Change in Quality of Life after Orbital Decompression Surgery in Patients with Dysthyroid Ophthalmopathy.
10.3341/jkos.2016.57.10.1514
- Author:
Jung HUH
1
;
Jeong Kyu LEE
Author Information
1. Department of Ophthalmology, Chung-Ang University College of Medicine, Seoul, Korea. Lk1246@hanmail.net
- Publication Type:Original Article
- Keywords:
Dysthyroid ophthalmopathy;
Orbital decompression;
Quality of life
- MeSH:
Decompression*;
Exophthalmos;
Graves Ophthalmopathy*;
Humans;
Orbit*;
Quality of Life*;
Retrospective Studies;
Troleandomycin
- From:Journal of the Korean Ophthalmological Society
2016;57(10):1514-1520
- CountryRepublic of Korea
- Language:Korean
-
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.
