Abstract：
To report associations with visual function and quality of life (QOL) in artificial eye wearers.
Multicentre, observational, cross-sectional, nationwide study, within the National Health Service England. Items were adopted from the National Eye Institute Visual Function Questionnaire, and incorporated in the National Artificial Eye Questionnaire (NAEQ). The NAEQ was completed by 951 respondents. Multiple regressions assessed associations between the QOL scores and the experiences of artificial eye wearers, their routine management, changes over time, baseline and demographic parameters.
Parameters predictive of a better QOL composite score included longer artificial eye wear (β = 0.18, p < 0.001), better appearance (β = 0.17, p < 0.001), better comfort (β = 0.14, p = 0.001), tumour-related anophthalmia (β = 0.13, p = 0.003), male gender (β = 0.13, p < 0.001), shorter period of adjustment to monocular vision (β = 0.12, p < 0.001) and use of soap for cleaning (β = 0.09, p = 0.046). The composite score continued to improve beyond 10 years of prosthesis wear (≤2 years mean 72.80 ± 1.65 versus >10 years mean 79.45 ± 0.70; p = 0.001). Both better prosthesis appearance (β = 0.14, p = 0.022) and improved motility (β = 0.13, p = 0.042) predicted a better dependency score. Use of lubricating ointment predicted a worse dependency score (β = 0.23, p = 0.003). Neither the frequency of removal, nor the cleaning frequency of the artificial eye correlated with QOL scales.
Multiple factors in the artificial eye experience were found to predict visual function and QOL aspects. This study underscores the need to generate a dedicated QOL questionnaire for use in anophthalmic patients.
Multicentre, observational, cross-sectional, nationwide study, within the National Health Service England. Items were adopted from the National Eye Institute Visual Function Questionnaire, and incorporated in the National Artificial Eye Questionnaire (NAEQ). The NAEQ was completed by 951 respondents. Multiple regressions assessed associations between the QOL scores and the experiences of artificial eye wearers, their routine management, changes over time, baseline and demographic parameters.
Parameters predictive of a better QOL composite score included longer artificial eye wear (β = 0.18, p < 0.001), better appearance (β = 0.17, p < 0.001), better comfort (β = 0.14, p = 0.001), tumour-related anophthalmia (β = 0.13, p = 0.003), male gender (β = 0.13, p < 0.001), shorter period of adjustment to monocular vision (β = 0.12, p < 0.001) and use of soap for cleaning (β = 0.09, p = 0.046). The composite score continued to improve beyond 10 years of prosthesis wear (≤2 years mean 72.80 ± 1.65 versus >10 years mean 79.45 ± 0.70; p = 0.001). Both better prosthesis appearance (β = 0.14, p = 0.022) and improved motility (β = 0.13, p = 0.042) predicted a better dependency score. Use of lubricating ointment predicted a worse dependency score (β = 0.23, p = 0.003). Neither the frequency of removal, nor the cleaning frequency of the artificial eye correlated with QOL scales.
Multiple factors in the artificial eye experience were found to predict visual function and QOL aspects. This study underscores the need to generate a dedicated QOL questionnaire for use in anophthalmic patients.
摘要：
报告与人工眼佩戴者的视觉功能和生活质量(QOL)的关联。
多中心，观察,横截面,全国研究,在英国国家卫生服务。项目来自国家眼科研究所视觉功能问卷，并纳入国家人工眼问卷（NAEQ）。NAEQ由951名受访者完成。多元回归评估了QOL得分与人工眼佩戴者的经历之间的关联，他们的日常管理，随着时间的推移，基线和人口统计学参数。
预测更好的QOL综合评分的参数包括更长的假眼佩戴时间（β=0.18，p<0.001），更好的外观（β=0.17，p<0.001），更好的舒适度(β=0.14，p=0.001)，肿瘤相关无眼（β=0.13，p=0.003），男性（β=0.13，p<0.001），更短的时间调整单眼视力（β=0.12，p<0.001）和使用肥皂进行清洁（β=0.09，p=0.046）。综合评分持续改善超过10年的假体磨损（≤2年平均72.80±1.65，而>10年平均79.45±0.70；p=0.001）。更好的假体外观（β=0.14，p=0.022）和改善的运动性（β=0.13，p=0.042）均可预测更好的依赖性评分。使用润滑软膏预测较差的依赖性评分(β=0.23,p=0.003)。既不是去除的频率，人工眼的清洁频率也与QOL量表相关。
发现人造眼体验中的多个因素可以预测视觉功能和QOL方面。这项研究强调了需要生成专用的QOL问卷以供眼科患者使用。
多中心，观察,横截面,全国研究,在英国国家卫生服务。项目来自国家眼科研究所视觉功能问卷，并纳入国家人工眼问卷（NAEQ）。NAEQ由951名受访者完成。多元回归评估了QOL得分与人工眼佩戴者的经历之间的关联，他们的日常管理，随着时间的推移，基线和人口统计学参数。
预测更好的QOL综合评分的参数包括更长的假眼佩戴时间（β=0.18，p<0.001），更好的外观（β=0.17，p<0.001），更好的舒适度(β=0.14，p=0.001)，肿瘤相关无眼（β=0.13，p=0.003），男性（β=0.13，p<0.001），更短的时间调整单眼视力（β=0.12，p<0.001）和使用肥皂进行清洁（β=0.09，p=0.046）。综合评分持续改善超过10年的假体磨损（≤2年平均72.80±1.65，而>10年平均79.45±0.70；p=0.001）。更好的假体外观（β=0.14，p=0.022）和改善的运动性（β=0.13，p=0.042）均可预测更好的依赖性评分。使用润滑软膏预测较差的依赖性评分(β=0.23,p=0.003)。既不是去除的频率，人工眼的清洁频率也与QOL量表相关。
发现人造眼体验中的多个因素可以预测视觉功能和QOL方面。这项研究强调了需要生成专用的QOL问卷以供眼科患者使用。
