Hirneiss C, Rombold F, Kampik A, Neubauer A S
Augenklinik, Ludwig-Maximilians-Universität, München.
Ophthalmologe. 2006 Feb;103(2):109-13. doi: 10.1007/s00347-005-1252-0.
To date, the increase of visual acuity and morphological parameters have been used to assess the benefit of a surgical intervention. The aim of this prospective study was to evaluate changes in patients' visual quality of life due to vitreoretinal surgery for epiretinal membranes.
Twenty patients with unilateral epiretinal membrane and good visual acuity of the fellow eye were included. Best corrected visual acuity and visual quality of life assessed by the visual function index (VF-14) were obtained preoperatively and 3 months after pars plana vitrectomy and peeling.
Median visual acuity increased from 0.28 to 0.4 postoperatively. Visual quality of life (VF-14 values) rose from 72.8+/-4.7 (SEM) to 83.3+/-2.9 (p<0.05). Analysis revealed that patients with preoperatively low VF-14 values and preoperatively low visual acuity notably profited from surgery. The increase of visual quality of life can be predicted better than increase of visual acuity. Combined cataract surgery had no significant influence.
In addition to best corrected visual acuity, quality of life measurements are important predictive and outcome parameters to estimate the value of vitreoretinal surgery.
迄今为止，视力提高和形态学参数一直被用于评估手术干预的益处。这项前瞻性研究的目的是评估视网膜前膜玻璃体视网膜手术对患者视觉生活质量的影响。
纳入20例单眼患有视网膜前膜且对侧眼视力良好的患者。术前及玻璃体切除联合内界膜剥除术后3个月，分别测量最佳矫正视力，并采用视觉功能指数（VF-14）评估视觉生活质量。
术后视力中位数从0.28提高到0.4。视觉生活质量（VF-14值）从72.8±4.7（标准误）提高到83.3±2.9（p<0.05）。分析显示，术前VF-14值低和术前视力低的患者从手术中获益显著。视觉生活质量的提高比视力提高更具可预测性。联合白内障手术无显著影响。
除最佳矫正视力外，生活质量测量是评估玻璃体视网膜手术价值的重要预测和结果参数。
