Hayat S C, Yilmaz Y C, Cayhan G, Ozal S A
Department of Ophthalmology, Basaksehir Cam and Sakura City Hospital, University of Health Sciences, Istanbul, Turkey.
Department of Ophthalmology, Basaksehir Cam and Sakura City Hospital, University of Health Sciences, Istanbul, Turkey.
J Fr Ophtalmol. 2025 Sep;48(7):104614. doi: 10.1016/j.jfo.2025.104614. Epub 2025 Aug 4.
To evaluate vision-related quality of life (VRQOL) in patients who underwent pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD) and to explore the relationship between VRQOL outcomes and various clinical and demographic factors.
In this cross-sectional study, patients with anatomic success 12months after PPV for RRD were evaluated. The Turkish version of the National Eye Institute Visual Function Questionnaire-39 (NEI-VFQ-39) was administered to evaluate VRQOL. Patient demographics, preoperative findings, surgical details, and postoperative outcomes, including best-corrected visual acuity (BCVA) and retinal displacement, were analyzed. Fundus autofluorescence imaging was performed at 12months to detect retinal displacement.
A total of 110 patients (median age: 58years) were included. Patients without retinal displacement had the highest VRQOL composite and subscale scores, while superior retinal displacement was linked to significantly lower scores. Patients who underwent combined surgery and those who were pseudophakic postoperatively had better VRQOL scores. Postoperative BCVA was significantly correlated with subscales such as general health, general vision, ocular pain, vision-specific dependency, and driving scores. However, no correlation was found between preoperative or final BCVA and the composite score.
The lack of correlation between VRQOL composite score and BCVA suggests that focusing solely on BCVA may not fully capture the patient's visual experience. VRQOL is significantly impacted by retinal displacement, with superior displacement associated with the lowest scores. Patient positioning, surgical techniques, and postoperative follow-up should emphasize minimizing retinal displacement to improve long-term visual outcomes and quality of life.
评估接受玻璃体视网膜手术（PPV）治疗孔源性视网膜脱离（RRD）患者的视力相关生活质量（VRQOL），并探讨VRQOL结果与各种临床和人口统计学因素之间的关系。
在这项横断面研究中，对RRD患者接受PPV术后12个月解剖复位成功的患者进行评估。采用土耳其语版的美国国立眼科研究所视觉功能问卷-39（NEI-VFQ-39）来评估VRQOL。分析患者的人口统计学、术前检查结果、手术细节以及术后结果，包括最佳矫正视力（BCVA）和视网膜移位情况。在术后12个月进行眼底自发荧光成像以检测视网膜移位。
共纳入110例患者（中位年龄：58岁）。无视网膜移位的患者VRQOL综合评分和各子量表评分最高，而视网膜上移位与明显较低的评分相关。接受联合手术的患者以及术后为假晶状体眼的患者VRQOL评分更好。术后BCVA与一般健康、总体视力、眼痛、视力相关依赖和驾驶等子量表显著相关。然而，术前或最终BCVA与综合评分之间未发现相关性。
VRQOL综合评分与BCVA之间缺乏相关性表明，仅关注BCVA可能无法完全反映患者的视觉体验。VRQOL受视网膜移位的显著影响，上移位与最低评分相关。患者体位、手术技术和术后随访应强调尽量减少视网膜移位，以改善长期视觉结果和生活质量。
