Abstract
BackgroundSubjective functional outcomes measurements, such as vision health-related quality of life (VRQoL) and self-rated satisfaction measures can provide helpful multidimensional vision health information that is more comprehensive than traditional objective measures, such as best corrected visual acuity (BCVA). The purpose of this study is to demonstrate 3-year longitudinal postoperative VRQoL and self-rated satisfaction changes after rhegmatogenous retinal detachment (RRD) surgery.Methodology/Principal FindingsA prospective case series report was conducted in 92 RRD patients who underwent surgery during January 2004 through December 2006. Preoperative, 3-month, 1-year and 3-year postoperative patient VRQoL and self-rated satisfaction were assessed by face-to-face interviews. The importance of objective variables for predicting three dependent variables: CLVQOL composite scores change, 3-year postoperative CVLQOL composite score and self-rated satisfaction degree scores were calculated by stepwise multivariate linear or logistic regression analysis methods.ResultsThe total CLVQOL composite scores change ranged between -48 and 90 (mean±standard deviation: 19.48±31.34), including positive changes in 62 patients. The self-rated satisfaction degree scores ultimately improved in 86 patients as compared with preoperative degrees. Statistically significant increases occurred only in the composite scores of subscale mobility and self-rated satisfaction degrees in the first 3 months, while the composite scores of the remaining subscales, and the total CLVQOL, BCVA in the RRD eye and weighted average BCVA, increased steadily throughout the first postoperative year. A better 3-year postoperative weighted average BCVA was associated with all of the 3 dependent outcome variables.ConclusionsVRQoL of RRD patients improved substantially after surgery and they were satisfied with their postoperative vision. The BCVA, VRQoL and self-rated satisfactory degree scores recovered in different patterns, and supplemented each other in the RRD surgery outcomes evaluated. Surgeons are advised to pay closer attention to binocular vision in RRD patients, and make efforts to explain the results of surgery.
Highlights
The anatomic success rate of rhegmatogenous retinal detachment (RRD) surgery has improved over recent decades, limitations in visual function remain primarily because of permanent functional damage once the macula becomes detached. [1] Best corrected visual acuity (BCVA) is the most common indicator of RRD surgical outcomes; ophthalmologists nowadays recognize that patients are more interested in how interventions affect their wellbeing than in improvements in biomedical indicators
The total CLVQOL composite scores change ranged between -48 and 90, including positive changes in 62 patients
vision health-related quality of life (VRQoL) of RRD patients improved substantially after surgery and they were satisfied with their postoperative vision
Summary
The anatomic success rate of rhegmatogenous retinal detachment (RRD) surgery has improved over recent decades, limitations in visual function remain primarily because of permanent functional damage once the macula becomes detached (macula-off RRD). [1] Best corrected visual acuity (BCVA) is the most common indicator of RRD surgical outcomes; ophthalmologists nowadays recognize that patients are more interested in how interventions affect their wellbeing than in improvements in biomedical indicators. [3,4,5,6,7] Since visual acuity after retinal reattachment may continue to improve over a long period of time (43.5 months or 5 years), [8,9] the long-term VRQoL changes after RRD surgery inspire much debate. The purpose of the present prospective study is to demonstrate the 3-year longitudinal postoperative VRQoL and self-rated satisfaction changes in these patients. Subjective functional outcomes measurements, such as vision health-related quality of life (VRQoL) and selfrated satisfaction measures can provide helpful multidimensional vision health information that is more comprehensive than traditional objective measures, such as best corrected visual acuity (BCVA). The purpose of this study is to demonstrate 3-year longitudinal postoperative VRQoL and self-rated satisfaction changes after rhegmatogenous retinal detachment (RRD) surgery
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