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Evaluation of Vision-Related Quality of Life in Chinese Patients With Leber Hereditary Optic Neuropathy and the G11778A Mutation

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机构: [1]Capital Med Univ, Beijing Tongren Hosp, Dept Neurol, 1 Dongjiaominxiang, Beijing 100730, Peoples R China
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Objective: To assess quality of life (QoL) measures in Chinese Leber hereditary optic neuropathy (LHON) patients with the G11778A mutation. Methods: Chinese LHON patients with the G11778A mutation were prospectively evaluated using the Visual Function Index (VF-14) at 6 months, 1 year, and 3 years after the involvement of the second eye. Patients who completed the VF-14 at all 3 follow-up time designations were included in the analysis. Results: Fifty-five patients met the inclusion criteria. The median age of patients when their vision was bilaterally affected was 16.3 years old (interquartile range: 13.9-18.3 years). In our patient cohort, 89.1% (n = 49) were male, and the ratio of males to females was 8.2: 1. The median logMAR visual acuity was 2.0 (interquartile range: 1.0-2.6). The mean VF-14 scores of patients with LHON at 6-month, 1-year, and 3-year follow-ups were 18.0 +/- 19.2 (range 0-85.4), 19.9 +/- 20.0 (range 0-85.4), and 20.7 +/- 20.2 (range 0-85.4), and the differences were statistically significant (P, 0.001). VF-14 score at 6 months was significantly correlated with visual acuity of the better eye (P < 0.001) but not with age of onset (P = 0.43). Overall, the QoL improvement was significantly correlated with age of onset (P = 0.006) but not with visual acuity of the better eye (P = 0.134). Several abilities were significantly improved at the 1-year follow-up compared with the 6-month follow-up, including seeing steps, curbs, or stairs (P < 0.01), doing handiwork (P < 0.05), playing sports (P < 0.05), cooking (P < 0.01), and watching television (P < 0.05). When these scores were further compared between 1-and 3-year followups, only scores for cooking (P < 0.05) and watching television (P < 0.05) were higher at the 3-year follow-up than that at the 1-year follow-up. No changes were found during the follow-up for reading small print, reading a newspaper or book, or reading signs. Conclusions: Our results indicate that although most of our Chinese LHON patients with the G11778A mutation had permanent central visual loss, visual-related quality of life improved over time, especially in younger patients. (C) 2018 by North American Neuro-Ophthalmology Society

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 3 区 眼科学 4 区 临床神经病学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 眼科学
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出版当年[2017]版:
Q2 OPHTHALMOLOGY Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q2 OPHTHALMOLOGY Q3 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]Capital Med Univ, Beijing Tongren Hosp, Dept Neurol, 1 Dongjiaominxiang, Beijing 100730, Peoples R China
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通讯机构: [1]Capital Med Univ, Beijing Tongren Hosp, Dept Neurol, 1 Dongjiaominxiang, Beijing 100730, Peoples R China [*1]Department of Neurology, Beijing Tongren Hospital, Capital Medical University, No. 1 Dongjiaominxiang, Dongcheng district, Beijing 100730, China
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