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白内障手术的长期视力结果及其与自我报告的视觉功能的关联:Catquest的适用性。

Long-term visual acuity results from cataract surgery and its association with self-reported visual function: Catquest applicability.

作者信息

Bando Andre Hiroshi, Hamada Koiti Uchida, Nakamura Vinícius Pereira Leite, Abe Ricardo Y, Ferrari Pedro Vanalle, Herrerias Bruno Torres, Hirai Flavio Eduardo, Gracitelli Carolina P B

机构信息

Glaucoma Service, Department of Ophthalmology and Visual Science, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Hospital Oftalmológico de Brasília, Brasília, DF, Brazil.

出版信息

Arq Bras Oftalmol. 2022 Nov 4;87(3). doi: 10.5935/0004-2749.2022-0198.

Abstract

PURPOSES

This study aimed to determine the association of the long-term refractive outcomes of cataract surgery with self-reported visual function obtained using Catquest-9SF.

METHODS

Patients recruited from the cataract outpatient clinic of VER MAIS Oftalmologia underwent a complete ophthalmologic examination. Patients who were diagnosed with cataract with indications for phacoemulsification and intraocular lens implantation received the Catquest-9SF questionnaire before and after surgery at 30 days and 1 year.

RESULTS

A total of 133 patients were recruited, but 32 patients were lost to follow-up; finally, data from 101 patients (48 men, 53 women) were analyzed. The crude variance explained by the data was 69.9%, and the unexplained variance in the first contrast was 2.39 eigenvalues (>2); thus, these results are different from those expected from random data. The people separation index was 2.95 (>2), and the people trust value was 0.9 (>0.8). These indices were evaluated in the assessment of skill levels. Visual acuity was the main variable that correlated with the Catquest score.

CONCLUSIONS

The Catquest-9SF translated into Portuguese proved to be a one-dimensional and psychometrically valid tool to assess visual dysfunction in patients with cataract, and it is successful in objectively quantifying improvements after surgery. The results of this tool could be predictive and concordant of visual acuity improvement.

摘要

目的

本研究旨在确定白内障手术的长期屈光结果与使用Catquest-9SF获得的自我报告视觉功能之间的关联。

方法

从VER MAIS眼科门诊招募的患者接受了全面的眼科检查。被诊断为白内障且有超声乳化和人工晶状体植入指征的患者在手术前、术后30天和1年接受Catquest-9SF问卷调查。

结果

共招募了133名患者,但32名患者失访;最终,对101名患者(48名男性,53名女性)的数据进行了分析。数据解释的粗方差为69.9%,第一次对比中未解释的方差为2.39个特征值(>2);因此,这些结果与随机数据预期的结果不同。人群分离指数为2.95(>2),人群信任值为0.9(>0.8)。这些指标在技能水平评估中进行了评估。视力是与Catquest评分相关的主要变量。

结论

翻译成葡萄牙语的Catquest-9SF被证明是一种评估白内障患者视觉功能障碍的一维且心理测量有效的工具,并且成功地客观量化了手术后的改善情况。该工具的结果可以预测视力改善情况并与之相符。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e01d/11627235/d6feda349b55/abo-87-03-e2022-0198-g01.jpg

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