Purchase this article with an account.
F. Okamoto, Y. Okamoto, T. Hiraoka, T. Oshika; Impact of Vitrectomy on Vision-Related Quality of Life and Visual Function in Various Vitreoretinal Disorders. Invest. Ophthalmol. Vis. Sci. 2009;50(13):6056.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To evaluate the vision-related quality of life (VR-QOL) in patients undergoing vitrectomy for various vitreoretinal disorders and to investigate the relationship between VR-QOL and visual function.
Ninety-nine patients with proliferative diabetic retinopathy (PDR), 54 patients with rhegmatogenous retinal detachment (RD), 42 patients with macular hole (MH), 38 patients with diabetic macular edema (DME), 33 patients with epiretinal membrane (ERM), 20 patients with branch retinal vein occlusion (BRVO), and 12 patients with central retinal vein occlusion (CRVO) were included in this study. The 25-item National Eye Institute Visual Function Questionnaire (VFQ-25) was answered by all patients before and 3 months after pars plana vitrectomy. Preoperative evaluation of VFQ-25 in RD was not performed due to its rapid-onset nature. Clinical data were collected, including logMAR best-corrected visual acuity (BCVA), letter contrast sensitivity (CS), and the severity of metamorphopsia.
Vitrectomy significantly improved the VFQ-25 composite score in MH, ERM, CRVO, BRVO, PDR, and DME. The preoperative VFQ-25 composite score exhibited significant correlation with the postoperative VFQ-25 composite score in each disorder. In PDR and DME, VFQ-25 composite score exhibited significant correlation with logMAR BCVA and CS. Significant correlation was also observed between VFQ-25 composite score and CS in BRVO and CRVO. In ERM and MH, VFQ-25 responses were significantly associated with the severity of metamorphopsia.
Vitrectomy significantly improved VR-QOL in various disorders. This study revealed that different visual function parameters were associated with VR-QOL in different vitreoretinal disorders.
This PDF is available to Subscribers Only