摘要
Aim:To investigate the effect of epiretinal membrane(ERM)-peel on patients’health related quality of life(HR-QOL)and to explore the association between self reported HR-QOL and conventional measures of visual function.Methods:The National Eye Institute 25 Item Visual Function Questionnaire(VFQ-25)and the 36 Item Short-Form Health Survey(SF-36)were self administered by 20 patients before and 4 months following surgery.Preoperative and post-operative data collected included logMAR near and distant visual acuity(VA),contrast sensitivity,and metamorphopsia.Questionnaire scores were compared preoperatively and postoperatively and their correlation with traditional methods of visual function evaluation analysed.Results:Postoperatively there was no significant improvement in mean logMAR VA.However,eight(40%)subjects improved by two or more ETDRS lines and nine eyes(45%)reached a final VA of 6/18 or better.Metamorphopsia decreased significantly(p=0.019)and there was significant improvement in VFQ-25 mean scores for the general vision(p = 0.03),distance activities(p=0.05),and composite score(p = 0.03).Baseline binocular VA was significantly correlated with baseline VFQ-25 composite score(r=0.631,p=0.004).Conclusions:ERM surgery appears to improve patients’subjective perception of visual function as indicated by higher composite scores in VFQ-25 and improved metamorphopsia in the absence of significant improvement in mean logMAR VA.
Aim:To investigate the effect of epiretinal membrane(ERM)-peel on patients'health related quality of life(HR-QOL)and to explore the association between self reported HR-QOL and conventional measures of visual function.Methods:The National Eye Institute 25 Item Visual Function Questionnaire(VFQ-25)and the 36 Item Short-Form Health Survey(SF-36)were self administered by 20 patients before and 4 months following surgery.Preoperative and post-operative data collected included logMAR near and distant visual acuity(VA),contrast sensitivity,and metamorphopsia.Questionnaire scores were compared preoperatively and postoperatively and their correlation with traditional methods of visual function evaluation analysed.Results:Postoperatively there was no significant improvement in mean logMAR VA.However,eight(40%)subjects improved by two or more ETDRS lines and nine eyes(45%)reached a final VA of 6/18 or better.Metamorphopsia decreased significantly(p=0.019)and there was significant improvement in VFQ-25 mean scores for the general vision(p = 0.03),distance activities(p=0.05),and composite score(p = 0.03).Baseline binocular VA was significantly correlated with baseline VFQ-25 composite score(r=0.631,p=0.004).Conclusions:ERM surgery appears to improve patients'subjective perception of visual function as indicated by higher composite scores in VFQ-25 and improved metamorphopsia in the absence of significant improvement in mean logMAR VA.
出处
《世界核心医学期刊文摘（眼科学分册）》
2006年第10期16-17,共2页
Digest of the World Core Medical Journals:Ophthalmology
