The Journal of prosthetic dentistry · 2025
Quality of life assessment in patients with a unilateral orbital defect provided with an interim prosthetic rehabilitation: A randomized crossover clinical trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Farrag Ahmed K, El Attar Mohamed Sherine, Raizada Kuldeep, Fata Mohamed, Abdelrahman Hams, Soliman Ingy S
Аннотация
STATEMENT OF PROBLEM: The lack of interim prostheses for unilateral orbital defects has a dramatic impact on quality of life and aggravates patient anxiety and depression. However, quality of life assessment and patient satisfaction studies for different interim options are lacking.
PURPOSE: The purpose of this study was to assess patient quality of life (QoL), anxiety, and satisfaction using newly designed custom-made eyeglasses compared with conventional eye patches and sunglasses.
MATERIAL AND METHODS: Twenty patients with unilateral orbital defects were included in a randomized crossover clinical trial. Patients received the 3 interim prosthetic options: an eye patch, sunglasses, and the newly designed 3-dimensionally custom-made eyeglasses for 2 months with a 1-week washout period. Assessment questionnaires for patient QoL and satisfaction as well as anxiety measures were performed using WHO QOL-BREF, SF-12, GAD-7, and the Sloan Questionnaire. Mean scores for interim prosthetic options were compared with the Shapiro-Wilk test, Friedman test, Wilcoxon signed-rank test, and McNemar test (α=.05).
RESULTS: The custom-made eyeglasses significantly improved scores across all domains of WHO QOL-BREF compared with eye patches and sunglasses, and, according to SF-12 and the GAD-7 questionnaire, there was a reduction in anxiety levels. Satisfaction scores using the Sloan Questionnaire were highest for the custom-made eyeglasses, with patients rating them superior in appearance, comfort, and usability.
CONCLUSIONS: The use of newly designed, custom-made eyeglasses is an alternative interim option that offers significant improvement in quality of life, satisfaction, and anxiety measures.
PURPOSE: The purpose of this study was to assess patient quality of life (QoL), anxiety, and satisfaction using newly designed custom-made eyeglasses compared with conventional eye patches and sunglasses.
MATERIAL AND METHODS: Twenty patients with unilateral orbital defects were included in a randomized crossover clinical trial. Patients received the 3 interim prosthetic options: an eye patch, sunglasses, and the newly designed 3-dimensionally custom-made eyeglasses for 2 months with a 1-week washout period. Assessment questionnaires for patient QoL and satisfaction as well as anxiety measures were performed using WHO QOL-BREF, SF-12, GAD-7, and the Sloan Questionnaire. Mean scores for interim prosthetic options were compared with the Shapiro-Wilk test, Friedman test, Wilcoxon signed-rank test, and McNemar test (α=.05).
RESULTS: The custom-made eyeglasses significantly improved scores across all domains of WHO QOL-BREF compared with eye patches and sunglasses, and, according to SF-12 and the GAD-7 questionnaire, there was a reduction in anxiety levels. Satisfaction scores using the Sloan Questionnaire were highest for the custom-made eyeglasses, with patients rating them superior in appearance, comfort, and usability.
CONCLUSIONS: The use of newly designed, custom-made eyeglasses is an alternative interim option that offers significant improvement in quality of life, satisfaction, and anxiety measures.