.: ORİJİNAL ARAŞTIRMA
Eksternal Dakriyosistorinostomi ve Punktoplasti Ameliyatı Olan Hastaların Yaşam Kalitelerinin Değerlendirilmesi
Evaluation of the Quality of Life of Patients with External Dacryocystorhinostomy and Punktoplasty Operation
Turkiye Klinikleri J Ophthalmol. 2019;28(4):239-49
doi: 10.5336/ophthal.2019-64781
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Dakriyosistitli hastalarda yapılan dakriyosistorinostomi cerrahisinin sonuçlarının hastaların yaşam kalitesi üzerine olan etkilerinin değerlendirilmesidir. Gereç ve Yöntemler: Lakrimal sistem cerrahisi geçirmiş olan 110 hasta çalışmaya dâhil edildi. Hastalar tıkanıklık yerine göre; nazolakrimal kanal Grup-I, ortak kanalikül Grup-II ve punktum seviyesinde Grup-III olmak üzere üç gruba ayrıldı. Cerrahi sonrası her hasta grubu sulanma yakınmasına göre; tamamen düzelme, daha iyi ve değişiklik yok şeklinde gruplandırıldı. Lakrimal irrigasyon muayenesi ile kanalın anatomik durumu; açık veya kapalı şeklinde değerlendirildi. Sulanma yakınması ve lakrimal irrigasyon muayene sonuçlarına göre gruplar başarılı ve başarısız olarak tanımlandı. Hastalara geçerliliği onaylanmış 18 soru içeren 'Glasgow Benefit Inventory (GBI)' ve 4 soru içeren oküler semptomoloji anketi (OSS) uygulandı. Bulgular: Total GBI ve OSS sırasıyla Grup-I'de +38,89;+44,64, Grup-II'de +36,41;+48,44 Grup-III'te +44,17;+54,84 (p=0,000; p=0,000)'dir. Grup-I başarılı ve başarısız grupta total GBI ve OSS sırasıyla+50,69;-14,46+61,46,-4,69, Grup-II'de+47,62; +2,78,+62,50;+6,50, Grup-III'te +40,81;+13,78, +46,15;+25 olarak bulundu. Total GBI ve OSS arasında kuvvetli korelasyon saptandı (r=0,819 p=0,000). Sonuç: GBI skorları nazolakrimal cerrahi sonrası hayat kalitesini değerlendirmede etkin bir araçtır. Bu araca oküler semptomları değerlendiren bir anketin de eklenmesi ile operasyona bağlı değişiklikleri daha iyi değerlendirmek mümkün görünmektedir.
Anahtar Kelimeler: Epifora; glasgow benefit inventory (gbı); yaşam kalitesi; eksternal dakriyosistorinostomi; punktoplasti
Amaç: Dakriyosistitli hastalarda yapılan dakriyosistorinostomi cerrahisinin sonuçlarının hastaların yaşam kalitesi üzerine olan etkilerinin değerlendirilmesidir. Gereç ve Yöntemler: Lakrimal sistem cerrahisi geçirmiş olan 110 hasta çalışmaya dâhil edildi. Hastalar tıkanıklık yerine göre; nazolakrimal kanal Grup-I, ortak kanalikül Grup-II ve punktum seviyesinde Grup-III olmak üzere üç gruba ayrıldı. Cerrahi sonrası her hasta grubu sulanma yakınmasına göre; tamamen düzelme, daha iyi ve değişiklik yok şeklinde gruplandırıldı. Lakrimal irrigasyon muayenesi ile kanalın anatomik durumu; açık veya kapalı şeklinde değerlendirildi. Sulanma yakınması ve lakrimal irrigasyon muayene sonuçlarına göre gruplar başarılı ve başarısız olarak tanımlandı. Hastalara geçerliliği onaylanmış 18 soru içeren 'Glasgow Benefit Inventory (GBI)' ve 4 soru içeren oküler semptomoloji anketi (OSS) uygulandı. Bulgular: Total GBI ve OSS sırasıyla Grup-I'de +38,89;+44,64, Grup-II'de +36,41;+48,44 Grup-III'te +44,17;+54,84 (p=0,000; p=0,000)'dir. Grup-I başarılı ve başarısız grupta total GBI ve OSS sırasıyla+50,69;-14,46+61,46,-4,69, Grup-II'de+47,62; +2,78,+62,50;+6,50, Grup-III'te +40,81;+13,78, +46,15;+25 olarak bulundu. Total GBI ve OSS arasında kuvvetli korelasyon saptandı (r=0,819 p=0,000). Sonuç: GBI skorları nazolakrimal cerrahi sonrası hayat kalitesini değerlendirmede etkin bir araçtır. Bu araca oküler semptomları değerlendiren bir anketin de eklenmesi ile operasyona bağlı değişiklikleri daha iyi değerlendirmek mümkün görünmektedir.
Anahtar Kelimeler: Epifora; glasgow benefit inventory (gbı); yaşam kalitesi; eksternal dakriyosistorinostomi; punktoplasti
ABSTRACT
Objective: Evaluation of the effects of dacryocystorhinostomy surgery on patients quality of life in patients with dacryocystitis. Material and Methods: The study included 110 patients who underwent lacrimal system surgery. The patients were separated into 3 groups according to the obstruction localisation, as Group I: nasolacrimal canal, Group II: common canaliculus, and Group III: at the punctum level. Following the surgery, each patient group was grouped according to watering complaints as completely recovered, improved, or no change. With lacrimal irrigation examination, the anatomic status of the canal was evaluated as open or closed. The groups were defined as successful or failed according to the watering complaints and lacrimal irrigation examination. The patients were administered the 4-question ocular symptomology scale (OSS) and the Glasgow Benefit Inventory (GBI), which consists of 18 items and has been validated for use. Results: The total GBI and OSS points were +38.89; +44.64, respectively in Group I, +36.41; +48.44 in Group II, and +44.17; +54.84 in Group III (p=0.000; p=0.000). The total GBI and OSS points of the successful and failed groups were +50.69; -14.46, and +61.46,-4.69, respectively in Group I, +47.62; +2.78, and +62.50; +6.50 in Group II, and +40.81;+13.78, and +46.15;+25 in Group III. A strong correlation was determined between total GBI and OSS (r=0.819 p=0.000). Conclusion: GBI scores are an effective tool in the evaluation of quality of life following nasolacrimal surgery. The addition of a questionnaire that evaluates ocular symptoms seems to provide a better evaluation of surgery-related changes.
Keywords: Epiphora; glasgow benefit inventory (gbı); quality of life; external dacriosystorinostomy; punktoplasty
Objective: Evaluation of the effects of dacryocystorhinostomy surgery on patients quality of life in patients with dacryocystitis. Material and Methods: The study included 110 patients who underwent lacrimal system surgery. The patients were separated into 3 groups according to the obstruction localisation, as Group I: nasolacrimal canal, Group II: common canaliculus, and Group III: at the punctum level. Following the surgery, each patient group was grouped according to watering complaints as completely recovered, improved, or no change. With lacrimal irrigation examination, the anatomic status of the canal was evaluated as open or closed. The groups were defined as successful or failed according to the watering complaints and lacrimal irrigation examination. The patients were administered the 4-question ocular symptomology scale (OSS) and the Glasgow Benefit Inventory (GBI), which consists of 18 items and has been validated for use. Results: The total GBI and OSS points were +38.89; +44.64, respectively in Group I, +36.41; +48.44 in Group II, and +44.17; +54.84 in Group III (p=0.000; p=0.000). The total GBI and OSS points of the successful and failed groups were +50.69; -14.46, and +61.46,-4.69, respectively in Group I, +47.62; +2.78, and +62.50; +6.50 in Group II, and +40.81;+13.78, and +46.15;+25 in Group III. A strong correlation was determined between total GBI and OSS (r=0.819 p=0.000). Conclusion: GBI scores are an effective tool in the evaluation of quality of life following nasolacrimal surgery. The addition of a questionnaire that evaluates ocular symptoms seems to provide a better evaluation of surgery-related changes.
Keywords: Epiphora; glasgow benefit inventory (gbı); quality of life; external dacriosystorinostomy; punktoplasty
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