Al Habash Ahmed, Nagshbandi Ahmed A
Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Department of Ophthalmology, Prince Mohammed Bin Abdulaziz Hospital in Riyadh, Riyadh, Saudi Arabia.
Clin Ophthalmol. 2020 Oct 6;14:3049-3056. doi: 10.2147/OPTH.S276124. eCollection 2020.
To determine the quality of life (QOL) in glaucoma patients undergoing combined cataract and minimally invasive glaucoma surgery from various perspectives ranging from personal, social, occupational life, and economic status.
A cross-sectional study design at King Fahd Hospital of the University, Khobar, Saudi Arabia.
Patients undergoing phacoemulsification in conjunction with various forms of minimally invasive glaucoma surgery (MIGS) for each patient, including either Kahook Dual Blade (KDB) goniotomy, iStent, iStent inject and gonioscopy-assisted transluminal trabeculotomy (GATT), were included in the study between 2018 and 2019. Data were collected through a self-administered questionnaire based on the Visual Function Questionnaire (VFQ-25) for the 25-item National Eye Institute.
The study included 93 eyes of 78 patients (40 males and 38 females) who had MIGS: 50 KDB, 13 iStent, 23 iStent inject, and 7 GATT. An overall reduction in the number of anti-glaucoma medications (p<0.001) was statistically significant. In the study, 36.6% of patients had a better social life, but 85.2% had no change in occupational life. Eventually, 86% were satisfied with the operation's outcome, and 79% confirmed that the overall quality of life improved after the procedure.
Evaluating QOL is a crucial component of glaucoma treatment. More research is needed on MIGS and their relationship to QOL. In the future, MIGS may provide the desired outcomes in controlling glaucoma and improving the QOL.
从个人、社会、职业生活和经济状况等多个角度，确定接受白内障与微创青光眼联合手术的青光眼患者的生活质量（QOL）。
沙特阿拉伯胡拜尔法赫德国王大学医院的一项横断面研究设计。
2018年至2019年期间，纳入接受超声乳化联合各种形式微创青光眼手术（MIGS）的患者，每位患者的手术包括Kahook双刃（KDB）前房角切开术、iStent、iStent注射和前房角镜辅助小梁切开术（GATT）。通过基于美国国立眼科研究所25项视觉功能问卷（VFQ-25）的自填问卷收集数据。
该研究纳入了78例患者的93只眼睛（40例男性和38例女性），这些患者接受了MIGS：50例KDB、13例iStent、23例iStent注射和7例GATT。抗青光眼药物数量总体减少（p<0.001），具有统计学意义。在研究中，36.6%的患者社交生活改善，但85.2%的患者职业生活无变化。最终，86%的患者对手术结果满意，79%的患者确认术后总体生活质量有所改善。
评估生活质量是青光眼治疗的关键组成部分。需要对MIGS及其与生活质量的关系进行更多研究。未来，MIGS可能在控制青光眼和改善生活质量方面提供理想的结果。
