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Vision Preference Value Scale and Patient Preferences in Choosing Therapy for Symptomatic Vitreomacular Interface

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Patients with symptomatic vitreomacular interface abnormalities (VIAs) value their vision significantly and show enthusiasm for treatments like vitrectomy or injections. These findings inform treatment decisions for conditions affecting visual functioning.

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Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Patient-Reported Outcomes

Background:

  • Symptomatic vitreomacular interface abnormalities (VIAs) are prevalent conditions affecting vision.
  • Assessing patient vision preference values and treatment preferences is crucial for guiding clinical recommendations and influencing healthcare policy.

Purpose of the Study:

  • To determine the vision preference values assigned by individuals with VIA to their current visual state.
  • To ascertain patient preferences for potential treatment options for VIAs.

Main Methods:

  • A cross-sectional questionnaire study was conducted with 213 patients diagnosed with symptomatic VIA from international tertiary care centers.
  • Inclusion criteria included diagnosis within one year, visual acuity worse than 20/20 in both eyes (OU), and VIA-related symptoms.
  • Data were collected using a standardized questionnaire assessing visual state and treatment preferences, with preference values graded from 0 (death) to 1 (perfect health).

Main Results:

  • The mean vision preference value among patients with VIA was 0.76 (SD 0.15), with no significant differences across epiretinal membrane, macular hole, or vitreomacular traction.
  • A majority of participants (81.0%) expressed enthusiasm for surgical intervention (vitrectomy) or intravitreal injection.
  • Vitrectomy was preferred by 71.1% of patients compared to 56.9% for intravitreal injection, with enthusiasm for vitrectomy associated with fellow eye and better-seeing eye visual acuity.

Conclusions:

  • Patients with symptomatic VIAs report comparable preference values across different types of the condition.
  • The findings indicate a strong patient desire for treatment, with a notable enthusiasm for both vitrectomy and intravitreal injections, suggesting a significant impact of VIAs on quality of life.
  • A slight preference for vitrectomy over intravitreal injection was observed, potentially influenced by visual acuity in the fellow and better-seeing eyes.