Effects of laser in situ keratomileusis on mental health-related quality of life

Kaoru Tounaka-Fujii,1 Kenya Yuki,2 Kazuno Negishi,2 Ikuko Toda,3 Takayuki Abe,4 Keisuke Kouyama,4 Kazuo Tsubota2 1Health Center, Keio University, 2Department of Ophthalmology, Keio University School of Medicine, 3Minamiaoyama Eye Clinic, 4Center for Clinical Research, Keio University School of Medi...

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Autores principales:	Tounaka-Fujii K, Yuki K, Negishi K, Toda I, Abe T, Kouyama K, Tsubota K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	laser in situ keratomileusis refractive surgery quality of vision SF-36 mental health related quality of life Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/172ce9ce90c943a9b79ae863a606fc53
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spelling	oai:doaj.org-article:172ce9ce90c943a9b79ae863a606fc532021-12-02T04:52:50ZEffects of laser in situ keratomileusis on mental health-related quality of life1177-5483https://doaj.org/article/172ce9ce90c943a9b79ae863a606fc532016-09-01T00:00:00Zhttps://www.dovepress.com/effects-of-laser-in-situ-keratomileusis-on-mental-health-related-quali-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Kaoru Tounaka-Fujii,1 Kenya Yuki,2 Kazuno Negishi,2 Ikuko Toda,3 Takayuki Abe,4 Keisuke Kouyama,4 Kazuo Tsubota2 1Health Center, Keio University, 2Department of Ophthalmology, Keio University School of Medicine, 3Minamiaoyama Eye Clinic, 4Center for Clinical Research, Keio University School of Medicine, Tokyo, Japan Purpose: The aims of our study were to investigate whether laser in situ keratomileusis (LASIK) improves health-related quality of life (HRQoL) and to identify factors that affect postoperative HRQoL. Materials and methods: A total of 213 Japanese patients who underwent primary LASIK were analyzed in this study. The average age of patients was 35.0±9.4 years. The subjects were asked to answer questions regarding subjective quality of vision, satisfaction, and quality of life (using the Japanese version of 36-Item Short Form Health Survey Version 2) at three time points: before LASIK, 1 month after LASIK, and 6 months after LASIK. Longitudinal changes over 6 months in the outputs of mental component summary (MCS) score and the physical component summary (PCS) score from the 36-Item Short Form Health Survey Version 2 questionnaire were compared between time points using a linear mixed-effects model. Delta MCS and PCS were calculated by subtracting the postoperative score (1 month after LASIK) from the preoperative score. Preoperative and postoperative factors associated with a change in the MCS score or PCS score were evaluated via a linear regression model. Results: The preoperative MCS score was 51.0±9.4 and increased to 52.0±9.8 and 51.5±9.6 at 1 month and 6 months after LASIK, respectively, and the trend for the change from baseline in MCS through 6 months was significant (P=0.03). PCS score did not change following LASIK. Delta MCS was significantly negatively associated with preoperative spherical equivalent, axial length, and postoperative quality of vision, after adjusting for potential confounding factors. Conclusion: Mental HRQoL is not lost with LASIK, and LASIK may improve mental HRQoL. Preoperative axial length may predict postoperative mental HRQoL. Keywords: laser in situ keratomileusis, refractive surgery, quality of vision, SF-36, mental health-related quality of lifeTounaka-Fujii KYuki KNegishi KToda IAbe TKouyama KTsubota KDove Medical Pressarticlelaser in situ keratomileusisrefractive surgeryquality of visionSF-36mental health related quality of lifeOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 1859-1864 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	laser in situ keratomileusis refractive surgery quality of vision SF-36 mental health related quality of life Ophthalmology RE1-994
spellingShingle	laser in situ keratomileusis refractive surgery quality of vision SF-36 mental health related quality of life Ophthalmology RE1-994 Tounaka-Fujii K Yuki K Negishi K Toda I Abe T Kouyama K Tsubota K Effects of laser in situ keratomileusis on mental health-related quality of life
description	Kaoru Tounaka-Fujii,1 Kenya Yuki,2 Kazuno Negishi,2 Ikuko Toda,3 Takayuki Abe,4 Keisuke Kouyama,4 Kazuo Tsubota2 1Health Center, Keio University, 2Department of Ophthalmology, Keio University School of Medicine, 3Minamiaoyama Eye Clinic, 4Center for Clinical Research, Keio University School of Medicine, Tokyo, Japan Purpose: The aims of our study were to investigate whether laser in situ keratomileusis (LASIK) improves health-related quality of life (HRQoL) and to identify factors that affect postoperative HRQoL. Materials and methods: A total of 213 Japanese patients who underwent primary LASIK were analyzed in this study. The average age of patients was 35.0±9.4 years. The subjects were asked to answer questions regarding subjective quality of vision, satisfaction, and quality of life (using the Japanese version of 36-Item Short Form Health Survey Version 2) at three time points: before LASIK, 1 month after LASIK, and 6 months after LASIK. Longitudinal changes over 6 months in the outputs of mental component summary (MCS) score and the physical component summary (PCS) score from the 36-Item Short Form Health Survey Version 2 questionnaire were compared between time points using a linear mixed-effects model. Delta MCS and PCS were calculated by subtracting the postoperative score (1 month after LASIK) from the preoperative score. Preoperative and postoperative factors associated with a change in the MCS score or PCS score were evaluated via a linear regression model. Results: The preoperative MCS score was 51.0±9.4 and increased to 52.0±9.8 and 51.5±9.6 at 1 month and 6 months after LASIK, respectively, and the trend for the change from baseline in MCS through 6 months was significant (P=0.03). PCS score did not change following LASIK. Delta MCS was significantly negatively associated with preoperative spherical equivalent, axial length, and postoperative quality of vision, after adjusting for potential confounding factors. Conclusion: Mental HRQoL is not lost with LASIK, and LASIK may improve mental HRQoL. Preoperative axial length may predict postoperative mental HRQoL. Keywords: laser in situ keratomileusis, refractive surgery, quality of vision, SF-36, mental health-related quality of life
format	article
author	Tounaka-Fujii K Yuki K Negishi K Toda I Abe T Kouyama K Tsubota K
author_facet	Tounaka-Fujii K Yuki K Negishi K Toda I Abe T Kouyama K Tsubota K
author_sort	Tounaka-Fujii K
title	Effects of laser in situ keratomileusis on mental health-related quality of life
title_short	Effects of laser in situ keratomileusis on mental health-related quality of life
title_full	Effects of laser in situ keratomileusis on mental health-related quality of life
title_fullStr	Effects of laser in situ keratomileusis on mental health-related quality of life
title_full_unstemmed	Effects of laser in situ keratomileusis on mental health-related quality of life
title_sort	effects of laser in situ keratomileusis on mental health-related quality of life
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/172ce9ce90c943a9b79ae863a606fc53
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Effects of laser in situ keratomileusis on mental health-related quality of life

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