Department of Physics, Clinical and Experimental Optometry Research Lab, Center of Physics, School of Sciences, University of Minho, Braga, Portugal.
Eye Contact Lens. 2012 Mar;38(2):116-21. doi: 10.1097/ICL.0b013e3182480e97.
To evaluate different aspects of the visual-related quality of life using the National Eye Institute Refractive Error Quality of Life (NEI RQL)-42 questionnaire in low and moderate myopic subjects corrected with different refractive treatments including laser-assisted in situ keratomileusis (LASIK), orthokeratology (OK), soft contact lenses (SCLs), and spectacles.
The NEI RQL-42 questionnaire was administered to 217 subjects at one single clinic. All the questions consisted of 13 different subscales that were analyzed separately. The results from subjects with -1.00 to -3.00 diopter myopia corrected with LASIK (n=41), OK (n=37), SCLs (n=44), or spectacles (n=45) were compared with each other and with emmetropic subjects (n=50).
Statistically significant differences among all groups were found in all subscales, except for satisfaction with correction (P=0.135). The average decrease in quality of life compared with emmetropes were -7.1% (P=0.021) for LASIK, -13.0% (P<0.001) for OK, -15.8% (P<0.001) for spectacles, and -17.3% (P<0.001) for SCLs.
Although all patients in each group were considered to be successfully visually corrected, quality of life related to vision was markedly different in certain NEI RQL-42 categories. LASIK showed the lowest average decrease in quality of vision compared with emmetropes. OK was comparable with LASIK in independence of visual correction, and SCL wear was superior to LASIK and OK lens wear in glare. Except for glare and diurnal fluctuations, contact lenses (SCL and OK) were comparable with or superior to spectacle correction.
使用国家眼科研究所屈光不正生活质量问卷（NEI RQL）-42 评估经不同屈光矫正治疗（包括激光辅助原位角膜磨镶术（LASIK）、角膜塑形术（OK）、软性隐形眼镜（SCL）和眼镜）矫正的低度和中度近视患者的视觉相关生活质量的不同方面。
在一家诊所，对 217 名患者进行了 NEI RQL-42 问卷评估。所有问题均由 13 个不同的亚量表组成，分别进行分析。将近视 -1.00 至 -3.00 屈光度经 LASIK（n=41）、OK（n=37）、SCL（n=44）或眼镜（n=45）矫正的患者与正视眼患者（n=50）的结果进行比较。
在所有亚量表中，各组之间均存在统计学显著差异，除了矫正满意度（P=0.135）外。与正视眼相比，生活质量平均下降幅度分别为 LASIK 组 -7.1%（P=0.021）、OK 组 -13.0%（P<0.001）、眼镜组 -15.8%（P<0.001）和 SCL 组 -17.3%（P<0.001）。
虽然每组中的所有患者都被认为视力矫正成功，但在某些 NEI RQL-42 类别中，视觉相关的生活质量存在明显差异。与正视眼相比，LASIK 组的视力质量平均下降幅度最低。在视觉矫正的独立性方面，OK 与 LASIK 相当，而在眩光方面，SCL 比 LASIK 和 OK 镜片更具优势。除了眩光和昼夜波动外，隐形眼镜（SCL 和 OK）与眼镜矫正相当或更优。
