Original articleVision-related Quality of Life and Visual Function after Retinal Detachment Surgery
Section snippets
Patients
We included 51 eyes of 51 consecutive patients with RD who were treated successfully with scleral buckling procedure or pars plana vitrectomy. Surgery was performed at our clinic by an experienced vitreoretinal surgeon (F.O.) from January 16, 2006 through February 15, 2007. There were 38 males and 13 females, and their mean age ± standard deviation (SD) was 51.9 ± 13.8 years. The control group consisted of 46 age-matched normal subjects (mean age, 52.3 ± 3.9 years). Before inclusion in the
Results
All patients had unilateral RD and surgery only in the RD eye during the perioperative and six-month postoperative period. No significant intraoperative and postoperative complications were observed, such as subretinal hemorrhage, persistent elevation of intraocular pressure for more than three days, cystoid macular edema, and choroidal detachment. Retinal reattachment was attained at initial operation in all eyes. In the scleral buckling group, SF6 gas was injected in four patients (22.2%),
Discussion
As shown in the results, in patients with RD even after successful reattachment surgery, VR QOL is at a lower level than the normal controls. Specifically, the score of four subscales were significantly lower in the RD group than in the normal controls, such as near activities, mental health, dependency, and peripheral vision. Although VA in the RD patients was almost normal after reattachment surgery (logMAR BCVA, 0.06 in this study), their VR QOL was found to be deteriorated. Previous studies
Fumiki Okamoto graduated from Tsukuba University School of Medicine, Ibaraki, Japan in 1994. He completed his ophthalmology residency and fellowship at University of Tsukuba Hospital. Dr Okamoto is currently an Assistant Professor at the University of Tsukuba, Department of Ophthalmology. He specializes in vitreoretinal surgery.
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Fumiki Okamoto graduated from Tsukuba University School of Medicine, Ibaraki, Japan in 1994. He completed his ophthalmology residency and fellowship at University of Tsukuba Hospital. Dr Okamoto is currently an Assistant Professor at the University of Tsukuba, Department of Ophthalmology. He specializes in vitreoretinal surgery.