Pahljina Christian, Sarny Stephanie, Hoeflechner Lukas, Falb Thomas, Schliessleder Gernot, Lindner Marlene, Ivastinovic Domagoj, Mansouri Kaweh, Lindner Ewald
Department of Ophthalmology, Medical University Graz, 8036 Graz, Austria.
Department of Dentistry, Medical University Graz, 8036 Graz, Austria.
J Clin Med. 2022 Jun 15;11(12):3450. doi: 10.3390/jcm11123450.
Glaucoma has a significant impact on quality of life. Here, we aimed to evaluate the influence of a reduction in glaucoma medications on quality of life and patient satisfaction after phacoemulsification combined with the Xen gel stent. We carried out a cross-sectional survey of patients who underwent phacoemulsification with the Xen gel stent at the Medical University of Graz, Austria. Quality of life was assessed using the German version of the Glaucoma Symptoms Scale (GSS)-questionnaire. Patients were also asked whether the operation reduced glaucoma medications and to indicate their overall satisfaction from 1 (totally discontented) up to 10 (totally contented). Questionnaires of 80 patients were evaluated. A total of 36 patients (45.0%) reported a reduction in glaucoma medications. Three items of the GSS were significantly better in patients who needed fewer glaucoma medications after the operation ("hard to see in daylight", 75.0 ± 31.1 vs. 57.7 ± 39.1, = 0.035; "hard to see in dark places", 81.1 ± 28.7 vs. 54.9 ± 41.2, = 0.002; and "halos around lights", 88.3 ± 25.9 vs. 68.8 ± 38.6, = 0.002). Patient satisfaction was significantly higher when the procedure led to a reduction in glaucoma medication (8.3 ± 2.0 vs. 6.8 ± 3.1; = 0.034). The reported quality of life and patient satisfaction were significantly better when phacoemulsification with the Xen gel stent reduced the number of glaucoma medications needed.
青光眼对生活质量有重大影响。在此，我们旨在评估青光眼药物用量减少对白内障超声乳化联合Xen凝胶支架植入术后生活质量和患者满意度的影响。我们对奥地利格拉茨医科大学接受Xen凝胶支架白内障超声乳化手术的患者进行了横断面调查。使用德文版青光眼症状量表（GSS）问卷评估生活质量。还询问患者手术是否减少了青光眼药物用量，并让他们从1分（完全不满意）到10分（完全满意）表明总体满意度。对80份患者问卷进行了评估。共有36名患者（45.0%）报告青光眼药物用量减少。术后青光眼药物用量较少的患者，GSS的三个项目明显更好（“白天视物困难”，75.0±31.1对57.7±39.1，P = 0.035；“暗处视物困难”，81.1±28.7对54.9±41.2，P = 0.002；“灯光周围有光晕”，88.3±25.9对68.8±38.6，P = 0.002）。当手术导致青光眼药物用量减少时，患者满意度显著更高（8.3±2.0对6.8±3.1；P = 0.034）。当白内障超声乳化联合Xen凝胶支架植入术减少所需青光眼药物数量时，报告的生活质量和患者满意度明显更好。
