Visual function and vision-related quality of life after vitrectomy for idiopathic macular hole:a 12mo follow-up study
Author:
Corresponding Author:

Affiliation:

1Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300020, China;
2Tianjin Eye Hospital, Tianjin 300020, China;
3Tianjin Institute of Ophthalmology, Tianjin 300020, China;
4Tianjin Key Laboratory of Ophthalmology and Visual Sciences, Tianjin 300020, China

Clc Number:

Fund Project:

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Cited by
  • |
  • Materials
  • |
  • Comments
    Abstract:

    AIM: To investigate the visual function and the relationship with vision-related quality of life (VRQOL) after macular hole repair surgery.METHODS: Prospective case series. Thirty-six consecutive eyes in 36 patients who underwent pars plana vitrectomy (PPV) and internal limiting membrane (ILM) peeling were included. The 25-item National Eye Institute Visual Function Questionnaire (VFQ-25) was answered by the participants before and 3 and 12mo after operation. Follow-up visits examinations included best-corrected visual acuity (BCVA), clinical examination, and central macular thickness (CMT) measured by optical coherence tomography (OCT).RESULTS: Macular-hole closure was achieved in 35 of 36 eyes (97.2%). At baseline and months 3 and 12, the logMAR BCVAs (mean±SD) were 1.15±0.47, 0.68±0.53 (P<0.0001 versus baseline), and 0.55±0.49 (P<0.001 versus baseline, P =0.273 versus month 3), respectively; the CMTs (μm) were 330±81, 244±62 (P<0.001 versus baseline), and 225±58 (P<0.001 versus baseline, P=0.222 versus month 3), respectively; the median preoperative VFQ-25 composite score of 73.50 (63.92-81.13) increased postoperatively to 85.50 (80.04-89.63) at 3mo (P<0.001) and 86.73(82.50-89.63) at 12mo (P<0.001) respectively. The improved BCVA was correlated with improvements in five subscales (r=-0.605 to -0.336, P<0.001 to P=0.046) at 12mo.CONCLUSION: PPV with ILM peeling improved anatomic outcome, visual function, and VRQOL. The improved BCVA was an important factor related to the improved VRQOL.

    Reference
    Related
    Cited by
Get Citation

Hong-Tao Duan, Song Chen, Yue-Xin Wang, et al. Visual function and vision-related quality of life after vitrectomy for idiopathic macular hole:a 12mo follow-up study. Int J Ophthalmol, 2015,8(4):764-769

Copy
Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
Publication History
  • Received:October 08,2014
  • Revised:December 25,2014
  • Adopted:December 25,2014
  • Online: July 27,2015
  • Published: