May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Vision-Related Quality of Life and Visual Function Following Macular Hole Surgery
Author Affiliations & Notes
  • M. Yuasa
    Department of Ophthalmology, University of Tsukuba, Tsukuba, Japan
  • F. Okamoto
    Department of Ophthalmology, University of Tsukuba, Tsukuba, Japan
  • S. Fukuda
    Department of Ophthalmology, University of Tsukuba, Tsukuba, Japan
  • T. Kunikata
    Department of Ophthalmology, University of Tsukuba, Tsukuba, Japan
  • Y. Okamoto
    Department of Ophthalmology, University of Tsukuba, Tsukuba, Japan
  • T. Hiraoka
    Department of Ophthalmology, University of Tsukuba, Tsukuba, Japan
  • T. Oshika
    Department of Ophthalmology, University of Tsukuba, Tsukuba, Japan
  • Footnotes
    Commercial Relationships  M. Yuasa, None; F. Okamoto, None; S. Fukuda, None; T. Kunikata, None; Y. Okamoto, None; T. Hiraoka, None; T. Oshika, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 4467. doi:https://doi.org/
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    • Get Citation

      M. Yuasa, F. Okamoto, S. Fukuda, T. Kunikata, Y. Okamoto, T. Hiraoka, T. Oshika; Vision-Related Quality of Life and Visual Function Following Macular Hole Surgery. Invest. Ophthalmol. Vis. Sci. 2008;49(13):4467. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To evaluate the vision-related quality of life and visual function following vitrectomy for macular hole (MH) using the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25).

Methods: : The VFQ-25 was self-administered by 23 patients with MH (age 66.3 ± 5.0 years, mean ± SD) preoperatively and at 3 months postoperatively. Clinical data were collected including logMAR best corrected visual acuity (BCVA), letter contrast sensitivity and the severity of metamorphopsia. Letter contrast sensitivity was evaluated by CSV-1000LV (Vector Vision Co.), and metamorphopsia was evaluated by M-CHARTS (Inami Co.). The preoperatively macular hole index (MHI) was calculated using optical coherence tomography (Stratus OCT 3000, Carl Zeiss Co.).

Results: : The preoperative VFQ-25 composite score significantly correlated with the preoperative logMAR BCVA (p < 0.05). The VFQ-25 composite score and the subscales associated with general vision, near activities, social functioning, mental health, role difficulties, and dependency were significantly improved by surgery (p < 0.05). Changes in the VFQ-25 composite score significantly correlated with changes in the severity of metamorphopsia (p<0.01). The MHI significantly correlated with preoperative severity (p<0.05) and the improvement (p<0.05) of metamorphopsia.

Conclusions: : MH surgery improved VFQ-25 composite score, and improvement of the VFQ-25 composite score was significantly associated with improvement of metamorphopsia. Metamorphopsia plays an important role for the vision-related quality of life of patients with MH.

Keywords: macular holes • quality of life • vitreoretinal surgery 
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