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つくばリポジトリ (Tulips-R) >
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American Journal of Ophthalmology >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/2241/103727
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| Title: | Vision-Related Quality of Life and Visual Function Following Vitrectomy for Proliferative Diabetic Retinopathy |
| Authors: | Okamoto, Fumiki
Okamoto, Yoshifumi
Fukuda, Shinichi
Hiraoka, Takahiro
Oshika, Tetsuro
岡本, 史樹
岡本, 芳史
平岡, 孝浩
大鹿, 哲郎 |
| Issue Date: | Jun-2008 |
| Publisher: | Elsevier Inc. |
| Journal Title: | American journal of ophthalmology |
| Volume: | 145 |
| Issue: | 6 |
| Start Page: | 1031 |
| End Page: | 1036.e1 |
| DOI: | 10.1016/j.ajo.2008.02.006 |
| PMID: | 18400203 |
| Abstract: | Purpose
To evaluate the vision-related quality of life (VR-QOL) and visual function following vitrectomy for proliferative diabetic retinopathy (PDR).
Design
Prospective, interventional, consecutive, comparative case series.
Methods
The 25-Item National Eye Institute Visual Function Questionnaire (VFQ-25) was answered by 51 patients with PDR before and three months after 20-gauge pars plana vitrectomy. Among the patients with PDR, 30 underwent combined cataract surgery and vitrectomy. Clinical data were collected, including logarithm of minimal angle of resolution (logMAR) best-corrected visual acuity (BCVA), letter contrast sensitivity, and metamorphopsia. The VFQ-25 was also administered to 46 age-matched normal controls.
Results
The preoperative VFQ-25 composite score was significantly lower in the PDR patients (56.3 ± 18.8, mean ± standard deviation) than in the normal controls (85.2 ± 10.3; P < .0001). Vitrectomy significantly improved VFQ-25 composite score (P < .005) and eight of 12 subscales (P < .05). The preoperative VFQ-25 composite score significantly correlated with preoperative logMAR BCVA in the better-seeing eye (P < .001). The postoperative VFQ-25 composite score exhibited significant correlation with postoperative logMAR BCVA in the worse-seeing eye (P < .0001) as well as the better-seeing eye (P < .0001). Similar significant correlations were also observed between the VFQ-25 composite score and letter contrast sensitivity.
Conclusions
Vitrectomy for PDR significantly improves VR-QOL. The current study quantitatively indicates that VR-QOL in PDR patients depends on visual acuity and contrast sensitivity in the better-seeing eye preoperatively and in both the better-seeing and worse-seeing eyes postoperatively. |
| URI: | http://hdl.handle.net/2241/103727 |
| Rights: | © 2008 Elsevier Inc. |
| Text Version: | author |
| Appears in Collections: | American Journal of Ophthalmology
大鹿 哲郎 (Oshika Tetsuro)
平岡 孝浩 (Hiraoka Takahiro)
岡本 芳史 (Okamoto Yoshifumi)
岡本 史樹 (Okamoto Fumiki)
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