视力相关的生活质量在患有青光眼的患者前和之后的带切除术
Mathilde M von Arenstorff1, Afrouz Ahmadzadeh1, Bo Simmendefeldt Schmidt2
1Department of Ophthalmology, Copenhagen University Hospital-Rigshospitalet Copenhagen, Glostrup, Denmark.
Acta ophthalmologica
|April 24, 2024
概括
膜切除术没有显著改变眼患者的整体视觉相关生活质量 (VR-QoL). 虽然心理健康得分有所改善,但一般健康和角色困难有所下降,显示VR-QoL.
科学领域:
- 眼科医生 眼科 眼科
- 生活质量研究 研究 生命质量研究
背景情况:
- 玻璃眼是一种渐进的视神经病变,导致视力丧失.
- 眼切除术是一种手术程序,用于降低眼内压力并防止进一步的视力丧失.
- 评估与视力相关的生活质量 (VR-QoL) 对于了解患者在白内障手术后的结果至关重要.
研究的目的:
- 评估大眼镜切除术前和12个月后,大眼镜患者VR-QoL的变化.
- 在这些患者中确定与VR-QoL相关的功能和结构参数.
主要方法:
- 在这项研究中,有58名接受带切除术的青光眼患者被纳入了研究组.
- 国家眼科研究所视觉功能问卷 (VFQ-25) 进行了手术前和手术后12个月的治疗.
- 使用多重线性回归分析分析了VFQ-25分数与临床测量 (视觉敏度,视野,质细胞层体积,眼内压力,药物使用) 之间的关联.
主要成果:
- 整体VFQ-25复合得分在轨道切除术后保持稳定 (p=0.512).
- 在心理健康分量表 (p=0.017) 中观察到显著改善,而一般健康 (p=0.009) 和角色困难 (p<0.001) 分量表显示出显著下降.
- 在VFQ-25复合分数和评估的功能或结构参数之间没有发现显著的关联.
结论:
- 脊柱切除术似乎稳定了青光眼患者的整体VR-QoL,尽管有一些特定的功能下降.
- VR-QoL与客观临床参数之间缺乏相关性,这凸显了视觉功能的复杂主观性质.
- 将VR-QoL评估与临床指标相结合,可以更全面地了解患者的体验和手术结果.
相关概念视频
Angle Closure Glaucoma: Treatment
485
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
485
Glaucoma: Overview
560
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
560
Open Angle Glaucoma: Treatment
440
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
440


