[Efficacy of treatments on vision-related quality of life in patients with diabetic retinopathy].

Abstract

PURPOSE:

To evaluate changes in the vision-related quality of life in patients with diabetic retinopathy with the 25-item National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25). Patients were categorized into three groups : without treatment, receiving pan-retinal photocoagulation, and those who had vitrectomy.

SUBJECTS AND METHODS:

Altogether 327 patients (131 without treatment, [observation group]; 60 receiving pan-retinal photocoagulation, [photocoagulation group]; and 136 patients who had vitrectomy, [vitrectomy group]). The VFQ-25 was recorded at the time of entry and 1 year later. The VFQ-25 score was compared between the time of entry and 1 year later for each group and among the three groups at both the time of entry and 1 year later.

RESULTS:

VFQ-25 scores (mean +/- standard deviations) at the time of entry and 1 year later were 91.3 +/- 7.8 and 92.2 +/- 7.8 in the observation group, 80.7 +/- 15.7 and 77.6 +/-19.1 in the photocoagulation group, and 67.4 +/-17.3 and 75.4 +/- 17.5 in the vitrectomy group. VFQ-25 scores in the observation group and in the photocoagulation group did not change statistically between the time of entry and 1 year later (p = 0.113, 0.169, respectively), while the score of the vitrectomy group increased statistically (p < 0.001). In addition, although VFQ-25 scores were statistically significant among the three groups at the time of entry (p < 0.05), the scores 1 year later were not statistically different between the photocoagulation group and vitrectomy group.

CONCLUSIONS:

These results suggest that vitrectomy for diabetic retinopathy may be effective in increasing the quality of life of patients with diabetic retinopathy.

• Authors: Kazuyuki Emi, Toshihide Ikeda, Hajime Bando, Shigeru Sato, Shin-Ichi Morita, Tomohito Oyagi, Tatsuhiko Sato, Kosaku Sawada, Yoshihito Oura, Chikako Ueno
• Journal: Nippon Ganka Gakkai zasshi (Nippon Ganka Gakkai Zasshi) Vol. 113 Issue 11 Pg. 1092-7 (Nov 2009) ISSN: 0029-0203 [Print] Japan
• PMID: 19994588 (Publication Type: Comparative Study, English Abstract, Journal Article)

Topics

• Diabetic Retinopathy (physiopathology, surgery)
• Female
• Humans
• Light Coagulation
• Male
• Middle Aged
• Quality of Life
• Treatment Outcome
• Vision, Ocular
• Vitrectomy