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M. Ahmadi, R. M. Awdeh, R. A. Adelman; Quality of Life Study Comparing Pneumatic Retinopexy to Scleral Buckle for the Treatment of Retinal Detachment. Invest. Ophthalmol. Vis. Sci. 2007;48(13):5736.
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To study patient preferences comparing pneumatic retinopexy (PR) to scleral buckle (SB) for the treatment of retinal detachment.
A modified version of the Visual Function Questionaire (VFQ-25) and the VFQ-39 were mailed to patients who had SB or PR surgery. A two-tailed student t-test and mean were calculated for both survey groups, as well as subgroup analysis of the VFQ-39 questionaire per the NEI prescribed algorithms.
45 patients returned the questionaire, 25 of whom underwent the SB operation and 20 underwent PR. The average pain score in the first 48 hours after surgery was 5.5 for the SB group and 5.0 for the PR group (p=0.66). The ocular pain subgroup, as denoted by the NEI, yielded a mean score of 75 for the SB group and 82.5 for the PR group (p=0.28). The score of difficult post-operative experience was 5.5 in the SB group and 5.25 in the PR group (p=0.78). Patients were able to assume normal daily activities after an average of 3.0 weeks in the SB group and after 3.2 weeks in the PR group (p=0.73). When patients were asked what procedure they would like to have if they needed retinal detachment surgery in their fellow eye, 60% of PR respondents would select a PR again, whereas 28% of SB patients chose SB procedure for their fellow eye (p= 0.05).
Self-assessed pain was similar in both the SB and PR groups. The quality of life did not differ between SB and PR patients. Larger number of PR patients preferred to have PR in their fellow eye versus SB patients to have SB again. These findings may indicate a difference in self-reported patient preferences and experiences, compared to the perceptions of physicians performing these procedures.
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