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To evaluate the functional and anatomical results of macular hole surgery and to explore its effect on patients’Health-Related Quality Of Life (HR-QOL) and to investigate the associations between self-reported HR-QOL and conventional measures of visual function. Case series. The National Eye Institute 25-Item V isual Function Questionnaire (VFQ-25) and the 36-Item Short-Form Health Surve y (SF-36) were self-administered by 30 patients before and 4 months after macu lar hole surgery. Preoperative, intraoperative, and postoperative clinical data were collected including visual acuity, contrast sensitivity, and metamorphopsia . Multi-item scales rating different aspects of HR-QOL were compared before an d after surgery, and their correlation with traditional methods of outcome evalu ation was analyzed. Macular hole closure was achieved in 26 patients (87%). Mea n LogMAR visual acuity improved by 6±10 letters for distance and 7 ±12 letters for near. Metamorphopsia was reduced by a mean of 35±70 squares on Amsler char t, and Pelli-Robson contrast sensitivity decreased by a mean of -0.09 ±0.3 lo g units postoperatively. The VFQ-25 composite score as well as scale scores ass ociated with general vision, near vision, vision-related mental health, and rol e difficulties were significantly improved (P < . 05) after successful closure o f macular hole. Conversely out of the eight SF-36 health concepts, limitation i n usual role activities because of emotional problems was the only one that sign ificantly improved postoperatively. Both baseline and postoperative best-correc ted visual acuity significantly correlated with most of the VFQ subscale scores before and after surgery, respectively. In this case-se-ries, macular hole sur gery appears to have a beneficial effect on patients’subjective perception of v isual function. The use of vision-targeted health status questionnaires in conj unction with detailed clinical examination provides a more comprehensive overvie w of individuals’daily well-being after surgical intervention. Further control led studies are required to confirm our findings.
To evaluate the functional and anatomical results of macular hole surgery and to explore its effect on patients’Health-Related Quality Of Life (HR-QOL) and to investigate the associations between self-reported HR-QOL and conventional measures of visual function. Case series. The National Eye Institute 25-Item V is Function Function Questionnaire (VFQ-25) and the 36-Item Short-Form Health Surve y (SF-36) were self-administered by 30 patients before and 4 months after macu lar hole surgery Preoperative, intraoperative, and postoperative clinical data were collected including visual acuity, contrast sensitivity, and metamorphopsia. Multi-item scales rating different aspects of HR-QOL were previously before an d after surgery, and their correlation with traditional methods of outcome evalutiontion Mea n LogMAR visual acuity improved by 6 ± 10 letters for distance and 7 ± 12 letters for near. Metamorphopsia was reduced by a mean of 35 ± 70 squares on Amsler char t, and Pelli-Robson contrast sensitivity decreased by a mean of -0.09 ± 0.3 lo g units postoperatively. The VFQ-25 composite score as well as scale scores ass ociated with general vision, near vision, Vision-related mental health, and rol e difficulties were significantly improved (P <. 05) after successful closure of macular hole. Conversely out of the eight SF-36 health concepts, limitation in usual role activities because of emotional problems was the only one that significantly improved postoperatively. Both baseline and postoperative best-correc ted visual acuity significant correlated with most of the VFQ subscale scores before and after surgery, respectively. In this case-se-ries, macular hole sur gery appears to have a beneficial effect on patients’subjective perception of v isual function. The use of vision-targeted health status questionnaires in conj unction with detailed clinical examination provides a more comprehensive overvie wo f individuals’daily well-being after surgical intervention. Further control led studies are required to confirm our findings.