Olawoye O, Ashaye A, Bekibele C, Ajuwon A J
Department of Ophthalmology, University College Hospital Ibadan Nigeria.
West Afr J Med. 2012 Apr-Jun;31(2):114-9.
Outcome studies after cataract surgery should focus on functional status and quality of life instead of visual acuity measurement alone.
To assess patients' quality of life (QoL) and overall visual function (VF) after manual small incision cataract surgery (SICS) with intraocular lens (IOL) implantation.
A prospective hospital based study which evaluated the preoperative and postoperative visual function and vision related QoL among patients presenting with first eye cataract at an eye hospital in South Western Nigeria using the VF-14 questionnaire and the vision related QoL questionnaire.
One hundred and eighty two patients were enrolled for the study with a mean age of 66.5 ± 10.46. The mean preoperative visual function (VF) score was 40.17 ± 33.59 (range 0 to 82.14) and postoperatively it was 88.79 ± 20.15 (range 0 to 100) p value <0.001. Prior to surgery, 50 (27.6%) patients had visual function score. 75% however after surgery 161 (88.2%) patients had a visual function score of over 75%. (p value <0.001). Using the vision related QoL questionnaire, the highest impact of visual recovery after cataract surgery was improvement with mobility in almost 80% of the patients.
This study has demonstrated improvement in vision related quality of life and visual function, resulting in rapid recovery of the patient's functional independence and health status following manual SICS. Small incision cataract surgery should therefore be offered to more patients in the African sub-region.
白内障手术后的疗效研究应关注功能状态和生活质量，而非仅关注视力测量。
评估人工小切口白内障手术（SICS）联合人工晶状体（IOL）植入术后患者的生活质量（QoL）和整体视觉功能（VF）。
一项基于医院的前瞻性研究，使用VF - 14问卷和与视力相关的生活质量问卷，评估尼日利亚西南部一家眼科医院首次患白内障的患者术前和术后的视觉功能及与视力相关的生活质量。
182例患者纳入研究，平均年龄66.5±10.46岁。术前视觉功能（VF）平均评分为40.17±33.59（范围0至82.14），术后为88.79±20.15（范围0至100），p值<0.001。手术前，50例（27.6%）患者有视觉功能评分。然而手术后，161例（88.2%）患者视觉功能评分超过75%。（p值<0.001）。使用与视力相关的生活质量问卷，白内障手术后视觉恢复的最大影响是近80%的患者活动能力得到改善。
本研究表明，人工小切口白内障手术后与视力相关的生活质量和视觉功能得到改善，患者的功能独立性和健康状况迅速恢复。因此，非洲次区域应向更多患者提供小切口白内障手术。
