Tags

Type your tag names separated by a space and hit enter

Vision-related Quality of Life Outcomes of Cataract Surgery in Advanced Glaucoma Patients.
J Glaucoma. 2016 Jan; 25(1):e5-11.JG

Abstract

PURPOSE

To demonstrate longitudinal postoperative vision-related quality of life and visual acuity changes after cataract surgery in advanced glaucoma patients.

MATERIALS AND METHODS

In total, 93 patients who underwent cataract surgeries were collected from June 2010 through June 2013 in Shanghai First People's Hospital, Shanghai Jiao Tong University, and were followed up for at least 3 months. Patients with advanced glaucoma, here defined as near total cupping of the optic nerve with severe visual field loss within 10 degrees of fixation, were enrolled. A standard phacoemulsification technique with the insertion of an intraocular lens was used. No complications occurred intraoperatively or postoperatively. Preoperative and 3-month postoperative vision-related quality of life were assessed in face-to-face interviews. The Chinese-version of the Low Vision Quality of Life Questionnaire (CLVQOL) was used. Wilcoxon signed-rank test was used to compare the differences in the best-corrected visual acuity (BCVA), weighted average LogMAR (WMAR), and CLVQOL scores. A binary logistic regression analysis was conducted to explore the potential factors associated with the change in CLVQOL scores.

RESULTS

The overall changes in the CLVQOL composite scores ranged between 4 and 42 (median=19). Statistically significant increases occurred in the composite scores of all of the subscales, the total CLVQOL, the BCVA in the surgery eye, and the WMAR (all P<0.001). Greater increases in the CLVQOL composite scores was associated with superior preoperative WMAR (odds ratio: 9.920, P<0.05), and age below 60 years (odds ratio: 9.905, P<0.05).

CONCLUSIONS

Cataract surgery should be recommended for advanced glaucoma patients with stable intraocular pressure.

Authors+Show Affiliations

*Department of Ophthalmology, Shanghai General Hospital of Nanjing Medical University †Department of Preventative Ophthalmology, Shanghai Eye Disease Prevention and Treatment Center, Shanghai, China.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26066499

Citation

Xu, Xian, et al. "Vision-related Quality of Life Outcomes of Cataract Surgery in Advanced Glaucoma Patients." Journal of Glaucoma, vol. 25, no. 1, 2016, pp. e5-11.
Xu X, Sun Q, Ma YY, et al. Vision-related Quality of Life Outcomes of Cataract Surgery in Advanced Glaucoma Patients. J Glaucoma. 2016;25(1):e5-11.
Xu, X., Sun, Q., Ma, Y. Y., & Zou, H. D. (2016). Vision-related Quality of Life Outcomes of Cataract Surgery in Advanced Glaucoma Patients. Journal of Glaucoma, 25(1), e5-11. https://doi.org/10.1097/IJG.0000000000000299
Xu X, et al. Vision-related Quality of Life Outcomes of Cataract Surgery in Advanced Glaucoma Patients. J Glaucoma. 2016;25(1):e5-11. PubMed PMID: 26066499.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vision-related Quality of Life Outcomes of Cataract Surgery in Advanced Glaucoma Patients. AU - Xu,Xian, AU - Sun,Qian, AU - Ma,Ying-Yan, AU - Zou,Hai-Dong, PY - 2015/6/13/entrez PY - 2015/6/13/pubmed PY - 2016/4/29/medline SP - e5 EP - 11 JF - Journal of glaucoma JO - J Glaucoma VL - 25 IS - 1 N2 - PURPOSE: To demonstrate longitudinal postoperative vision-related quality of life and visual acuity changes after cataract surgery in advanced glaucoma patients. MATERIALS AND METHODS: In total, 93 patients who underwent cataract surgeries were collected from June 2010 through June 2013 in Shanghai First People's Hospital, Shanghai Jiao Tong University, and were followed up for at least 3 months. Patients with advanced glaucoma, here defined as near total cupping of the optic nerve with severe visual field loss within 10 degrees of fixation, were enrolled. A standard phacoemulsification technique with the insertion of an intraocular lens was used. No complications occurred intraoperatively or postoperatively. Preoperative and 3-month postoperative vision-related quality of life were assessed in face-to-face interviews. The Chinese-version of the Low Vision Quality of Life Questionnaire (CLVQOL) was used. Wilcoxon signed-rank test was used to compare the differences in the best-corrected visual acuity (BCVA), weighted average LogMAR (WMAR), and CLVQOL scores. A binary logistic regression analysis was conducted to explore the potential factors associated with the change in CLVQOL scores. RESULTS: The overall changes in the CLVQOL composite scores ranged between 4 and 42 (median=19). Statistically significant increases occurred in the composite scores of all of the subscales, the total CLVQOL, the BCVA in the surgery eye, and the WMAR (all P<0.001). Greater increases in the CLVQOL composite scores was associated with superior preoperative WMAR (odds ratio: 9.920, P<0.05), and age below 60 years (odds ratio: 9.905, P<0.05). CONCLUSIONS: Cataract surgery should be recommended for advanced glaucoma patients with stable intraocular pressure. SN - 1536-481X UR - https://www.unboundmedicine.com/medline/citation/26066499/Vision_related_Quality_of_Life_Outcomes_of_Cataract_Surgery_in_Advanced_Glaucoma_Patients_ L2 - https://doi.org/10.1097/IJG.0000000000000299 DB - PRIME DP - Unbound Medicine ER -