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Impact of glaucoma, lens opacities, and cataract surgery on visual functioning and related quality of life: the Barbados Eye Studies.
Invest Ophthalmol Vis Sci 2008; 49(4):1333-8IO

Abstract

PURPOSE

To determine the relationship of open-angle glaucoma (OAG) and lens opacities to visual functioning and related quality of life (QOL), by using the 25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) in a population of African origin.

METHODS

The study included 962 black participants of the Barbados Eye Studies with known glaucoma, prior cataract surgery, visual acuity (VA) <or=20/200, or self-reported fair to poor vision and consecutive participants without these conditions. Standardized examinations and protocols were used to define OAG and lens opacities. Associations with VFQ scores were evaluated by multiple regression analyses.

RESULTS

After adjustment for age, additional demographic variables, and comorbidities, the presence of OAG was significantly associated with lower scores for distance activities, mental health, and color and peripheral vision, with an overall adjusted mean difference of approximately three points in composite scores. Significantly lower scores were found with PSC opacities, with an overall adjusted mean difference of 6 points (95% CI: 3.3-8.8) for the composite score. Persons who had undergone cataract extraction without intraocular lens implantation reported generally lower scores in many domains than those with pseudophakia and those without cataract surgery, with significantly lower adjusted mean scores for distance activities, social functioning, and color vision.

CONCLUSIONS

Inferior vision-related QOL was associated with OAG, PSC, and aphakic cataract surgery, as assessed by the NEI-VFQ-25 in this African-origin population. Findings highlight the importance of targeting public health policy, patient care strategies, and social policy, to assist patients with glaucoma, cataract, and surgical aphakia in better coping with the impact of these conditions on QOL.

Authors+Show Affiliations

Department of Preventive Medicine, Stony Brook University, Stony Brook, New York 11794-8036, USA. swu@notes.cc.sunysb.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

18385046

Citation

Wu, Suh-Yuh, et al. "Impact of Glaucoma, Lens Opacities, and Cataract Surgery On Visual Functioning and Related Quality of Life: the Barbados Eye Studies." Investigative Ophthalmology & Visual Science, vol. 49, no. 4, 2008, pp. 1333-8.
Wu SY, Hennis A, Nemesure B, et al. Impact of glaucoma, lens opacities, and cataract surgery on visual functioning and related quality of life: the Barbados Eye Studies. Invest Ophthalmol Vis Sci. 2008;49(4):1333-8.
Wu, S. Y., Hennis, A., Nemesure, B., & Leske, M. C. (2008). Impact of glaucoma, lens opacities, and cataract surgery on visual functioning and related quality of life: the Barbados Eye Studies. Investigative Ophthalmology & Visual Science, 49(4), pp. 1333-8. doi:10.1167/iovs.07-1252.
Wu SY, et al. Impact of Glaucoma, Lens Opacities, and Cataract Surgery On Visual Functioning and Related Quality of Life: the Barbados Eye Studies. Invest Ophthalmol Vis Sci. 2008;49(4):1333-8. PubMed PMID: 18385046.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of glaucoma, lens opacities, and cataract surgery on visual functioning and related quality of life: the Barbados Eye Studies. AU - Wu,Suh-Yuh, AU - Hennis,Anselm, AU - Nemesure,Barbara, AU - Leske,M Cristina, AU - ,, PY - 2008/4/4/pubmed PY - 2008/6/25/medline PY - 2008/4/4/entrez SP - 1333 EP - 8 JF - Investigative ophthalmology & visual science JO - Invest. Ophthalmol. Vis. Sci. VL - 49 IS - 4 N2 - PURPOSE: To determine the relationship of open-angle glaucoma (OAG) and lens opacities to visual functioning and related quality of life (QOL), by using the 25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) in a population of African origin. METHODS: The study included 962 black participants of the Barbados Eye Studies with known glaucoma, prior cataract surgery, visual acuity (VA) <or=20/200, or self-reported fair to poor vision and consecutive participants without these conditions. Standardized examinations and protocols were used to define OAG and lens opacities. Associations with VFQ scores were evaluated by multiple regression analyses. RESULTS: After adjustment for age, additional demographic variables, and comorbidities, the presence of OAG was significantly associated with lower scores for distance activities, mental health, and color and peripheral vision, with an overall adjusted mean difference of approximately three points in composite scores. Significantly lower scores were found with PSC opacities, with an overall adjusted mean difference of 6 points (95% CI: 3.3-8.8) for the composite score. Persons who had undergone cataract extraction without intraocular lens implantation reported generally lower scores in many domains than those with pseudophakia and those without cataract surgery, with significantly lower adjusted mean scores for distance activities, social functioning, and color vision. CONCLUSIONS: Inferior vision-related QOL was associated with OAG, PSC, and aphakic cataract surgery, as assessed by the NEI-VFQ-25 in this African-origin population. Findings highlight the importance of targeting public health policy, patient care strategies, and social policy, to assist patients with glaucoma, cataract, and surgical aphakia in better coping with the impact of these conditions on QOL. SN - 0146-0404 UR - https://www.unboundmedicine.com/medline/citation/18385046/Impact_of_glaucoma_lens_opacities_and_cataract_surgery_on_visual_functioning_and_related_quality_of_life:_the_Barbados_Eye_Studies_ L2 - http://iovs.arvojournals.org/article.aspx?doi=10.1167/iovs.07-1252 DB - PRIME DP - Unbound Medicine ER -