Gewählte Publikation:
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Mozaffarieh, M; Sacu, S; Benesch, T; Wedrich, A.
Subretinal hemorrhages secondary to age-related macular degeneration: psychological and vision-related functional perspectives.
Ophthalmologica. 2008; 222(3):199-204
Doi: 10.1159/000126084
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
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Wedrich Andreas
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- Abstract:
- PURPOSE: To assess psychological, visual and functional aspects associated with subretinal hemorrhages secondary to age-related macular degeneration (AMD). METHOD: In this prospective, comparative, longitudinal study, 90 eyes of 90 patients with a subretinal hemorrhage, secondary to AMD, of at least 1 disk diameter were treated with recombinant tissue plasminogen activator (rTPA) and gas, and compared to 25 eyes of 25 controls. Outcome measures were: (1) visual acuity, (2) self-reported vision-related quality of life (Visual Function 14-item questionnaire) and (3)Hospital Anxiety and Depression (HAD) scores. Visual acuity and questionnaire responses were recorded prior to as well as 2 weeks and 4 months after treatment. RESULTS: Improvements across objective visual acuity and vision-related functional measures, assessed at 2 weeks and 4 months, were significantly higher in patients who had rTPA and gas injections than in controls (p < 0.01). Patients were significantly more distressed at their 2-week follow-up in comparison to controls (HAD scores p < 0.01). Comparisons to controls showed no significant difference in psychological scores at the 4-month follow-up (p > 0.32). CONCLUSIONS: Patients with subretinal hemorrhages secondary to AMD are psychologically distressed as a result of acute loss of vision. More attention should be given to strategies that teach patients to cope with acute vision loss and thereby psychological disorder.
- Find related publications in this database (using NLM MeSH Indexing)
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Aged -
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Female -
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Fibrinolytic Agents - administration and dosage
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Fluorocarbons - administration and dosage
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Follow-Up Studies -
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Humans -
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Injections -
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Macular Degeneration - complications
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Male -
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Prognosis -
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Prospective Studies -
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Quality of Life -
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Questionnaires -
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Recombinant Proteins -
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Retinal Hemorrhage - etiology
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Tissue Plasminogen Activator - administration and dosage
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Visual Acuity - physiology
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Vitreous Body -
- Find related publications in this database (Keywords)
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psychological distress
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vision-related functioning
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subretinal hemorrhage
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age-related macular degeneration