J Korean Ophthalmol Soc > Volume 57(10); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(10):1514-1520.
DOI: https://doi.org/10.3341/jkos.2016.57.10.1514    Published online October 15, 2016.
Change in Quality of Life after Orbital Decompression Surgery in Patients with Dysthyroid Ophthalmopathy.
Jung Huh, Jeong Kyu Lee
Department of Ophthalmology, Chung-Ang University College of Medicine, Seoul, Korea. Lk1246@hanmail.net
안와감압술이 갑상선안병증 환자의 삶의 질에 미치는 영향
허 정⋅이정규
중앙대학교 의과대학 안과학교실
Abstract
PURPOSE
To evaluate the effect of orbital decompression surgery on quality of life in thyroid-associated ophthalmopathy (TAO) patients. METHODS: From August 2014 to December 2015, 80 patients diagnosed with TAO at our clinic were retrospectively analyzed. The patients were divided into 2 groups: 30 patients who underwent orbital decompression surgery and 50 patients who did not receive surgery. The Korean version of the Grave's ophthalmopathy specific quality of life (GO-QoL) questionnaire was completed by all patients. We compared questionnaire scores between groups and analyzed demographic and clinical factors affecting change in GO-QoL. RESULTS: The patients who underwent orbital decompression had lower mean GO-QoL score for appearance in comparison with patients without orbital decompression (p < 0.001). The mean GO-QoL score for appearance was increased from 28.8 ± 17.1 to 51.5 ± 18.8 after orbital decompression (p = 0.024). The mean GO-QoL score for visual function was not different between the patients who did not receive surgery and the orbital decompression group. The mean GO-QoL score for visual function was not changed after orbital decompression. There was a significant relation between postoperative proptosis degree and change in GO-QoL score for appearance after orbital decompression. CONCLUSIONS: GO-QoL score for appearance was significantly improved after orbital decompression surgery, and psychological interventions should be considered to enhance the quality of life outcomes.
Key Words: Dysthyroid ophthalmopathy;Orbital decompression;Quality of life


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