越南胡志明市双侧白内障患者白内障手术对视觉相关生活质量的影响：一项前瞻性研究。
The impact of cataract surgery on vision-related quality of life for bilateral cataract patients in Ho Chi Minh City, Vietnam: a prospective study.
机构信息
Curtin-Monash Accident Research Centre (C-MARC), Curtin University, Perth, Australia.
出版信息
Health Qual Life Outcomes. 2014 Feb 6;12:16. doi: 10.1186/1477-7525-12-16.
BACKGROUND
To determine the impact of cataract surgery on vision-related quality of life (VRQOL) and examine the association between objective visual measures and change in VRQOL after surgery among bilateral cataract patients in Ho Chi Minh City, Vietnam.
METHODS
A cohort of older patients with bilateral cataract was assessed one week before and one to three months after first eye or both eye cataract surgery. Visual measures including visual acuity, contrast sensitivity and stereopsis were obtained. Vision-related quality of life was assessed using the NEI VFQ-25. Descriptive analyses and a generalized linear estimating equation (GEE) analysis were undertaken to measure change in VRQOL after surgery.
RESULTS
Four hundred and thirteen patients were assessed before cataract surgery and 247 completed the follow-up assessment one to three months after first or both eye cataract surgery. Overall, VRQOL significantly improved after cataract surgery (p < 0.001) particularly after both eye surgeries. Binocular contrast sensitivity (p < 0.001) and stereopsis (p < 0.001) were also associated with change in VRQOL after cataract surgery. Visual acuity was not associated with VRQOL.
CONCLUSIONS
Cataract surgery significantly improved VRQOL among bilateral cataract patients in Vietnam. Contrast sensitivity as well as stereopsis, rather than visual acuity significantly affected VRQOL after cataract surgery.
背景
为了确定白内障手术对视力相关生活质量（VRQOL）的影响，并研究越南胡志明市双侧白内障患者手术后客观视觉测量与 VRQOL 变化之间的关系。
方法
对一组年龄较大的双侧白内障患者在第一只眼或双眼白内障手术后一周前和一至三个月后进行评估。获得了包括视力、对比敏感度和立体视在内的视觉测量值。使用 NEI VFQ-25 评估与视力相关的生活质量。进行描述性分析和广义线性估计方程（GEE）分析，以衡量手术后 VRQOL 的变化。
结果
413 名患者在白内障手术前接受了评估，247 名患者在第一只眼或双眼白内障手术后一至三个月完成了随访评估。总体而言，白内障手术后 VRQOL 显著改善（p<0.001），尤其是在双眼手术后。双眼对比敏感度（p<0.001）和立体视（p<0.001）也与白内障手术后 VRQOL 的变化相关。视力与 VRQOL 无关。
结论
白内障手术显著改善了越南双侧白内障患者的 VRQOL。白内障手术后，对比敏感度和立体视，而不是视力，显著影响 VRQOL。
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