单侧或双侧白内障手术对老年患者视力和生活质量的影响。
The impact of unilateral or bilateral cataract surgery on visual acuity and life quality of elderly patients.
作者信息
Zuo Lei, Zou Haidong, Fei Xinfeng, Xu Weiqi, Zhang Jianhong
机构信息
Department of Ophthalmology, Branch of Shanghai Jiaotong University Affiliated First People's Hospital, Shanghai 200081, China.
Department of Ophthalmology, Shanghai Jiaotong University Affiliated First People's Hospital, Shanghai 200080, China.
出版信息
J Ophthalmol. 2015;2015:509049. doi: 10.1155/2015/509049. Epub 2015 Mar 22.
In the current study, the CLVQOL was used to assess VRQOL before unilateral or bilateral cataract surgery and at the end of the follow-up period in order to determine the greater beneficial mode of surgery for patients, if one of the two surgical methods is more beneficial over the other. The patients were classified as receiving unilateral (group A) and bilateral cataract surgery (group B). There were no significant differences between groups A and B before the operation in terms of life quality scores, binocular weighted average LogMAR BCVA, age, educational level, gender, systematic and ocular comorbidities, and the complications of the operation. It was shown that visual acuity improved more significantly with bilateral cataract surgery than with unilateral surgery in elderly patients with a high preoperative disease burden in Shanghai city. However, the improvement in life quality was not different in patients receiving either bilateral or unilateral cataract surgery.
在本研究中，使用中国版低视力患者生活质量量表（CLVQOL）评估单侧或双侧白内障手术前及随访期末的视力相关生活质量（VRQOL），以确定两种手术方式中哪种对患者更有益，如果其中一种手术方法比另一种更具优势的话。患者被分为接受单侧白内障手术组（A组）和双侧白内障手术组（B组）。A组和B组在术前的生活质量评分、双眼加权平均LogMAR视力、年龄、教育程度、性别、全身和眼部合并症以及手术并发症方面无显著差异。结果显示，在上海市术前疾病负担较高的老年患者中，双侧白内障手术比单侧手术视力改善更显著。然而，接受双侧或单侧白内障手术的患者生活质量改善情况并无差异。
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