiopathic macular hole were included. Follow-up visits were performed in regular intervals after surgery and included a clinical examination, optical coherence tomography (OCT) and measurement of visual acuity. To assess the visual quality of life patients filled out the National Eye Institute 25-item Visual Function Questionnaire (VFQ-25) before and three months and one year after surgery.Macular hole closure was achieved in 57 of 59 patients (97%). Mean visual acuity increased from 20/100 preoperatively to 20/34 one year after surgery (p = 0.02). Despite good visual acuity (20/27) in the fellow eye, visual quality of life (VFQ composite score) rose from 75.9 +/- 14.4 (SD) to 81.5 +/- 14.2 one year after surgery (p0.001). Although there was no correlation between the increase in visual quality of life and visual acuity, the increase in VFQ-25 could be well predicted: low visual acuity and significant impairment on VFQ-25 testing preoperatively made patients most likely to benefit from macular hole surgery. A relatively high retinal thickness measurement at the hole border measured on OCT further increases the predictive value.Macular hole surgery is associated with an increase in visual quality of life despite good visual acuity of the fellow eye. Preoperative visual acuity, VFQ-25 value and partly OCT may help to predict the increase in patients' vision related quality of life after surgery. |
| Databáze: | OpenAIRE |
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