Abu-Ameerh Mohammed, Alni'mat Ayat, AlShawabkeh Mo'ath, AlRyalat Saif Aldeen
Ophthalmology Department, Jordan University Hospital, University of Jordan, Amman, Jordan.
Clin Ophthalmol. 2021 May 4;15:1831-1838. doi: 10.2147/OPTH.S297896. eCollection 2021.
In the era of patient-centered medical care, using objective clinical measures to assess patient-centered outcomes in all aspects became a necessity, and pars plana vitrectomy (PPV) is a major ophthalmic surgical procedure used for the treatment of vitreoretinal disorders aiming to improve their vision-related quality of life.
To study the impact of PPV on visual quality of life by assessing its effect on common daily activities, to assess its association with various factors, and to explore the relations between these factors and postoperative visual function.
Vision-related quality of life for 87 patients who underwent PPV was assessed using the 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25) by phone call interviews. Variables assessed include age, gender, indication of surgery, duration since surgery, preoperative best-corrected visual acuity (BCVA), postoperative BCVA, fellow eye BCVA, medical history and lens status.
The factors significantly affecting the total score were postoperative visual acuity and fellow eye VA. Upon analyzing the effect of the indication on total score, a significant difference was found with the highest being for those who had dropped lens as the indication for surgery and the lowest was for those with tractional retinal detachment (TRDs) and inflammatory indications. Subscale analysis and visual acuity improvement were also varying between indications.
VRQOL significantly improves after PPV, the improvement is variable with different indications, being the greatest for those with dropped lens and the least for TRDs and endophthalmitis, with postoperative VA being the most important factor affecting the VRQOL score.
在以患者为中心的医疗时代，采用客观临床指标全面评估以患者为中心的结局成为必要，而玻璃体切割术（PPV）是一种主要的眼科手术，用于治疗玻璃体视网膜疾病，旨在改善其与视力相关的生活质量。
通过评估PPV对日常活动的影响来研究其对视觉生活质量的影响，评估其与各种因素的关联，并探讨这些因素与术后视觉功能之间的关系。
通过电话访谈，使用25项美国国立眼科研究所视觉功能问卷（NEI VFQ - 25）对87例行PPV手术的患者的与视力相关的生活质量进行评估。评估的变量包括年龄、性别、手术指征、术后时间、术前最佳矫正视力（BCVA）、术后BCVA、对侧眼BCVA、病史和晶状体状态。
显著影响总分的因素是术后视力和对侧眼视力。分析手术指征对总分的影响时，发现差异显著，以晶状体脱位作为手术指征的患者得分最高，而牵引性视网膜脱离（TRD）和炎症性指征的患者得分最低。各分量表分析和视力改善情况在不同指征之间也有所不同。
PPV术后视觉相关生活质量（VRQOL）显著改善，不同指征的改善情况各异，晶状体脱位患者改善最大，TRD和眼内炎患者改善最小，术后视力是影响VRQOL评分的最重要因素。
