Tags

Type your tag names separated by a space and hit enter

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 Sep 02; 15(1):175.HQ

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.

Authors+Show Affiliations

Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100 Haining Road, Shanghai, 200080, China.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.Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100 Haining Road, Shanghai, 200080, China. zouhaidong@hotmail.com. Department of Preventative Opthalmology, Shanghai Eye Disease Prevention and Treatment Center, No. 380 Kangding Road, Shanghai, 200040, China. zouhaidong@hotmail.com.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

28865457

Citation

Zhu, Bijun, et al. "Vision-related Quality of Life and Visual Outcomes From Cataract Surgery in Patients With Vision-threatening Diabetic Retinopathy: a Prospective Observational Study." Health and Quality of Life Outcomes, vol. 15, no. 1, 2017, p. 175.
Zhu B, Ma Y, Lin S, et al. 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(1):175.
Zhu, B., Ma, Y., Lin, S., & Zou, H. (2017). Vision-related quality of life and visual outcomes from cataract surgery in patients with vision-threatening diabetic retinopathy: a prospective observational study. Health and Quality of Life Outcomes, 15(1), 175. https://doi.org/10.1186/s12955-017-0751-4
Zhu B, et al. 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 Sep 2;15(1):175. PubMed PMID: 28865457.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vision-related quality of life and visual outcomes from cataract surgery in patients with vision-threatening diabetic retinopathy: a prospective observational study. AU - Zhu,Bijun, AU - Ma,Yingyan, AU - Lin,Senlin, AU - Zou,Haidong, Y1 - 2017/09/02/ PY - 2016/06/07/received PY - 2017/08/28/accepted PY - 2017/9/4/entrez PY - 2017/9/4/pubmed PY - 2017/12/28/medline KW - Cataract KW - Diabetic retinopathy KW - Phacoemulsification KW - Vision-related quality of Life SP - 175 EP - 175 JF - Health and quality of life outcomes JO - Health Qual Life Outcomes VL - 15 IS - 1 N2 - 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. SN - 1477-7525 UR - https://www.unboundmedicine.com/medline/citation/28865457/Vision_related_quality_of_life_and_visual_outcomes_from_cataract_surgery_in_patients_with_vision_threatening_diabetic_retinopathy:_a_prospective_observational_study_ L2 - https://hqlo.biomedcentral.com/articles/10.1186/s12955-017-0751-4 DB - PRIME DP - Unbound Medicine ER -