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F. Okamoto, Y. Okamoto, T. Hiraoka, T. Oshika; Vision-Related Quality of Life and Visual Function After Retinal Detachment Surgery. Invest. Ophthalmol. Vis. Sci. 2008;49(13):4475.
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To evaluate the vision-related quality of life (VR-QOL) and visual function after surgery for rhegmatogenous retinal detachment (RD) using the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25).
The VFQ-25 was self-administered by 51 patients with RD (age 57.0 ± 11.4 years, mean ± SD) at 6 months after vitrectomy. We examined the logarithm of the minimum angle of resolution best-corrected visual acuity (logMAR BCVA), contrast sensitivity with the CSV-1000E (Vector Vision Co., Greenville, OH), and low contrast visual acuity with the CSV-1000LanC10% (Vector Vision Co.). From the data obtained by CSV-1000E, the area under the log contrast sensitivity function (AULCSF) was calculated. The VFQ-25 was also measured in 64 age-matched normal controls.
The VFQ-25 composite score and the subscales associated with near activities, distance activities, mental health, dependency, and peripheral vision were significantly lower in the RD patients than in the normal controls (p < 0.05). The VFQ-25 composite score correlated significantly with AULCSF (r = 0.354, p < 0.05) and low contrast visual acuity (r = -0.475, p < 0.001). However, there was no correlation between the VFQ-25 composite score and logMAR BCVA (r = 0.172, p = 0.229). The VFQ-25 composite score did not exhibit any relationship with the logMAR BCVA and the contrast sensitivity in the fellow eye. The VFQ-25 composite score was significantly lower in the pars plana vitrectomy group than in the scleral buckling group (p < 0.005).
The VR-QOL is significantly deteriorated in patients with RD after surgery. The decline of VR-QOL was associated with the compromised contrast sensitivity postoperatively.
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