title: Changes of vision-related quality of life in retinal detachment patients after cataract surgery.
abstract: Rhegmatenous retinal detachment (RRD) is one of the most serious complications after phacoemulsification combined with intraocular lens implantation surgery. It has been reported that vision-related quality of life (VRQoL), as well as visual acuity rapidly decreased when RRD developed. However, little is known of the VRQoL in those RRD patients after anatomical retinal re-attachment, especially whether or not the VRQoL is higher than that before cataract surgery. In this prospective case series study, we use the Chinese-version low vision quality of life questionnaire (CLVQOL) to assess the changes of VRQoL in age-related cataract patients who suffered from RRD after phacoemulsification with intraocular lens (phaco-IOL) implantation. All participants were asked to complete questionnaires in face- to-face interviews one day before and two weeks after cataract surgery, as well as one day before and three months after RRD surgery. A total of 10,127 consecutive age-related cataract patients were followed up to one year after phaco-IOL implantation; among these patients, 17 were diagnosed as RRD. The total CLVQOL scores and subscale scores except "Mobility" decreased significantly when RRD developed. After retinal surgery, only the score of "General vision and lighting" in the CLVQOL questionnaires improved when compared to the scores two weeks after cataract surgery, although the best corrected visual acuity of all patients significantly raised up. However, the mean CLVQOL scores and subscale scores were still considerably higher than the level prior to cataract surgery. Our study suggests that cataract patients at high risk of postoperative RRD should not deny the opportunity to undergo phaco-IOL implantation, even though potential VRQoL impairment induced by RRD exists.
authors.affiliation: Department of Ophthalmology, Shanghai First People's Hospital, Shanghai JiaoTong University, Shanghai, China.
authors.forename: Mingming
authors.initials: M
authors.lastname: Zhu
authors.affiliation: Department of Ophthalmology, Shanghai First People's Hospital, Shanghai JiaoTong University, Shanghai, China; Shanghai Eye Disease Prevention & Treatment Center, Shanghai, China.
authors.forename: Jiannan
authors.initials: J
authors.lastname: Huang
authors.affiliation: Department of Ophthalmology, Shanghai First People's Hospital, Shanghai JiaoTong University, Shanghai, China.
authors.forename: Bijun
authors.initials: B
authors.lastname: Zhu
authors.affiliation: Department of Ophthalmology, Shanghai First People's Hospital, Shanghai JiaoTong University, Shanghai, China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Sun
authors.affiliation: Department of Ophthalmology, Shanghai First People's Hospital, Shanghai JiaoTong University, Shanghai, China.
authors.forename: Xian
authors.initials: X
authors.lastname: Xu
authors.affiliation: Department of Ophthalmology, Shanghai First People's Hospital, Shanghai JiaoTong University, Shanghai, China.
authors.forename: Yuyu
authors.initials: Y
authors.lastname: Miao
authors.affiliation: Department of Ophthalmology, Shanghai First People's Hospital, Shanghai JiaoTong University, Shanghai, China; Shanghai Eye Disease Prevention & Treatment Center, Shanghai, China.
authors.forename: Haidong
authors.initials: H
authors.lastname: Zou
mesh_terms: D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D012163:Retinal Detachment / Q000150:complications* / Q000601:surgery; D015354:Vision, Low; D014792:Visual Acuity