Impact of bilateral cataract surgery on vision-related activity limitations
Impact of bilateral cataract surgery on vision-related activity limitations
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DOI：
10.1016/j.jcrs.2012.11.028
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发表时间：
2013-05-01
影响因子：
2.8
通讯作者：
Findl, Oliver
中科院分区：
文献类型：
--
作者：
Harrer, Annette;Gerstmeyer, Kristian;Findl, Oliver
目得：采用德国版Catquest-9 SF问卷评估患者在双侧白内障手术前后的视力相关活动受限。单位：Hanusch医院，维也纳，奥地利，和眼科诊所，明登，德国。设计：问卷开发。方法：这一前瞻性的2-中心研究纳入了计划进行双侧白内障手术并在白内障手术前约1周参加预评估预约的患者手术所有患者在预评估阶段和白内障手术后3个月第二次自我施用Catquest-9 SF。问卷包括9个项目，是一个修订后的短形式的Catquest，使用Rasch分析评分。Catquest-9 SF的问题包括在日常生活中的视觉相关的问题，一般满意度的视觉，和困难执行activity.RESULTS：该研究包括210例患者，120在奥地利和90在德国。所有患者的平均年龄为74.1岁（范围41 - 92岁）。大多数患者难以进行手工操作（42%）或识别不平坦的表面（30%）。奥地利60%的患者和德国约50%的患者在术前对视力非常不满意。术后，所有患者都认识到他们的vision.CONCLUSIONS主观改善：患者有双边白内障手术取得了显着改善视力相关的活动限制和满意度的视力。术前视力相关活动受限较少的一部分患者仅对第一眼手术感到满意。(C)2013年ASCRS和ESCRS
PURPOSE: To evaluate patients' vision-related activity limitation before and after bilateral cataract surgery using the German version of the Catquest-9SF questionnaire.SETTING: Hanusch Hospital, Vienna, Austria, and Ophthalmic Clinic, Minden, Germany.DESIGN: Questionnaire development.METHODS: This prospective 2-center study included patients who were scheduled for bilateral cataract surgery and attended their preassessment appointment approximately 1 week before cataract surgery. All patients self-administered the Catquest-9SF at the preassessment session and a second time 3 months after cataract surgery. The questionnaire includes 9 items and is a revised short form of the Catquest, scored using Rasch analysis. The Catquest-9SF includes questions concerning vision-associated problems in everyday life, general satisfaction with vision, and difficulties performing activities.RESULTS: The study comprised 210 patients, 120 in Austria and 90 in Germany. The mean age of all patients was 74.1 years (range 41 to 92 years). Patients mostly had difficulties doing handwork (42%) or recognizing uneven surfaces (30%). Sixty percent of the patients in Austria and approximately 50% in Germany were very unsatisfied with their vision preoperatively. Postoperatively, all patients recognized a subjective improvement in their vision.CONCLUSIONS: Patients having bilateral cataract surgery achieved marked improvements in vision-related activity limitation and satisfaction with vision. A subset of patients with less vision-related activity limitation before surgery was satisfied with first-eye surgery only. (C) 2013 ASCRS and ESCRS