Kim Young Shin, Yi Myeong Yeon, Hong Young Jae, Park Ka Hee
Department of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
The Glaucoma and Cataract Center of Nune Eye Hospital, Seoul, Korea.
Int Ophthalmol. 2018 Aug;38(4):1531-1539. doi: 10.1007/s10792-017-0616-1. Epub 2017 Jun 28.
To investigate the visual symptoms and to determine the impact of visual symptoms on vision-related quality of life (QoL) in patients with early to moderate glaucoma.
A retrospective, hospital-based, cross-sectional study was conducted from July 1 to August 31, 2014, at a university referral center. A total of 176 patients with early to moderate glaucoma underwent a comprehensive ocular examination, including Humphrey visual field testing. The patients were divided into six groups based on visual symptoms that could be verified by forced-choice questions. Vision-related QoL was assessed by the Korean version of the National Eye Institute Visual Function Questionnaire 25 (K-NEI-VFQ-25). We compared the mean deviation (MD) and questionnaire scores among the groups.
Of 352 eyes, 107 (30.4%) were symptomatic. The most common visual symptoms were partial blurring (15.91%), followed by a missing part (7.67%) and a black part (5.97%) of the image. The symptomatic groups (blurred part and missing part) had a significantly worse MD than the asymptomatic group. The symptomatic groups tended to have more visual field defects than the asymptomatic group. The overall NEI-VFQ-25 score in the symptomatic group (black part) was significantly lower than that in the asymptomatic group. Similar effects were observed for other subscale scores, including social functioning, mental health, role difficulties, dependency, and peripheral vision.
Vision-related QoL may be severely compromised in glaucoma patients with visual symptoms. Patients with visual disorders should be evaluated for glaucoma and QoL.
调查早期至中度青光眼患者的视觉症状，并确定视觉症状对其视力相关生活质量（QoL）的影响。
2014年7月1日至8月31日，在一所大学转诊中心进行了一项基于医院的回顾性横断面研究。共有176例早期至中度青光眼患者接受了全面的眼部检查，包括汉弗莱视野测试。根据通过强制选择问题可验证的视觉症状，将患者分为六组。通过韩国版的美国国立眼科研究所视觉功能问卷25（K-NEI-VFQ-25）评估视力相关生活质量。我们比较了各组之间的平均偏差（MD）和问卷得分。
在352只眼中，107只（30.4%）有症状。最常见的视觉症状是部分模糊（15.91%），其次是图像的缺失部分（7.67%）和黑色部分（5.97%）。有症状组（模糊部分和缺失部分）的MD明显比无症状组差。有症状组的视野缺损往往比无症状组更多。有症状组（黑色部分）的总体NEI-VFQ-25得分明显低于无症状组。在包括社会功能、心理健康、角色困难、依赖和周边视力等其他子量表得分中也观察到了类似的效果。
有视觉症状的青光眼患者的视力相关生活质量可能会受到严重损害。有视觉障碍的患者应接受青光眼和生活质量评估。
