Klink Thomas, Sauer Johannes, Körber Norbert J, Grehn Franz, Much Martin M, Thederan Luisa, Matlach Juliane, Salgado Josefina Parente
Department of Ophthalmology, University of Würzburg, Würzburg, Germany.
Augencentrum Köln-Porz, Köln, Germany.
Clin Ophthalmol. 2014 Dec 18;9:7-16. doi: 10.2147/OPTH.S72357. eCollection 2015.
To evaluate quality of life (QoL) with a new questionnaire after canaloplasty (CP) and trabeculectomy (TE).
We assessed outcomes of surgery, rate of revision surgeries, patients' mood, and influence of postoperative care on QoL, surgery interference with daily activities, and postsurgical complaints. Patients completed the QoL questionnaire 24 months after surgery.
Patients who underwent CP (n=175) were compared to TE patients (n=152). In the CP group, 57% of patients expressed high satisfaction, while 41% of patients in the TE group said they were highly satisfied. The satisfaction difference was statistically significant (P=0.034). Significantly fewer second surgeries were needed after CP (8% CP versus 35% TE, P<0.001). Patients were more positive in the CP group (54% CP versus 37% TE, P<0.009). Stress related to postoperative care was lower in the CP group compared to the TE group (14% versus 46%). Difficulties with activities of daily living, such as reading, were much lower or even nonexistent after CP, and complaints like eye burning or stinging were significantly lower in the CP group.
Compared with TE, CP is associated with less QoL impairment and higher patient satisfaction after surgery. However, long-term data on intraocular pressure reduction after surgery are needed to confirm long-term patient satisfaction with this surgery.
使用一份新问卷评估巩膜扣带术（CP）和小梁切除术（TE）后的生活质量（QoL）。
我们评估了手术结果、翻修手术率、患者情绪以及术后护理对生活质量、手术对日常活动的干扰和术后投诉的影响。患者在术后24个月完成生活质量问卷。
将接受CP手术的患者（n = 175）与接受TE手术的患者（n = 152）进行比较。在CP组中，57%的患者表示高度满意，而TE组中有41%的患者表示高度满意。满意度差异具有统计学意义（P = 0.034）。CP术后需要二次手术的患者明显更少（CP组为8%，TE组为35%，P < 0.001）。CP组患者的积极性更高（CP组为54%，TE组为37%，P < 0.009）。与TE组相比，CP组术后护理相关的压力更低（分别为14%和46%）。CP术后，诸如阅读等日常生活活动的困难程度要低得多，甚至不存在，并且CP组中如眼烧灼感或刺痛等投诉明显更少。
与TE相比，CP术后生活质量受损更少，患者满意度更高。然而，需要手术降低眼压的长期数据来证实患者对该手术的长期满意度。
