García Begoña Gacimartin, Orduna Magán Carlos, Alvarez-Peregrina Cristina, Villa-Collar César, Sánchez-Tena Miguel Ángel
Clínica Oftalmológica Orduna, Madrid, Spain.
Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Villaviciosa de Odon, Madrid, Spain.
Eur J Ophthalmol. 2021 Apr 7:11206721211008036. doi: 10.1177/11206721211008036.
The treatment of floaters has consisted primarily of monitoring. The therapeutic approach is based on surgical removal or Nd:YAG laser treatment. The objective of this study was the assessment of the quality of life in patients treated with Nd:YAG laser for floaters.
Single-center pretest-posttest design in a cohort of subjects treated with Nd-YAG laser with Ultra Q-Reflex technology. Health-related quality of life of the patients was measured before and after the intervention with the Visual Function Questionnaires VFQ-25 and VFQ-39. Anxiety level was measured with the State-Trait Anxiety Inventory. Visual acuity, contrast sensitivity, and safety parameters were also considered.
Thirty-four patients were included in the study. For the VFQ-25 baseline, the median was 73.05, interquartile range (19.25) versus a final median value of 93.76 (8.73) with < 0.01. The baseline median for the extended version VFQ-39 was 74.60 (19.01) versus the final median of 95.01 (6.50) with < 0.001. Regarding the anxiety, according to the STAI questionnaire, there were statistically significant differences between the baseline and the final conditions, with a baseline median of 38 (11) versus a final median of 18 (19); < 0.001. When the analyses differentiated between patients with and without myopia, there were statistically significant differences for VFQ-25 and VFQ-39.
This study shows an improvement in the health-related quality of life and a significant decrease in anxiety for patients that have undergone Nd: YAG Ultra-Q Reflex laser vitreolysis for floaters vaporization. The effect found is higher in myopic patients.
飞蚊症的治疗主要是进行监测。治疗方法基于手术切除或钕：钇铝石榴石（Nd：YAG）激光治疗。本研究的目的是评估接受Nd：YAG激光治疗飞蚊症患者的生活质量。
采用单中心前后测设计，对一组接受Nd - YAG激光Ultra Q - Reflex技术治疗的受试者进行研究。在干预前后，使用视觉功能问卷VFQ - 25和VFQ - 39测量患者的健康相关生活质量。使用状态 - 特质焦虑量表测量焦虑水平。还考虑了视力、对比敏感度和安全参数。
34名患者纳入研究。对于VFQ - 25基线，中位数为73.05，四分位间距为19.25，而最终中位数为93.76（8.73），P < 0.01。扩展版VFQ - 39的基线中位数为74.60（19.01），最终中位数为95.01（6.50），P < 0.001。关于焦虑，根据STAI问卷，基线和最终状况之间存在统计学显著差异，基线中位数为38（1），最终中位数为18（19）；P < 0.001。当分析区分近视和非近视患者时，VFQ - 25和VFQ - 39存在统计学显著差异。
本研究表明，接受Nd：YAG Ultra - Q Reflex激光玻璃体溶解术治疗飞蚊症汽化的患者，其健康相关生活质量得到改善，焦虑显著降低。在近视患者中发现的效果更高。
