眼肌運動障礙性雙眼復視患者視覺相關生活質量分析

陶麗惠，宋峰偉

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·臨床報告·

眼肌運動障礙性雙眼復視患者視覺相關生活質量分析

陶麗惠，宋峰偉

Foundation item:Huzhou Public Welfare Technology Application Research Project (No.2014GYB15)

Department of Ophthalmology, First Affiliated Hospital of Huzhou Teachers College, Huzhou 325000, Zhejiang Province, China

?METHODS: Retrospective case-series study. A total of 112 binocular diplopic patients with ocular motility disorders who received treatment in the First Affiliated Hospital of Huzhou University and 40 normal subjects were included in this study from Oct.2013 to Mar.2016. Vision-related quality of life was evaluated by the Chinese version of the 25-item National Eye Institute Visual Functioning Questionnaire (CHI-NEI-VFQ-25).

?RESULTS: Statistically significant differences between binocular diplopic patients with ocular motility disorders and normal group were found in general health status, overall vision, near activities, distant activities, social functional, mental health, social role difficulties, independency, driving, and perimetry, except for the degree of eye pain (P=0.31) and color vision (P=0.34).

?CONCLUSION: This study suggests that binocular diplopic status maybe an important factor affecting vision-related quality of life seriously for patients with ocular motility disorders. Physicians treating binocular diplopic patients with ocular motility disorders should recognize these quality of life issues and address them accordingly.

目的：評估眼肌運動障礙性雙眼復視患者的視覺相關生活質量。

方法：回顧性系列病例研究。采用25項美國國家眼科研究所視覺功能問卷調查(NEI-VFQ-25)中文版對2013-10/2016-03就診于湖州師范學院附屬第一醫(yī)院眼科的112例眼肌運動障礙性雙眼復視患者的視覺相關生活質量進行評定。

結果：眼肌運動障礙性雙眼復視患者的視覺相關的生活質量，包括一般健康狀態(tài)、總體視覺情況、近距離工作、遠距離工作、社交功能、精神健康狀態(tài)、社會角色限制、獨立性、駕駛和周邊視野等方面評分均較正常人明顯降低，差異均有統(tǒng)計學意義(P<0.05)，但在眼痛及色覺方面差異均無統(tǒng)計學意義(P>0.05)。

結論：眼肌運動障礙性雙眼復視嚴重影響患者的視覺相關生活質量。在臨床治療中，應當重視雙眼復視患者的視覺相關生活質量評價。

眼肌運動障礙；雙眼復視；視覺相關生活質量；量表；精神健康狀態(tài)

引用：陶麗惠，宋峰偉.眼肌運動障礙性雙眼復視患者視覺相關生活質量分析.國際眼科雜志2016;16(12):2348-2350

0引言

復視是眼科的常見疾病，分為單眼復視和雙眼復視。雙眼復視是指一眼發(fā)生偏斜，導致一個物像同時落在雙眼視網膜上的非對應點上，無法形成雙眼單視的現(xiàn)象。臨床中所說的復視一般是指病理性雙眼復視，其病因復雜，涉及到眼部和眼外因素，是眼科疾病中與精神心理活動、視覺生活質量關系較為密切的一組疾病。視覺功能的異常往往會降低患者的生活和認知能力[1]，復視造成的視覺紊亂嚴重影響生活質量，往往早期即就診于眼科及神經內科。……