Vision Changes After Head and Neck Cancer Treatment.

Wang, Hsiao-Lan; Heskett, Megan; Li, Peng; Dreer, Laura; Vance, David; McCammon, Susan; Yan, Kailei; Elliott, Amanda · Head Neck · 2025

cross_sectional · Level IV

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Abstract

Literature about ocular toxicity after head and neck cancer (HNC) treatment is scarce. This study aimed to describe visual function and ocular symptoms among HNC patients. The study used a cross-sectional design. Two surveys, The National Eye Institute Visual Functioning Questionnaire (NEI-VFQ) and an Ocular Symptom Scale, were sent to participants via e-mail. Descriptive statistics were used to describe the sample in the vision change and non-vision change groups. Chi-square and t-tests were used to compare groups. Of the 485 HNC patients emailed, 126 responded to the survey (26%). Of those, 114 completed the surveys. The scores of NEI-VFQ were significantly lower in the vision change group than in the non-vision change group (p < 0.001). Similarly, all ocular symptoms were significantly different between the two groups (p < 0.05). These findings and a scarcity of literature suggest that vision screening after HNC treatment is warranted.

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