Investigators did not find a correlation between the VFQ-25 composite score and the post-op logMAR BCVA, but they did find a significant correlation between the log contrast sensitivity function and low contrast visual acuity. “The retinal detachment group showed significantly lower scores than the normal controls in four subscales: near activities, mental health, dependency, and peripheral vision,” the investigators wrote. At six months post-op, the mean logMAR BCVA was 0.06, the mean log contrast sensitivity function was 0.97, and the mean low-contrast visual acuity was 0.50.Ĭomparing VFQ-25 results, composite scores were lower in the retinal detachment patient group (mean, 80.3) compared with normal controls (mean, 85.2). Subretinal fluid drainage was performed in 50% of patients. Sulfur hexafluoride (SF6) gas was injected in 22.2% of the scleral buckling patients and 20% of the vitrectomy patients. Retinal reattachment was successful after one operation in all eyes, and there were no significant intra-op or post-op complications. A score of 0 to 100 is possible within each scale, with a higher score indicating a better quality of life within a particular area. The VFQ-25 measures symptoms and activities under 12 scales: general health, general vision, ocular pain, near activities, distance activities, social functioning, mental health, role difficulties, dependency, driving, color vision, and peripheral vision. Research staff helped patients complete the questionnaire, which asked patients to rate the difficulty they had with specific visual symptoms or vision-related daily activities. Patients completed the 25-Item National Eye Institute Visual Function Questionnaire (VFQ-25) at six months post-op. Contrast sensitivity was tested with a CSV-1000E chart and a CSV-1000LanC10% chart (VectorVision, Greenville, Ohio). Six months after surgery, the investigators measured logMAR best-corrected visual acuity (BCVA) and contrast sensitivity. Investigators compared data from the retina detachment patients with a group of 46 normal controls. Patients with a previous history of ocular surgery in the operated eye, other ophthalmic disorders, and complicated vitreoretinal disease such as proliferative vitreoretinopathy were not included. The study included 38 males and 13 females with a mean age of 51.9 years.
The study included 51 eyes from 51 patients who had a retinal detachment and were treated successfully with either a scleral buckling procedure or pars plana vitrectomy between January 2006 and February 2007. However, assessment of post-operative daily activities and well-being of patients after retinal detachment surgery are feasible and of clinical importance,” investigators wrote.Ī postoperative case of long standing retinal detachment showing subretinal bands, in attached retina, after sucessful buckling procedure “Because retinal detachment is an acute-onset, unstable, and progressive disease, it is difficult to evaluate pre-operative visual function quality of life in patients. To the investigators’ knowledge, this is the first quality of life study in retinal detachment patients. The study was led by Fumiki Okamoto, M.D., department of ophthalmology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan, and was published in the July 2008 issue of the American Journal of Ophthalmology. The negative perception of quality of life is significantly associated with a deterioration of post-op contrast sensitivity, the investigators wrote. Patients may view their quality of life negatively after retinal detachment surgery even if surgical outcomes are good, a new study concludes. EyeWorld Contributing Editor Contrast sensitivity affects patients’ quality of life
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