加齢黄斑変性患者の白内障手術後の満足度

Patients' satisfaction after cataract surgery in eyes with age-related macular degeneration

要約　目的：加齢黄斑変性のある眼に対する白内障手術後の患者満足度の報告。対象と方法：過去2年間に当科で行った加齢黄斑変性のある眼に白内障手術を行った45例45眼を対象とした。男性27例，女性18例で，年齢は70〜91歳，平均80歳である。手術から4か月以上が経過した後のアンケートで，手術を受けたきっかけ，手術前の期待，手術後の満足度を無記名で調査した。結果：38例（84％）から回答を得た。手術のきっかけは，19例が医師や看護師の勧めであり，18例が自分で決めた。術前には，35例が視力改善を期待し，3例が期待しなかった。術後の満足度は，29例が満足し，4例が普通であり，5例が後悔した。術前と術後視力には有意差がなく，加齢黄斑変性の程度にも変化がなかった。結論：加齢黄斑変性のある眼に対する白内障手術では，術前の説明が術後の満足度に影響する。

Abstract.　Purpose：To report patients' satisfaction after cataract surgery in eyes with age-related macular degeneration（AMD）. Objects and Method：This study was made on 45 eyes of 45 patients who received cataract surgery by us in the past 2 years. All had AMD in the operated eye. The series comprised 27 males and 18 females. The age ranged from 70 to 91 years, average 80 years. Patients were asked by questionnaire 4 months or more after surgery regarding motives for surgery, expectation prior to surgery, and subjective satisfaction after surgery. Results：The questionnaire was responded by 38 patients（84％）. Cataract surgery was decided by themselves in 18 patients and after advice by doctors or nurses in 19. Prior to surgery, improvement in visual acuity was expected in 35 patients and not in 3. Outcome of surgery was satisfactory in 29 patients, was inconclusive in 4, and failed to meet the expectation in 5. When evaluated as logMAR, there was no significant difference between visual acuity or AMD before and after surgery. Conclusion：Explanation prior to surgery was a major factor for patients' satisfaction.