Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Department of Ophthalmology, Mito Kyodo General Hospital, Mito, Japan.
Sci Rep. 2022 Aug 4;12(1):13428. doi: 10.1038/s41598-022-17587-0.
To evaluate the vision-related quality of life (VR-QOL) treated by intravitreal ranibizumab (IVR) in patients with branch retinal vein occlusion (BRVO) and to assess subscale items of the VR-QOL. This was prospective, multicenter, open-label, observational study including 38 patients with unilateral BRVO who underwent IVR treatment and 28 age-matched healthy subjects. VR-QOL using the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25) and best-corrected visual acuity (BCVA) were examined before and at 3, 6, and 12 months after treatment. The VFQ-25 composite score and BCVA significantly improved from 3 to 12 months after IVR treatment (P < 0.05), such that there was no significant difference between the BRVO and control groups at 12 months. All subscales of the VFQ-25, except "general health", significantly improved after treatment, while "near vision" and "mental health" were worse than those in healthy subjects (P < 0.05). Patients with superior BRVO had a lower "near vision" score than healthy subjects after treatment (P < 0.05). BCVA in the treated eye and fellow eye had no significant relationship with the VFQ-25 composite score before and after treatment. The VR-QOL of patients with BRVO improved with IVR treatment and was comparable to that of healthy subjects after 12 months. Superior BRVO particularly affected near vision for a low level.
评估玻璃体内雷珠单抗(IVR)治疗视网膜分支静脉阻塞(BRVO)患者的视觉相关生活质量(VR-QOL),并评估 VR-QOL 的子量表项目。这是一项前瞻性、多中心、开放标签、观察性研究,纳入 38 例接受 IVR 治疗的单侧 BRVO 患者和 28 名年龄匹配的健康对照者。在治疗前以及治疗后 3、6 和 12 个月时,使用 25 项国家眼科研究所视觉功能问卷(VFQ-25)和最佳矫正视力(BCVA)评估 VR-QOL。IVR 治疗后 3 至 12 个月,VFQ-25 综合评分和 BCVA 显著改善(P<0.05),12 个月时 BRVO 组与对照组之间无显著差异。VFQ-25 的所有子量表在治疗后均显著改善,除“一般健康”外,而“近视力”和“心理健康”则差于健康对照组(P<0.05)。治疗后,BRVO 优势眼的“近视力”评分低于健康对照组(P<0.05)。治疗前后,治疗眼和对侧眼的 BCVA 与 VFQ-25 综合评分均无显著相关性。BRVO 患者经 IVR 治疗后 VR-QOL 改善,12 个月后与健康对照组相当。BRVO 优势眼尤其对近视力产生负面影响。