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目的了解单眼孔源性视网膜脱离(RRD)和相关手术引起的视功能相关生存质量(VRQoL)改变及其影响因素。方法采用中文版低视力者生存质量量表(CLVQOL)测量92例单眼RRD手术患者手术前和随访期末的VRQoL。结果量表的克郎巴赫α系数大于0.7。手术前CLVQOL得分最低的条目均在维“调节能力”。手术后量表得分明显提高。手术引起条目得分改变最大的均在维“调节能力”。影响手术前CLVQOL量表得分和手术引起的得分改变的首要独立因素分别是患眼手术前视力和患眼视力改变。结论CLVQOL量表可以敏感反映单眼RRD手术患者VRQoL状况。单眼患RRD者的生活满意程度急剧下降。手术后VRQoL明显提高,特别是调节能力,但在完成一些精细工作和日常家务活动时仍有困难。通过提高视力、及时手术和避免手术并发症,有利于单眼RRD患者VRQoL的改善。
Objective To investigate the changes of visual quality related quality of life (VRQoL) caused by rhegmatogenous retinal detachment (RRD) and related surgery and its influencing factors. Methods The Chinese version of the low visual acuity quality of life scale (CLVQOL) was used to measure the VRQoL in 92 patients with monocular RRD before and at the end of follow-up. The results of the Cronbach alpha coefficient greater than 0.7. The items with the lowest CLVQOL score before surgery were all in the dimension of “accommodation ability.” Surgical scale scores improved significantly. Surgery caused the greatest changes in the scores of entries in the dimension “regulatory capacity.” The primary independent factors influencing the preoperative CLVQOL score and surgery-induced changes in scores were pre-ocular preoperative and ocular visual acuity, respectively. Conclusion The CLVQOL scale can reflect VRQoL status in patients with monocular RRD. Life expectancy in patients with monocular RRD dropped dramatically. VRQoL is significantly improved after surgery, especially with regard to accommodation, but it is still difficult to do some fine work and daily housework. By improving visual acuity, timely surgery and avoid complications of surgery, is conducive to the improvement of VRQoL in patients with monocular RRD.