Clinic for Eye Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia.
Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Medicina (Kaunas). 2022 Nov 28;58(12):1741. doi: 10.3390/medicina58121741.
: The aim of the study was to evaluate vision-related quality of life (VR-QOL) and treatment satisfaction (TS) in patients with diabetic retinopathy treated with panretinal photocoagulation (PRP). : The panel study included 95 patients who underwent PRP for diabetic retinopathy. Eligible patients with no history of previous PRP were interviewer-administered the National Eye Institute Visual Function Questionnaire (NEI VFQ-25) and Retinopathy Treatment Satisfaction Questionnaire (RetTSQ) beforehandand one month after the last session of laser application. The study was conducted between June 2017 and June 2019 at tertiary care center in Serbia, Belgrade. We assessed pre- to post-PRP values of the composite score and subscale scores of VFQ-25 and RetTSQ, using a paired samples -test. Univariate logistic regression was used to analyze the relationship between binary outcomes and potential predictors. Multivariate regression included predictors from univariate analyses that were statistically significant. : The mean VFQ-25 composite score was 65.4 ± 17.4 before and 63.3 ± 19.5 after PRP ( = 0.045). Subscale analysis showed that two of the 11 items achieved a significant decrease after laser application (general vision and dependency). The mean RetTSQ score at baseline was 60.0 ± 11.8 and at the exit visit was 60.3 ± 12.3 ( = 0.858). Sub-scale analysis showed significant deterioration for five of the 13 items. Multivariate logistic regression found that significant predictor of VFQ-25 composite score reduction was fewer laser burns ( = 0.002) while significant predictor of RetTSQ total score reduction was presence of hyperlipidaemia ( = 0.021). : The use of vision-related quality of life and treatment satisfaction questionnaires in conjunction with clinical examination, appears to provide a more comprehensive overview of an individual's daily well-being following PRP. Laser treatment for diabetic retinopathy leads to deterioration of some of the patients' perceived VR-QOL and TS. Health-care providers should inform patients about their treatment options and together decide which therapeutic method is best for them.
: 本研究旨在评估接受全视网膜光凝(PRP)治疗的糖尿病视网膜病变患者的视觉相关生活质量(VR-QOL)和治疗满意度(TS)。 : 该面板研究纳入了 95 名接受 PRP 治疗糖尿病视网膜病变的患者。合格的患者既往无 PRP 治疗史,在激光治疗前和最后一次激光治疗后一个月,由访谈员使用国家眼科研究所视觉功能问卷(NEI VFQ-25)和视网膜治疗满意度问卷(RetTSQ)进行评估。该研究于 2017 年 6 月至 2019 年 6 月在塞尔维亚贝尔格莱德的一家三级保健中心进行。我们使用配对样本 t 检验评估了 PRP 前后 VFQ-25 综合评分和 RetTSQ 各分量表评分的变化。单变量逻辑回归用于分析二分类结局与潜在预测因子之间的关系。多变量回归纳入了单变量分析中具有统计学意义的预测因子。 : PRP 治疗前 VFQ-25 综合评分为 65.4 ± 17.4,治疗后为 63.3 ± 19.5( = 0.045)。11 个项目中的 2 个在激光治疗后显著下降(一般视力和依赖性)。基线时 RetTSQ 评分为 60.0 ± 11.8,随访时为 60.3 ± 12.3( = 0.858)。13 个项目中的 5 个在亚量表分析中显示出显著恶化。多变量逻辑回归发现,VFQ-25 综合评分下降的显著预测因子是激光光斑数较少( = 0.002),RetTSQ 总分下降的显著预测因子是高脂血症( = 0.021)。 : 在临床检查的基础上,使用与视觉相关的生活质量和治疗满意度问卷,似乎可以更全面地了解患者接受 PRP 治疗后的日常幸福感。糖尿病视网膜病变的激光治疗会导致一些患者感知到的 VR-QOL 和 TS 恶化。医疗保健提供者应告知患者他们的治疗选择,并共同决定哪种治疗方法最适合他们。