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Ido D. Fabian, Micki Kinori, Anat Abudi, Alon Skaat, Yoseph Glovinsky, Joseph Zohar, Joseph Moisseiev; Diagnosis of Posttraumatic Stress Disorder Following Surgery for Primary Rhegmatogenous Retinal Detachment. Invest. Ophthalmol. Vis. Sci. 2011;52(14):6161.
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© ARVO (1962-2015); The Authors (2016-present)
To investigate the prevalence of posttraumatic stress disorder (PTSD) in patients that underwent surgery for primary rhegmatogenous retinal detachment (RRD) and to determine variables associated with the disorder.
We approached 547 patients with a previous primary RRD, of which 363 (mean age 58 ± 15 years, 64% were men) were enrolled in the study. PTSD was assessed by the Clinician Administered PTSD Scale and the 25-Item National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) was used as a measure of vision-related quality of life. Objective clinical measures were obtained from the patient's medical records. Psychological and ophthalmological variables were compared between PTSD diagnosed patients and a subset of PTSD-negative patients, who served as controls.
Nine patients (2.5%) met the criteria for PTSD diagnosis and 9 PTSD-negative patients were randomly assigned to the control group. PTSD patients reported of significantly more traumatic events in their past (P=0.002) and for these patients NEI-VFQ-25 composite score was significantly lower (P<0.001). Clinical measures were not found as independent risk factors for PTSD prediction.
PTSD may develop in the aftermath of primary RRD. Previous traumatic events and NEI-VFQ-25 scores, in contrast to objective measures, were found as independent risk factors for PTSD prediction.
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