[Influence of vitrectomy for diabetic retinopathy on health-related quality of life].
OBJECTIVE
To evaluate the vision-related quality of life (QOL) in patients undergoing vitrectomy for diabetic retinopathy with the Japanese version of the 25-item National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25).


METHODS
Subjects were 87 patients undergoing vitrectomy for diabetic retinopathy of vitreous hemorrhage, macular edema, or fibrovascular membrane, only for the subject eye, or for subjects undergoing vitrectomy for the fellow eye within 6 months or later. The VFQ-25 date was recorded one month before and 6 months after the vitrectomy. The VFQ-25 data were compared before and after the vitrectomy. The subjects were classified by the pathological condition: 41 eyes with vitreous hemorrhage, 28 eyes with macular edema, and 18 eyes with fibrovascular membrane.


RESULTS
The average VFQ-25 scores of all the patients increased in almost all of the 12 subscales. Vitrectomy for vitreous hemorrhage was most effective in improving the VFQ-25 score, in improving 10 of the 12 subscales in the VFQ-25, and in increasing VFQ-25 scores to almost the same level as in phacoemulsification and foldable intraocular lens implantation for cataract patients in both eyes.


CONCLUSIONS
NEI VFQ-25 quantitatively clarified that vitrectomy for diabetic retinopathy is effective in increasing the QOL of diabetic retinopathy patients.
Emi
Kazuyuki
K
Osaka Rosai Hospital, Clinical Research Center for Occupational Sensory Organ Disability, Japan. kazuemi@orh.go.jp
Oyagi
Tomohito
T
Ikeda
Toshihide
T
Bando
Hajime
H
Okita
Takahide
T
Kashimoto
Daisaku
D
Morita
Shinichi
S
Matsumura
Nagakazu
N
Sawada
Kosaku
K
Sawada
Kenji
K
Toyoda
Eriko
E
Ueno
Chikako
C
D003930:Diabetic Retinopathy / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014785:Vision, Ocular; D014821:Vitrectomy