单眼孔源性视网膜脱离手术引起的视功能相关生存质量改变

Quality of life concerning visual function of patients with monocular rhegmatogenous retinal detachment before and after surgery

目的了解单眼孔源性视网膜脱离(RRD)和相关手术引起的视功能相关生存质量(VRQoL)改变及其影响因素。方法采用中文版低视力者生存质量量表(CLVQOL)测量92例单眼RRD手术患者手术前和随访期末的VRQoL。结果量表的克郎巴赫α系数大于0.7。手术前CLVQOL得分最低的条目均在维“调节能力”。手术后量表得分明显提高。手术引起条目得分改变最大的均在维“调节能力”。影响手术前CLVQOL量表得分和手术引起的得分改变的首要独立因素分别是患眼手术前视力和患眼视力改变。结论CLVQOL量表可以敏感反映单眼RRD手术患者VRQoL状况。单眼患RRD者的生活满意程度急剧下降。手术后VRQoL明显提高,特别是调节能力,但在完成一些精细工作和日常家务活动时仍有困难。通过提高视力、及时手术和避免手术并发症,有利于单眼RRD患者VRQoL的改善。

Objective To investigate the vision-related quality of life （VRQoL） of patients with monocular rhegmatogenous retinal detachment （RRD） before and after relative surgery, and analyze its influencing factors. Methods A total of 92 patients with monocular RRD were asked to complete the Chinese-version low vision quality of life questionnaire （CLVQOL） preoperatively and at the end of the follow-up time. Results The Cronbach ~ coefficient of the questionnaire was more than 0.7. The lowest scores were at the item of ＂adjustive ability＂ before the surgery, and the scores of the questionnaires were significantly higher at the end of the follow-up time. The item whose score changed most caused by the surgery was ＂adjustive ability＂. The visual acuity in RRD eyes before the operation and the changes of the visual acuity was the chief independent risk factor of the questionnaire score before surgery and the changes of scores due to surgery, respectively. Conclusions CLVQOL can be used to assess the VRQoL of patients with monocular RRD after surgery. The qualities of life of patients with monocular RRD decrease sharply. VRQoL, especially the adjustive ability, improves obviously after operation, but the patient would be inconvenient for doing some precision work or daily house work. Improving the visual acuity of the RRD eye, giving early surgery and avoiding complications help to improve the VRQoL of the patients with monocular RRD.