Quality of Life and Mental State After Sight Restoration by Corneal Transplantation

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• 作者：Karolina Drzyzga ; M.D. ; Ph.D.^a ; ^{kdrzyzga@sum.edu.pl" class="auth_mail" title="E-mail the corresponding author} ; Irena Krupka-Matuszczyk ; M.D. ; Ph.D.^a ; Łukasz Drzyzga ; M.D. ; Ph.D.^b ; Ewa Mrukwa-Kominek ; M.D. ; Ph.D.^b ; Krzysztof Kucia ; M.D. ; Ph.D.^a
• 关键词：corneal transplantation ; quality of life ; visual function ; blindness ; corneal surgery
• 刊名：Psychosomatics
• 出版年：2016
• 出版时间：July-August 2016
• 年：2016
• 卷：57
• 期：4
• 页码：414-422
• 全文大小：655 K

文摘

Quality of life has frequently been reported to improve after corneal transplantation. However, mental status before and after surgery has until now been less well investigated.

Objective

The aim of this study was to investigate quality of life and mental status before and after corneal transplantation including postoperative immunosuppression and visual acuity.

Methods

A total of 45 patients were assessed before, and 3 weeks and 4 months after transplantation using the following questionnaires: Visual Function Questionnaire, Beck Depression Inventory, and Hamilton Anxiety Rating Scale. Assessment included a visual acuity test using the logMAR chart, and recognition of the role of postoperative immunosuppression. Finally, patients were asked if they would be willing to have the surgery again.

Results

In the candidates for surgery, quality of life was reduced, and symptoms of depression and anxiety were present. Corneal transplantation improved their quality of life and reduced symptoms of depression and anxiety. Changes in quality of life and in mental state were associated with a change in visual acuity in the grafted eye. Higher doses of prednisone were associated with a worse quality of life and with more severe symptoms of depression and anxiety after transplantation. Further, 82.5% of patients would have the surgery again.

Conclusion

Assessment for psychiatric symptoms should be considered in individuals facing corneal surgery.