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Leila K, Gatfaoui F, Mahjoub A, Yakoubi S, Krifa F, Ghorbel M, Mahjoub H. [Impact of glaucoma medications and ocular surface disease on the quality of life of glaucoma patients in the district of Sousse (Tunisia)]. J Fr Ophtalmol 2019; 42:464-470. [PMID: 30928241 DOI: 10.1016/j.jfo.2018.06.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Revised: 05/07/2018] [Accepted: 06/07/2018] [Indexed: 11/15/2022]
Abstract
PURPOSE To assess the impact of glaucoma treatment and ocular surface disease (OSD) on the vision-specific quality-of-life (VS-QoL) of glaucoma patients attending Farhat Hached university hospital Sousse-Tunisia. METHODS This was a cross-sectional study enrolling one-hundred-twenty patients followed for primary open angle glaucoma. All patients successfully responded to the Arabic version of the National Eye Institute Visual Function Questionnaire 25 (NEI-VFQ 25). QoL was quantified in terms of scores (0-100) and correlated with the characteristics of glaucoma treatment and status of the ocular surface. RESULTS One hundred and twenty patients were studied. The mean number of medications and instilled drops was 1.95 (1-4) and 2.69 (1-7) respectively. A total of 66.7% patients reported side effects of treatment. On examination, moderate or severe dry eye syndrome was identified in 90% of cases. A total of 16.7% of patients had superficial punctate keratopathy. The number of instilled drops per day, the use of brimonidine or oral carbonic anhydrase inhibitors, and the presence of OSD had a negative impact on the NEI-VFQ 25 scores. CONCLUSIONS Glaucoma treatment and OSD are 2 factors potentially reducing the QoL of glaucoma patients, on which the ophthalmologist can act by optimizing treatment and regularly examining the ocular surface of glaucoma patients.
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Affiliation(s)
- K Leila
- Service d'ophtalmologie, CHU Farhat Hached, Sousse Tunisie.
| | - F Gatfaoui
- Service d'ophtalmologie, CHU Farhat Hached, Sousse Tunisie
| | - A Mahjoub
- Service d'ophtalmologie, CHU Farhat Hached, Sousse Tunisie
| | - S Yakoubi
- Service d'ophtalmologie, CHU Farhat Hached, Sousse Tunisie
| | - F Krifa
- Service d'ophtalmologie, CHU Farhat Hached, Sousse Tunisie
| | - M Ghorbel
- Service d'ophtalmologie, CHU Farhat Hached, Sousse Tunisie
| | - H Mahjoub
- Service d'ophtalmologie, CHU Farhat Hached, Sousse Tunisie
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Xue WW, Zhang P, Zou HD. Responsiveness and minimal clinically important difference of the Chinese version of the Low Vision Quality of Life Questionnaire after cataract surgery. Int J Ophthalmol 2019; 12:504-509. [PMID: 30918822 DOI: 10.18240/ijo.2019.03.23] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Accepted: 11/28/2018] [Indexed: 11/23/2022] Open
Abstract
AIM To investigate the Chinese version of the Low Vision Quality of Life Questionnaire (CLVQOL) as an instrument for obtaining clinically important changes after cataract surgery. METHODS Patients underwent cataract surgery in Shanghai General Hospital, Shanghai Jiao Tong University, who fit the inclusion criteria were recruited. Two CLVQOLs were administered, including a preoperative CLVQOL and a CLVQOL at the end of the 3mo follow-up period, and were completed using face-to-face interviews or phone interviews conducted by trained investigators. The minimal clinically important difference (MCID) was calculated using an anchor-based method and a distribution method. In addition, the responsiveness of the questionnaire was measured. RESULTS A total of 155 residents were enrolled. The average visual acuity (VA) preoperatively was 0.08 (SD=0.05), and it increased to 0.47 (SD=0.28) at the end of follow-up. Statistically significant positive changes in the CLVQOL scores indicated significant improvement of vision related quality of life after cataract surgery. With the larger value between the two results as the final value, the MCID values of the CLVQOL (scores of the four scales as well as the total score) were 8.94, 2.61, 4.34, 3.10 and 17.63, respectively. The CLVQOL has both good internal and external responsiveness. CONCLUSION CLVQOL scores are appropriate instruments for obtaining clinically important changes after cataract surgery. This study is an effective exploration for establishing cataract surgery efficacy standards, which helps clinical and scientific research workers in ophthalmology to gain a more in-depth understanding when using CLVQOL.
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Affiliation(s)
- Wen-Wen Xue
- Department of Ophthalmology, Shanghai Eye Diseases Prevention and Treatment Center, Shanghai 200040, China.,Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China
| | - Pei Zhang
- Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China.,Department of Ophthalmology, Shanghai Gonghui Hospital, Shanghai 200041, China
| | - Hai-Dong Zou
- Department of Ophthalmology, Shanghai Eye Diseases Prevention and Treatment Center, Shanghai 200040, China.,Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China
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Chun YS, Sung KR, Park CK, Kim HK, Yoo C, Kim YY, Park KH, Kim CY, Choi K, Lee KW, Han S, Kim CS. Factors influencing vision-related quality of life according to glaucoma severity. Acta Ophthalmol 2019; 97:e216-e224. [PMID: 30264446 DOI: 10.1111/aos.13918] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2017] [Accepted: 08/14/2018] [Indexed: 11/30/2022]
Abstract
PURPOSE To identify factors influencing vision-related quality of life (VRQOL) according to glaucoma severity. METHODS A total of 901 patients with varying stages of glaucoma were recruited from the prospectively designed LIGHT (Life Quality of Glaucoma Patients Who Underwent Treatment) study organized by the Korean Glaucoma Society. Participants completed a basic questionnaire collecting socioeconomic status and clinical information, in addition to the 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25). Subjects were classified by mean deviation (MD) of integrated binocular visual field (IVF) into mild, moderate and severe damage groups. Factors were evaluated for their influence on VRQOL according to glaucoma severity using univariate and multivariable regression models between Rasch-analysed NEI VFQ-25 subscale scores and different variables. RESULTS The mild, moderate and severe groups contained 720, 111 and 70 patients, respectively; the mean IVF MD in each group was -1.4, -8.5 and -17.9 dB. Significant differences were observed among the three groups with respect to age, IVF MD, visual acuity (VA), education level, income level, number of glaucoma medications prescribed and follow-up period. The most influential factor associated with VRQOL according to glaucoma severity was VA. The VA of the better eye was much more influential on VRQOL than the VA of the worse eye in the moderate and severe defect groups, and the impact of VA on VRQOL was more prominent in advanced glaucoma. CONCLUSIONS Visual acuity is the most influential factor on VRQOL in patients with glaucoma. Preservation of VA should be strongly prioritized to maintain good VRQOL.
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Affiliation(s)
- Yeoun Sook Chun
- Department of Ophthalmology Chung‐Ang University College of Medicine Chung‐Ang University Hospital Seoul Korea
| | - Kyung Rim Sung
- Department of Ophthalmology Asan Medical Centre College of Medicine University of Ulsan Seoul Korea
| | - Chan Kee Park
- Department of Ophthalmology Seoul St. Mary's Hospital, College of Medicine The Catholic University of Korea Seoul Korea
| | | | - Chungkwon Yoo
- Department of Ophthalmology Korea University College of Medicine Seoul Korea
| | - Yong Yeon Kim
- Department of Ophthalmology Korea University College of Medicine Seoul Korea
| | - Ki Ho Park
- Department of Ophthalmology Seoul National University Hospital Seoul Korea
| | - Chan Yun Kim
- Department of Ophthalmology Yonsei University College of Medicine Seoul Korea
| | - Kyu‐Ryong Choi
- Department of Ophthalmology School of Medicine Ewha Womans University Seoul Korea
| | | | - Seungbong Han
- Department of Applied Statistics Gachon University Seoul Korea
| | - Chang sik Kim
- Department of Ophthalmology Chungnam National University Hospital Seoul Korea
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Kausar A, Ali M, Masud H, Akhtar F. Vision-related quality of life in Pakistani subjects with early or moderate glaucoma. Int Health 2018; 10:517-523. [PMID: 30052977 DOI: 10.1093/inthealth/ihy052] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2017] [Accepted: 06/18/2018] [Indexed: 11/13/2022] Open
Abstract
Background The aim of this study was to report the vision-related quality of life (QoL) in Pakistani subjects with early or moderate glaucoma. Methods This case control study was conducted at Al-Shifa Trust Eye Hospital, Pakistan, from 1 January 2014 to 31 December 2015. All the patients having early or moderate glaucoma, with a disease duration of at least 6 mo, and presenting during the study period, were included. Subjects in the control group were recruited from the hospital volunteer staff, spouses and friends of patients. QoL assessment was done using the NEIVFQ25 questionnaire translated into the Urdu language. A two-tailed t-test was used to test the significance of difference between the mean QoL scores and a p-value of ≤0.05 was considered significant. Multiple linear regression was carried out to assess the predictors of QoL scores. Results A total of 698 participants were enrolled, including 247 cases and 451 controls. The mean QoL score was higher in controls 81.31 (mean=81.31, SD=26.33) than in cases (mean=53.89, SD=30.32), p<0.001. The lowest NEIVFQ-25 scores for glaucoma patients were for mental health (mean=23.88, SD=28.80) followed by general vision (mean=27.73, SD=29.74). The difference in all the mean subscale scores of two groups was statistically significant (p<0.001). Conclusion QoL scores are significantly reduced in Pakistani glaucoma patients with early and moderate glaucoma, with more pronounced effect on mental health and general vision.
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Affiliation(s)
- Ayisha Kausar
- Shifa International Hospital, Shifa Tameer-e-Millat University, Islamabad, Pakistan
| | - Mahmood Ali
- Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan
| | - Haleema Masud
- Department of Public Health, Al-Shifa School of Public Health, Rawalpindi, Pakistan
| | - Farah Akhtar
- Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan
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Zhu B, Ma Y, Lin S, Zou H. Vision-related quality of life and visual outcomes from cataract surgery in patients with vision-threatening diabetic retinopathy: a prospective observational study. Health Qual Life Outcomes 2017; 15:175. [PMID: 28865457 PMCID: PMC5581410 DOI: 10.1186/s12955-017-0751-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2016] [Accepted: 08/28/2017] [Indexed: 01/19/2023] Open
Abstract
Background To examine the benefit of cataract surgery on visual acuity and vision related quality of life in patients with stabilized vision-threatening diabetic retinopathy. Methods A total of 126 patients (153 eyes) who were diagnosed with cataract combined with stabilized vision-threatening diabetic retinopathy underwent phacoemulsification. Measurements included the best-corrected visual acuity (BCVA), which was converted into a weighted logarithm of the minimum angle of resolution (logMAR) and vision related quality of life (VRQoL) using the Chinese-version low vision quality of life questionnaire (CLVQOL). Results Three months after phacoemulsification, statistically significant improvements were observed in postoperative weighted logMAR BCVA (Z = −9.390 P < 0.001). In all of the participants, the CLVQOL total scores (Z = −7.995 P <0.001) and four subscale scores including general vision and lighting level (Z = −7.400 P <0.001), mobility level (Z = −6.914 P <0.001), psychological adjustment level (Z = −8.112 P <0.001) and reading, fine work and activities of daily living level (Z = −5.892 P <0.001), all improved significantly after the surgeries. Linear regression analyses indicated that the increase in CLVQOL total scores exhibited a significant correlation with the better postoperative weighted logMAR BCVA, greater gain of weighted logMAR BCVA after surgery, bilateral surgery, and longer duration of diabetic retinopathy. Conclusions Both visual acuity and the vision related quality of life of the patients with diabetic retinopathy improved significantly after cataract surgery. Cataract surgery is an effective intervention for patients with stabilized diabetic retinopathy. Electronic supplementary material The online version of this article (10.1186/s12955-017-0751-4) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Bijun Zhu
- Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100 Haining Road, Shanghai, 200080, China
| | - Yingyan Ma
- Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100 Haining Road, Shanghai, 200080, China
| | - Senlin Lin
- Department of Preventative Opthalmology, Shanghai Eye Disease Prevention and Treatment Center, No. 380 Kangding Road, Shanghai, 200040, China
| | - Haidong Zou
- Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100 Haining Road, Shanghai, 200080, China. .,Department of Preventative Opthalmology, Shanghai Eye Disease Prevention and Treatment Center, No. 380 Kangding Road, Shanghai, 200040, China.
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Kuo YS, Liu CJL, Cheng HC, Chen MJ, Chen WT, Ko YC. Impact of socioeconomic status on vision-related quality of life in primary open-angle glaucoma. Eye (Lond) 2017; 31:1480-1487. [PMID: 28574498 DOI: 10.1038/eye.2017.99] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Accepted: 04/19/2017] [Indexed: 11/09/2022] Open
Abstract
PurposeTo investigate the impact of socioeconomic status (SES) on vision-related quality of life (VRQOL) in patients with primary open-angle glaucoma (POAG).Patients and methodsThis prospective cross-sectional study included consecutive patients with POAG at a tertiary hospital between March 2012 and January 2013. All patients had visual acuity no worse than 20/60 in the better eye and reliable visual field tests. VRQOL was assessed by the validated Taiwan version 25-item National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25). Sociodemographic characteristics, medical history, and ocular parameters were recorded. SES was evaluated based on educational attainment and monthly income, both stratified into three levels. Analysis of variance and linear regression analysis were used to evaluate the relationship between SES, VRQOL, and clinical parameters.ResultsAmong the 186 patients recruited, intergroup differences were not observed among educational or monthly income levels for binocular vision or integrated visual field defects. Patients of lower educational and monthly income levels had lower self-reported general health ratings. After adjustment for visual function, treatment complexity, and general health in the multiple linear regression model, patients with a college degree or higher reported better NEI VFQ-25 scores for the composite score (P=0.041), mental health (P=0.035), and peripheral vision (P=0.05) than did those with education below junior high school. Monthly income levels did not affect the NEI VFQ-25 scores.ConclusionEducational attainment significantly affects VRQOL in patients with POAG. Additional counseling may be provided to patients with lower educational background to help them cope with the disease.
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Affiliation(s)
- Y-S Kuo
- Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan
| | - C J-L Liu
- Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.,Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan
| | - H-C Cheng
- Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan
| | - M-J Chen
- Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.,Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan
| | - W-T Chen
- Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.,Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
| | - Y-C Ko
- Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.,Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.,Institute of Clinical Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan
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Knani L, Gatfaoui F, Mahjoub A, Ghorbel M, Mahjoub H, Ben Hadj Hamida F. [Preliminary study of the quality of life of glaucoma patients in the district of Sousse (Tunisia): Sociodemographic and clinical associations]. J Fr Ophtalmol 2017; 40:196-201. [PMID: 28318724 DOI: 10.1016/j.jfo.2016.11.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Accepted: 11/02/2016] [Indexed: 11/29/2022]
Abstract
PURPOSE To assess the vision-specific quality-of-life (VS-QoL) of glaucoma patients followed at Farhat Hached university hospital, Sousse-Tunisia, and identify clinical and sociodemographic factors potentially affecting it. METHODS This was a cross-sectional study enrolling one-hundred twenty patients followed for primary open angle glaucoma (POAG). All the patients successfully responded to the Arabic version of the National Eye Institute Visual Function Questionnaire 25 (NEI-VFQ 25). Quality of life was quantified in terms of scores (0-100) and correlated with sociodemographic and clinical factors. RESULTS One hundred and twenty patients were studied. The mean age was 62.38±10.68years. The global mean score (GMS) score was 70.11±18.45% ranging from 23.71 to 98%. Urban residence was associated with a better total score (P=0.01). Educational background was correlated with the subscale scores of distant activities (P=0.01), social functioning (P=0.03), physical activity limitations (P=0.01) and peripheral vision (P=0.01). The total NEI-VFQ 25 had a statistically significantly negative correlation with the duration of the glaucoma (P=0.002), the cup to disc ratio of the better and the worse eye (P<10-4), the visual acuity of the better and the worse eye (P<10-4), but not with the intraocular pressure. A higher number of glaucoma medications had a negative impact on the total score (P=0.03) and the subscales of physical activity limitations (P=0.04) and driving (P=0.002). CONCLUSIONS Vision-specific quality of life of glaucoma patients, as measured by the NEI-VFQ 25, is correlated to many sociodemographic and clinical elements. QoL evaluation is an essential factor to be considered in the management of glaucoma patients. In our context, research should be directed first to the validation of a questionnaire in the local dialect.
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Affiliation(s)
- L Knani
- Service d'ophtalmologie, CHU Farhat Hached, Sousse, Tunisie.
| | - F Gatfaoui
- Service d'ophtalmologie, CHU Farhat Hached, Sousse, Tunisie
| | - A Mahjoub
- Service d'ophtalmologie, CHU Farhat Hached, Sousse, Tunisie
| | - M Ghorbel
- Service d'ophtalmologie, CHU Farhat Hached, Sousse, Tunisie
| | - H Mahjoub
- Service d'ophtalmologie, CHU Farhat Hached, Sousse, Tunisie
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