The impact of penetrating keratoplasty in patients with keratoconus using the VF-14 questionnaire

被引:8
作者
Ziakas N. [1 ]
Kanonidou E. [1 ,2 ,3 ]
Mikropoulos D. [1 ]
Georgiadis N. [1 ]
机构
[1] Department of Ophthalmology, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki
[2] Department of Ophthalmology, General Hospital of Veria, Veria
[3] 55131 Kalamaria, Thessaloniki
关键词
Daily life activities; Keratoconus; Penetrating keratoplasty; VF-14; questionnaire;
D O I
10.1007/s10792-010-9414-8
中图分类号
学科分类号
摘要
To assess the visual function of patients with keratoconus who underwent penetrating keratoplasty with the use of the VF-14 questionnaire. Fourteen patients (9 male and 5 female) with a mean age of 38 years (SD 13.59) participated in the study. All patients had keratoconus, confirmed by corneal topography, and all had previously undergone penetrating keratoplasty in one eye. Their mean bestcorrected visual acuity (BCVA) binocularly was 0.185 (SD 0.077) LogMAR. None of the grafted eyes had a BCVA <0.300 LogMAR. Fourteen healthy volunteers, age- and sex-matched, also participated in the study as control subjects. The VF-14 questionnaire was used to evaluate the effect of the ocular status in the daily life activities of the patients. The mean VF-14 result for the grafted patients with keratoconus was 62.37% (SD 22.60) and for the control group it was 100% (P<0.001). There was only a weak correlation between the VF-14 score and the binocular BCVA (r = -0.394, P = 0.163). The mean VF-14 result in grafted patients with keratoconus is indicative of low functional ability despite the satisfactory postoperative BCVA. The absence of a significant correlation between the VF-14 score and the mean BCVA indicates that the low functional visual ability in these patients is probably associated more with the 'perceived by themselves' difficulty due to their ophthalmological condition. © Springer Science+Business Media B.V. 2011.
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页码:89 / 92
页数:3
相关论文
共 15 条
[1]  
Rubin G.S., Adamsons I.A., Stark W.J., Comparison of acuity, contrast sensitivity, and disability glare before and after cataract surgery, Archives of Ophthalmology, 111, 1, pp. 56-61, (1993)
[2]  
Bodis-Wollner I., Detection of visual defects using the contrast sensitivity function, Int Ophthalmol Clin, 20, pp. 135-153, (1980)
[3]  
Elliot D.B., Hurst M.A., Weatherill J., Comparing clinical tests of visual function in cataract with the patient's perceived visual disability, Eye, 4, pp. 712-717, (1990)
[4]  
Mannis M.J., Zadnik K., Johnson C.A., The effect of penetrating keratoplasty on contrast sensitivity in keratoconus, Archives of Ophthalmology, 102, 10, pp. 1513-1516, (1984)
[5]  
Bernth-Petersen P., Visual functioning in cataract patients: Methods of measuring and results, Acta Ophthalmol, 59, pp. 198-205, (1981)
[6]  
Hess R.F., Carney L.G., Vision through an abnormal cornea: A pilot study of the relationship between visual loss from corneal distortion, corneal edema, keratoconus, and some allied corneal pathology, Investigative Ophthalmology and Visual Science, 18, 5, pp. 476-483, (1979)
[7]  
Mannis M.J., Zadnik K., Johnson C.A., Adams C., Contrast sensitivity after penetrating keratoplasty, Archives of Ophthalmology, 105, 9, pp. 1220-1223, (1987)
[8]  
Koenig S.B., McDermott M.L., Hyndiuk R.A., Penetrating keratoplasty and intraocular lens exchange for pseudophakic bullous keratopathy associated with a closed-loop anterior chamber intraocular lens, American Journal of Ophthalmology, 108, 1, pp. 43-48, (1989)
[9]  
Mangione C.M., Phillips R.S., Seddon J.M., Lawrence M.G., Cook E.F., Dailey R., Et al., Development of the 'activities of daily vision scale'. A measure of visual functional status, Med Care, 30, pp. 1111-1126, (1992)
[10]  
Bremond-Gignac D., Tixier J., Missotten T., Laroche L., Beresniak A., Evaluation of the quality of life in ophthalmology, Trans Am Ophthalmol Soc, 97, pp. 473-511, (1999)