Patient Satisfaction and Clinical Outcomes After Overnight Orthokeratology
Patient Satisfaction and Clinical Outcomes After Overnight Orthokeratology
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DOI：
10.1097/opx.0b013e3181ae34d5
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发表时间：
2009-07-01
影响因子：
1.4
通讯作者：
Oshika, Tetsuro
中科院分区：
文献类型：
--
作者：
Hiraoka, Takahiro;Okamoto, Chikako;Oshika, Tetsuro
目的.采用视觉模拟评分法评估患者对角膜塑形术的满意度，并寻找影响患者满意度的临床因素。在这项前瞻性研究中，使用视觉模拟量表测量了17名在角膜塑形术开始后完成1年随访检查的患者对视力结果的主观满意度，范围从0（非常不满意）到10（非常满意）。基线等效球镜屈光度为2.17 +/- 0.84屈光度（平均值+/- SD）。在手术前后检查各种临床参数，包括屈光度、视力、眼高阶像差、明视和中间视对比敏感度功能。采用斯皮尔曼等级相关检验评价这些参数对患者满意度的影响。视觉结果的总体满意度评分为7.8 +/- 1.8（范围：3.5 - 10）。患者满意度与治疗前近视度数及治疗后裸眼视力呈显著相关（斯皮尔曼等级相关系数r =-0.599，p = 0.017），与治疗前近视度数呈显著相关（r = 0.500，p = 0.045）。这项研究表明，患者满意度相对较高的通宵角膜塑形术。治疗后裸眼视力与患者满意度相关，高度近视患者的主观满意度较低。（Optom维斯科学2009;86：875-882）
Purpose. To assess patient satisfaction following overnight orthokeratology using a visual analogue scale and to find clinical factors that influence patient satisfaction.Methods. In this prospective study, subjective patient satisfaction with visual outcomes was measured using a visual analogue scale, ranging from 0 (very dissatisfied) to 10 (very satisfied) in 17 patients who completed 1-year follow-up examinations after commencement of orthokeratology. Spherical equivalent refraction at baseline was 2.17 +/- 0.84 diopter (mean +/- SD). Various clinical parameters including refraction, visual acuity, ocular higher-order aberrations, and photopic and mesopic contrast sensitivity function were examined before and after the procedure. The influence of these parameters on patient satisfaction was evaluated using Spearman rank correlation test.Results. The overall satisfaction with visual outcomes was scored 7.8 +/- 1.8 (range, 3.5 to 10). The level of satisfaction showed significant correlation (Spearman rank correlation coefficient; r = -0.599, p = 0.017) with posttreatment uncorrected visual acuity and pretreatment myopic error (r = 0.500, p = 0.045).Conclusions. This Study demonstrated a relatively high level of patient satisfaction following overnight orthokeratology. Posttreatment uncorrected visual acuity is associated with patient satisfaction, and patients with higher myopia are predisposed to lower levels of subjective satisfaction. (Optom Vis Sci 2009;86:875-882)