title: Visual function and vision-related quality of life after macular hole surgery with short-duration, 3-day face-down positioning.
abstract: OBJECTIVE
  To investigate the relationship of vision-related quality of life (VRQOL) and visual function in patients undergoing macular-hole (MH) repair with and without cataract surgery and short-duration, 3-day prone posturing. Previous communications have assessed VRQOL in European and Japanese populations, but this is the first study to investigate VRQOL after MH surgery in a Canadian population.
  
  
  METHODS
  Prospective interventional case series.
  
  
  METHODS
  We studied 20 consecutive eyes in 19 patients with stage 2 and 3 idiopathic macular holes. Of those, 15 received combined cataract and MH surgery, and 5 received MH repair alone.
  
  
  METHODS
  Patients completed the self-administered National Eye Institute 25-item Visual Function Questionnaire before and after surgery. All patients received full ocular examinations pre- and postsurgery. Along with the questionnaire scores, we examined macular-hole closure rates, complications, postoperative visual acuity, and intraocular pressure.
  
  
  RESULTS
  Macular-hole closure was achieved in 20 of 20 eyes (100%). Mean postoperative logMAR decreased (i.e., improved) by -0.303 (95% CI, -0.501-- -0.105, p = 0.0047). The Visual Function Questionnaire composite score rose from 82.019 ± 12.612 SD to 88.499 ± 7.963 SD (p = 0.012). Subscale scores, including general vision, near activities, mental health, role difficulties, and dependency were all significantly improved (p < 0.05). No complications or intraocular pressure increases were observed.
  
  
  CONCLUSIONS
  Macular-hole surgery followed by short-duration, 3-day face-down positioning significantly improved VRQOL and visual acuity in a group of Canadian patients. The use of VRQOL tools alongside anatomic outcomes provide a more comprehensive overview of patients' experiences and satisfaction after surgical intervention.
authors: Department of Ophthalmology, Queen's University, Hotel Dieu Hospital, Kingston, Ontario.
authors: Jaspreet
authors: J
authors: Rayat
authors: David R P
authors: DR
authors: Almeida
authors: Michel
authors: M
authors: Belliveau
authors: Jonathan
authors: J
authors: Wong
authors: Jeffrey
authors: J
authors: Gale
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001485:Basement Membrane / Q000601:surgery; D002387:Cataract Extraction; D004396:Coloring Agents; D058450:Endotamponade; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008297:Male; D008875:Middle Aged; D016684:Prone Position; D011446:Prospective Studies; D011788:Quality of Life; D012167:Retinal Perforations / Q000503:physiopathology / Q000601:surgery*; D018434:Sickness Impact Profile; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D011795:Surveys and Questionnaires; D013997:Time Factors; D014792:Visual Acuity / Q000502:physiology*; D014821:Vitrectomy
chemical_list: D004396:Coloring Agents; D013459:Sulfur Hexafluoride