Potential of the quality of life (QoL) tool for patient profiling in paralytical strabismus
V.M. Zhdanova, Cand Sc (Med)
L.V. Zadoianyi, Cand Sc (Med)
V.A. Vasiuta, Cand Sc (Med)
K.S. Ehorova, MD
Romodanov Neurosurgery Institute, National Academy of Medical Science
Backup: To the best of our knowledge, there is no ocular motility disorder (OMD)-specific quality of life (QoL) tool, OMD-specific scale or method for patient profiling during treatment.
Purpose: To develop an OMD-specific QoL assessment method in an effort to objectify treatment outcomes and to perform patient profiling during treatment.
Material and Methods: We retrospectively analyzed outcomes among 240 patients (109 women and 131 men; aged 18 to 78 years; mean age, 36 ± 4.2 years) with OMD who received inpatient treatment at the Romodanov Neurosurgery Institute between 2004 and 2016. Out of these patients, 108 underwent surgeries for ruptured saccular supraclinoid internal carotid artery aneurysm, 65 underwent tumor removal (including: acoustic neurinoma, n = 23; pituitary adenoma, n = 26; and meningioma, n = 16) and 67 were treated non-surgically for craniocerebral trauma. Rehabilitative treatment was done in all patients (in operated-on patients, it was done early after surgery).
Results and Discussion: We developed OMD-specific score assessment method and QoL scale involving a number of indices related to neurological symptoms, as well as to physical, psychic and social status of patients. A total OMD-specific QoL score of 0–15 is considered a poor (or low) QoL; 16–30, a moderate (or good) QoL; and 31–45, a high QoL. Not only the extent of damage to cranial nerves III, IV, and VI, but also the impact of physical handicap on the patient’s activities and on his functional abilities is assessed.
Conclusion: Application of the OMD-specific QoL assessment method involving the QoL scale in clinical practice makes it possible to objectify treatment outcomes and facilitates patient profiling during treatment.
Key words: rehabilitative treatment, ocular motility disorders, paralytical strabismus, quality of life
1. Gusev EI, Konovalov AN, Burd GS. [Neurology and Neurosurgery]. Moscow: Meditsina; 2000. 656 p. Russian
2. Carlsson J, Rosenhall U. Oculomotor disturbances in patients with tension headache treated with acupuncture or physiotherapy. Cephalalgia. 1990 Jun;10(3):123-9.
3. Heitger MH, Anderson TJ, Jones RD. Eye movement and visuomotor arm movement deficits following mild closed head injury. Brain. 2004 Mar;127(Pt 3):575-90.
4. Kraus MF, Little DM, Donnell AJ et al. Oculomotor function in chronic traumatic brain injury. Cogn Behav Neurol. 2007 Sep;20(3):170-8.
5. Kraus MF. The role of oculomotor function in the assessment of traumatic brain injury. Brain. 2013 Apr;146:573-89.
6. Miller NR, Newman NJ: The Essentials: Walsh & Hoyt's Clinical Neuro-ophthalmology. Baltimore: Williams & Wilkins, 1999, pp 245-268.
7. Belova AN. [Neurorehabilitation: Manual for Physicians]. 2nd ed. Rev. and Exp. Moscow: Antidor; 2007. pp.404-10. Russian
8. Belova AN, Shepetova ON. [Scales, tests and questionnaires in medical rehabilitation]. Moscow: Antidor; 2002. 440p. Russian
9. Van Bennekom CA, Jelles F, Lankhorst GJ. Rehabilitation Activities Profile: the ICIDH as a framework for a problem-oriented assessment method in rehabilitation medicine. Disabil Rehabil. 1995 Apr-Jun;17(3-4):169-75.
10. Brott T, Adams HP Jr, Olinger CP, et al. Measurements of acute cerebral infarction: a clinical examination scale. Stroke. 1989 Jul;20(7):864-70.
11. Zhdanova VM, Zadoianyi LV, Tsymbaliuk VI. [Patent for useful model No. 43490 MPK A61V8/10, “Method for quality of life assessment in ocular motility disorders”]. 2009. [Patent Bulletin No. 16]. Ukrainian
12. Golovin SS. [Clinical Ophthalmology]. Vol.1, Moscow: Moscow Publishing House; 1923. p. 335
13. Avetisov ES. [Concomitant strabismus]. Moscow: Meditsina; 1997. pp. 158-9 Russian
14. Morozov VI, Iakovlev AI. [Visual pathway disorders: clinical picture, management and diagnosis]. Moscow: Binom; 2000. 165 p. Russian
15. Avetisov ES, Kovalevskii EI, Khvatova AV. [Manual of pediatric ophthalmology]. Moscow: Meditsina; 1987. 496p. Russian
16. Happe W. [Ophthalmology]. Transl. ed. Amerov AM. Moscow: MedPress-inform; 2004. 72-5 p. Russian
17. Katargina LA, editor. [Accommodation: Manual for Physicians]. Moscow: April; 2012. 136 p. Russian