Visual quality of life after macular hole surgery: outcome and predictive factors

被引:56
作者
Hirneiss, Christoph [1 ]
Neubauer, Aljoscha S. [1 ]
Gass, Carolin A. [1 ]
Reiniger, Ingrid W. [1 ]
Priglinger, Siegfried G. [1 ]
Kampik, Anselm [1 ]
Haritoglou, Christos [1 ]
机构
[1] Univ Munich, Dept Ophthalmol, D-80336 Munich, Germany
关键词
D O I
10.1136/bjo.2006.102376
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Background: In the present study we evaluated the functional success after macular hole surgery in correlation to visual quality of life and looked for predictive factors determining surgical success. Methods: Fifty-nine patients that underwent pars plana vitrectomy for idiopathic macular hole were included. Follow-up visits were performed in regular intervals after surgery and included a clinical examination, optical coherence tomography (OCT) and measurement of visual acuity. To assess the visual quality of life patients filled out the National Eye Institute 25-item Visual Function Questionnaire (VFQ-25) before and three months and one year after surgery. Results: Macular hole closure was achieved in 57 of 59 patients (97%). Mean visual acuity increased from 20/100 preoperatively to 20/34 one year after surgery (p=0.02). Despite good visual acuity (20/27) in the fellow eye, visual quality of life (VFQ composite score) rose from 75.91 +/- 4.4 (SD) to 81.5 +/- 14.2 one year after surgery (p < 0.001). Although there was no correlation between the increase in visual quality of life and visual acuity, the increase in VFQ-25 could be well predicted: low visual acuity and significant impairment on VFQ-25 testing preoperatively made patients most likely to benefit from macular hole surgery. A relatively high retinal thickness measurement at the hole border measured on OCT further increases the predictive value. Conclusion: Macular hole surgery is associated with an increase in visual quality of life despite good visual acuity of the fellow eye. Preoperative visual acuity, VFQ-25 value and partly OCT may help to predict the increase in patients' vision related quality of life after surgery.
引用
收藏
页码:481 / 484
页数:4
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