AOR
Archives of Ophthalmological Research

The Archives of Ophthalmological Research aims to publish issues related to publish articles of the highest scientific and clinical value at an international level, and accepts articles on these topics. The target audience of the journal included specialists and physicians working in ophthalmology, and other health professionals interested in these fields.

eISSN: 3023-6479
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Original Article
Vision-related quality of life in low-vision patients who underwent epiretinal membrane surgery
Abstract
Aims: To evaluate the vision-related quality of life (VR-QOL) in patients with low vision, who underwent epiretinal membrane (ERM) surgery with pars plana vitrectomy.
Methods: Twenty subjects with unilateral ERM and 20 healthy subjects as CG were included in the study. The National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25) was used. In ERM cases, the two-step 23 G vitrectomy was performed with a similar technique by the same experienced vitreoretinal surgeon. The relationship between the composite score and visual acuity was evaluated. Reliability analysis was performed. Flexible discriminant analysis was performed to group individuals according to the NEI VFQ-25 results.
Results: The preoperative best corrected visual acuity (BCVA) in ERM group was 1.04±0.41. Postoperative visual improvement reached statistical significance (p<0.001) and postoperative 6th month BCVA was 0.61±0.41. The composite score was significantly lower in patients with ERM than in CG (p=0.017). The subscale scores were significantly lower in the patients with ERM than in the CG in general vision, ocular pain, near activities and distance activities (p<0.001, p=0.005, p<0.001, p=0.003, respectively). There was a statistically significant correlation between the composite score and visual acuity (R2=0.19, p=0.004). The scale has high reliability (Cronbach's alpha=0.8743). The accuracy of the flexible discriminant function was found to be 100%.
Conclusion: The NEI VFQ-25 questionnaire may help to define the effects of ERM surgery since visual acuity does not fully reflect VR-QOL. Impaired binocular vision may be associated with the deterioration of VR-QOL in patients with ERM in the postoperative period.

Keywords : ERM, epiretinal membrane, NEI VFQ-25, vision-related quality of life, VR-QOL

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1. Elliott DB, Pesudovs K, Mallinson T. Vision-related quality of life. <em>Optom Vis Sci. </em>2007;84(8):656-658.
2. Mangione CM, Lee PP, Gutierrez PR, et al. Development of the 25-list-item national eye institute visual function questionnaire. <em>Arch Ophthalmol. </em>2001;119(7):1050-1058.
3. Toprak AB, Eser E, Guler C, Baser FE, Mayali H. Cross-validation of the Turkish version of the 25-item national eye institute visual functioning questionnaire (NEI-VFQ 25). <em>Ophthalmic Epidemiol. </em>2005; 12(4):259-269.
4. Okamoto F, Okamoto Y, Fukuda S, Hiraoka T, Oshika T. Vision-related quality of life and visual function after vitrectomy for various vitreoretinal disorders. <em>Inves Ophthalmol Vis Sci. </em>2010;51(2):744-751.
5. Aydin Kurna S, Altun A, Gencaga T, Akkaya S, Sengor T. Vision related quality of life in patients with keratoconus. <em>J Ophthalmol. </em>2014; 2014:694542.
6. Lina G, Xuemin Q, Qinmei W, Lijun S. Vision-related quality of life, metamorphopsia, and stereopsis after successful surgery for rhegmatogenous retinal detachment. <em>Eye. </em>2016;30(1):40-45.
7. Ghazi-Nouri SM, Tranos PG, Rubin GS, Adams ZC, Charteris DG. Visual function and quality of life following vitrectomy and epiretinal membrane peel surgery. <em>Br J Ophthalmol. </em>2006;90(5):559-562.
8. Okamoto F, Okamoto Y, Hiraoka T, Oshika T. Effect of vitrectomy for epiretinal membrane on visual function and vision-related quality of life. <em>Am J Ophthalmol. </em>2009; 147(5):869-874.
9. Margherio RR, Cox Jr MS, Trese MT, Murphy PL, Johnson J, Minor LA. Removal of epimacular membranes. <em>Ophthalmology. </em>1985;92(8):1075-1083.
10. Grewing R, Mester U. Results of surgery for epiretinal membranes and their recurrences. <em>Br J Ophthalmol. </em>1996;80(4):323-326.
11. Owsley C, Sloane ME. Contrast sensitivity, acuity, and the perception of&rsquo;real-world&rsquo;targets. <em>Br J Ophthalmol. </em>1987;71(10):791-796.
12. Bouwens MD, Van Meurs JC. Sine amsler charts: a new method for the follow-up of metamorphopsia in patients undergoing macular pucker surgery. <em>Graefes Arch Clin Exp Ophthalmol. </em>2003;241(2):89-93.
13. Hatt SR, Leske DA, Iezzi R, Holmes JM. Binocular interference vs diplopia in patients with epiretinal membrane. <em>JAMA Ophthalmol. </em>2020;138(11):1121-1127.
14. Fung AT, Galvin J, Tran T. Epiretinal membrane: a review. <em>Clin Experiment Ophthalmol. </em>2021;49(3):289-308.
15. Pesin SR, Olk RJ, Grand MG, et al. Vitrectomy for premacular fibroplasia: prognostic factors, long-term follow-up, and time course of visual improvement. <em>Ophthalmology. </em>1991;98(7):1109-1114.
16. Tranos PG, Ghazi-Nouri SM, Rubin GS, Adams ZC, Charteris DG. Visual function and subjective perception of visual ability after macular hole surgery. <em>Am J Ophthalmol. </em>2004;138(6):995-1002.
17. Okamoto F, Okamoto Y, Hiraoka T, Oshika T. Vision-related quality of life and visual function after retinal detachment surgery. <em>Am J Ophthalmol. </em>2008;146(1):85-90.
18. Okamoto F, Okamoto Y, Fukuda S, Hiraoka T, Oshika T. Vision-related quality of life and visual function following vitrectomy for proliferative diabetic retinopathy. <em>Am J Ophthalmol. </em>2008;145(6):1031-1036.
19. Cahill MT, Stinnett SS, Banks AD, Freedman SF, Toth CA. Quality of life after macular translocation with 360&deg; peripheral retinectomy for age-related macular degeneration. <em>Ophthalmology. </em>2005;112(1):144-151.
20. Xu K, Gupta V, Bae S, Sharma S. Metamorphopsia and vision-related quality of life among patients with age-related macular degeneration. <em>Can J Ophthalmol. </em>2018;53(2):168-172.
21. Patel PJ, Steel DH, Hirnei&szlig; C, Brazier J, Aly A, Lescrauwaet B. Patient-reported prevalence of metamorphopsia and predictors of vision-related quality of life in vitreomacular traction: a prospective, multi-centre study. <em>Eye. </em>2019;33(3):435-444.
22. Khanna RK, Pichard T, Pasco J, et al. Monocular and binocular visual parameters associated to vision-related quality of life in patients with epiretinal membrane: a prospective cohort. <em>Graefe&rsquo;s Arch Clin Exp Ophthalmol. </em>2021;259:1723-1730.
Article available in :
Volume 1, Issue 4, 2024
Page : 75-78
https://doi.org/10.51271/AOR-0021
Article Information
Received : 02 Eki 2024
Accepted : 18 Eki 2024
Published : 23 Eki 2024
Corresponding Author :

Fatih Horozoğlu: Department of Ophthalmology, Faculty of Medicine, Erciyes University, Kayseri, Turkiye

[email protected]
Citation : Horozoğlu F, Sener H, Polat OA, Sever Ö, Yüksel T, Evereklioglu C. Vision-related quality of life in low-vision patients who underwent epiretinal membrane surgery. Arch Ophthalmol Res. 2024;1(4):75-78.

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