Visual function analysis in acute posterior vitreous detachment

Can J Ophthalmol. 2011 Jun;46(3):232-6. doi: 10.1016/j.jcjo.2011.05.010. Epub 2011 May 27.

Abstract

Objective: To determine whether the visual function of patients with posterior vitreous detachment (PVD)changes between the initial visit and a 6-week follow-up visit, and to compare their visual function with that of patients with macular degeneration, cataract, glaucoma, low vision, cytomegalovirus (CMV) retinitis, or diabetic retinopathy and a reference population.

Design: Prospective cohort study.

Participants: All patients presenting to the Hotel Dieu Hospital Emergency Eye Clinic between September 2008 and June 2009 who were diagnosed with acute PVD were offered enrollment in the study.

Methods: Patients were administered the National Eye Institute Visual Function Questionnaire NEI VFQ-25 at two points in time. The composite scores from the initial and the 6-week visits were compared. The scores were also compared with established normative data and 6 ophthalmologic diagnoses.

Results: The NEI VFQ-25 composite score for patients with acute PVD (n = 84) at baseline was 93.26 ± 5.59 (mean ± SD). After 6 weeks and a second ocular examination, there was no statistical difference in the composite score of 93.47 ± 6.20 (mean ± SD). (1-sided paired t-test, t = 0.57; P = 0.28).

Conclusions: The visual function of patients with acute PVD remains stable over the first 6 weeks after diagnosis. It is significantly higher than that of patients with 6 other ophthalmologic conditions but comparable to that of a normal population.

Publication types

  • Comparative Study

MeSH terms

  • Acute Disease
  • Aged
  • Cataract / physiopathology
  • Cytomegalovirus Retinitis / physiopathology
  • Diabetic Retinopathy / physiopathology
  • Disease Progression
  • Female
  • Follow-Up Studies
  • Glaucoma / physiopathology
  • Humans
  • Longitudinal Studies
  • Macular Degeneration / physiopathology
  • Male
  • Middle Aged
  • Scotoma / physiopathology
  • Surveys and Questionnaires*
  • Vision Tests*
  • Vision, Low / physiopathology*
  • Vitreous Detachment / physiopathology*