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学科主题: 临床医学
题名:
Impact of cataract surgery on vision-related life performances: the usefulness of Real-Life Vision Test for cataract surgery outcomes evaluation
作者: Ni, W.1,2; Li, X.1,2; Hou, Z.1,2; Zhang, H.3; Qiu, W.1,2; Wang, W.1,2
刊名: EYE
发表日期: 2015-12-01
DOI: 10.1038/eye.2015.147
卷: 29, 期:12, 页:1545-1554
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Ophthalmology
研究领域[WOS]: Ophthalmology
关键词[WOS]: QUALITY-OF-LIFE ; VISUAL FUNCTION QUESTIONNAIRE ; TIMED INSTRUMENTAL ACTIVITIES ; DAILY LIVING TASKS ; OLDER-ADULTS ; INTRAOCULAR LENSES ; IMPAIRMENT ; HEALTH ; EYE ; AGE
英文摘要:

Purpose Real-Life Vision Test (RLVT) is a newly developed performance-based measures of functional vision. This present study is designed to determine whether it could be a meaningful assessment for cataract surgery outcomes evaluation.

Patients and methods Age-related cataract patients (56) who scheduled for bilateral cataract surgery and 44 age-matched controls were evaluated by four types of measurements: (1) demographic, medical, cognitive and depressive evaluation, and the reaction time testing; (2) clinical measures (visual acuity, contrast sensitivity, stereopsis, and color perception); (3) the 25-item National Eye Institute′s Visual Functioning Questionnaire (NEI-VFQ); (4) the RLVT. Spearman′s coefficients and multiple regression analysis were conducted to investigate the relationship among RLVT, clinical measures, and self-report assessment of visual function.

Results The results of RLVT, clinical measures, and NEI-VFQ total scores were improved significantly after cataract surgery. There were no differences between control subjects and post-surgery patients with respect to NEI-VFQ-25 total scores, self-rating depression scale scores and three tasks of RLVT. Change of RLVT was significantly associated with the change of clinical measures in the cataract group. Multiple regression analysis demonstrated that change of distance, intermediate, and near visual acuity, and binocular contrast sensitivity were significant predictors of improvements of RLVT.

Conclusions Cataract surgery could improve real-world visual ability effectively for cataract patients. Our study highlights the potential usefulness of RLVT as an adjunct to the current outcomes evaluation system for cataract surgery. The use of RLVT combined with clinical and self-survey methods may be the comprehensive strategy to manifest the impact of cataract surgery on patients′ overall vision-related quality of life.

语种: 英语
所属项目编号: 2011CB510200
项目资助者: National Basic Research Program of China (973 Program)
WOS记录号: WOS:000366613800007
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67218
Appears in Collections:北京大学第三临床医学院_眼科_期刊论文

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作者单位: 1.Minist Educ, Key Lab Vis Loss & Restorat, Beijing, Peoples R China
2.Peking Univ, Dept Ophthalmol, Hosp 3, Beijing 100191, Peoples R China
3.Peking Univ, Res Ctr Clin Epidemiol, Hosp 3, Beijing 100191, Peoples R China

Recommended Citation:
Ni, W.,Li, X.,Hou, Z.,et al. Impact of cataract surgery on vision-related life performances: the usefulness of Real-Life Vision Test for cataract surgery outcomes evaluation[J]. EYE,2015,29(12):1545-1554.
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