SURGERY IMPACT ON LIFE QUALITY DATA IN CHILDREN WITH DETACHED RETINA

Abstract

Background. Assessment of life quality while carrying out a vitrectomy in children with detached retina.

Material and Methods. Twenty three patients (23 eyes) aged from 10 up to 17 years from with detached retina were examined. Surgery included carrying out a standard three-port vitrectomy and laser endocoagulation of retina vessels. All patients have been divided by method of casual selection into 3 groups. In the I group (n = 8) during the surgery the balanced salt solutions (Balansed Salt Solution – BSS) without antioxidants were used and additional purpose of the antioxidant medicines per os was not carried out; in the II group (n = 8) at performing surgery BSS with antioxidants (glutathione) – BSS plus were used; in the III group (n = 7) in the postoperative period in addition per os antioxidant medicines were administered for 3 months. In all patients the research of life quality on the basis of the reduced Russified version of the questionnaire VFQ-25 was conducted. The control group consisted of 10 children of the corresponding age and sex, the welfare and national identity, without contraindications to surgery in the area of a vitrealny cavity. Statistical processing of the received findings has been executed by means of a package of application programs of the statistical analysis AnalystSoft, BioStat 2007.

Results. In a week after surgery increase in visual acuity was not observed. Six months later reliable increase in visual acuity was noted. The highest final rates of a vasometry were observed in the II group, patients of the I group had minimum values. The minimal progressing of a cataract was observed in patients of the II group.

Conclusion. Surgery for detached retina positively influenced rates of life quality in children in the early and long-term postoperative period.