Assessment of Vision-Related Quality of Life and Stereopsis in Patients Who Underwent Successful Rhegmatogenous Retinal Detachment Surgery

Abstract

Purpose: Assessment of vision-related quality of life (QoL) and stereopsis level in patients who underwent successful 23-gauge pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD).

Methods: This retrospective, non-randomized clinical trial included patients who underwent non-complicated RRD surgery. PPV either combined with cataract surgery or alone was applied to the patients for RRD. This study were included 25 patients and 30 healthy individuals. Perfluoropropane gas or silicone oil was used as a tamponade in surgery. The effect of vision on QoL was assessed using a Visual Function Questionnaire (National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)). Stereopsis was measured using a Stereo Optical Stereo Fly Test. Statistical analyzes were performed using SPSS 15.0 software package. Pearson chi-squared and Fisher's exact chi-squared tests were used to compare categorical variables. A p value of <5% was considered statistically significant.

Results: Differences between the measured VFQ composite score of the patients (80.89 ± 16.75) and the control group (85.11 ± 6.06) were not statistically significant (p=0.906). Stereopsis was significantly lower in patients who underwent successful RRD surgery than in the control group (175.2 ± 150.59 arc / sec, 48.0 ± 18.64 arc/sec, respectively) (p<0.001). No significant difference was observed in terms of stereopsis or VFQ composite scores in patients treated with silicone oil or C3F8 tamponade.

Conclusion: PPV, which is one of the most important surgical treatments of rhegmatogenous retinal detachment, may not reduce the quality of life related to vision; however, it can reduce stereopsis. A better stereopsis level may be achieved in patients who have better visual acuity before and after surgery.