Current Status and Determinants of Postoperative Visual Function-Related Quality of Life in Retinal Detachment Patients: A Multivariate Analysis.

Abstract

Purpose: Retinal detachment is a sight-threatening condition that requires surgical intervention. However, conventional surgical procedures for retinal detachment repair often adversely impact patients' quality of life. Identifying key factors affecting quality of life is crucial for designing effective clinical interventions.

Methods: This study included 120 patients who underwent retinal detachment repair at our hospital between January 2020 and July 2021. Postoperative quality of life was assessed using the National Eye Institute Visual Function Questionnaire (NEI-VFQ-25). Univariate and multiple linear regression analyses were conducted to evaluate factors influencing quality of life.

Results: The mean NEI-VFQ-25 score was 74.82±8.44. The lowest scores were observed in the dimensions of overall vision, distance activties, and mental health. Univariate analysis revealed that gender, education level, occupation, monthly income, preoperative waiting time, surgical method, and visual acuity of both the operative and contralateral eyes significantly affected postoperative quality of life (P<0.05). Multivariate regression analysis identified gender, education level, economic status, preoperative waiting time, surgical method, and visual acuity of both the operative and contralateral eyes as independent influencing factors (P<0.05).

Conclusion: Postoperative vision-related quality of life among retinal detachment patients remains suboptimal. Significant influencing factors include gender, education level, economic status, surgical method, preoperative waiting time, and visual acuity of the operative and contralateral eyes. Targeted interventions addressing these factors could improve patient outcomes.