PURPOSE OF REVIEW: This review summarizes the recent literature of the impact of cataract surgery from the patient's perspective, with a focus on second-generation patient reported outcome (PRO) measures that used Rasch analysis to explore their data. RECENT FINDINGS: Irrespective of the instrument utilized, the overriding conclusion is that cataract surgery unequivocally improves vision-specific functioning and several aspects of vision-specific quality of life. The benefit of cataract surgery, however, on generic health is less clear, due to limited vision-related items. Evidence suggests that cataract surgery also improves visual functioning in comorbid eye disease, especially in the early stages. Similarly, second eye cataract surgery appears to improve visual ability beyond that achieved with first eye surgery. Recently, there has been a shift toward second-generation, Rasch-validated PROs to assess cataract surgery outcomes and large gains in visual function have been demonstrated. Importantly, measurement precision is dramatically improved compared with the original first-generation instruments. SUMMARY: Cataract surgery-induced improvements in visual acuity are translated by considerable gains in real life activities, emotional and social life components. The utilization of second-generation instruments and modern psychometric methods, however, appears to be the best current strategy to optimize the impact of cataract surgery on health-related quality of life.
PURPOSE OF REVIEW: This review summarizes the recent literature of the impact of cataract surgery from the patient's perspective, with a focus on second-generation patient reported outcome (PRO) measures that used Rasch analysis to explore their data. RECENT FINDINGS: Irrespective of the instrument utilized, the overriding conclusion is that cataract surgery unequivocally improves vision-specific functioning and several aspects of vision-specific quality of life. The benefit of cataract surgery, however, on generic health is less clear, due to limited vision-related items. Evidence suggests that cataract surgery also improves visual functioning in comorbid eye disease, especially in the early stages. Similarly, second eye cataract surgery appears to improve visual ability beyond that achieved with first eye surgery. Recently, there has been a shift toward second-generation, Rasch-validated PROs to assess cataract surgery outcomes and large gains in visual function have been demonstrated. Importantly, measurement precision is dramatically improved compared with the original first-generation instruments. SUMMARY:Cataract surgery-induced improvements in visual acuity are translated by considerable gains in real life activities, emotional and social life components. The utilization of second-generation instruments and modern psychometric methods, however, appears to be the best current strategy to optimize the impact of cataract surgery on health-related quality of life.
Authors: Eileen L Mayro; Laura T Pizzi; Lisa A Hark; Ann P Murchison; Douglas Wisner; Anish Koka; Benjamin E Leiby; Nooreen Dabbish; Adedoyin Okulate; Alexa Dessy; Caitlin Green; Robert Bailey Journal: Am Health Drug Benefits Date: 2018-12
Authors: Petri K M Purola; Janika E Nättinen; Matti U I Ojamo; Seppo V P Koskinen; Harri A Rissanen; Päivi R J Sainio; Hannu M T Uusitalo Journal: Qual Life Res Date: 2021-03-23 Impact factor: 4.147
Authors: Ellen E Freeman; Marie-Hélène Roy-Gagnon; Elodie Samson; Slim Haddad; Marie-Josée Aubin; Claudia Vela; Maria Victoria Zunzunegui Journal: PLoS One Date: 2013-05-10 Impact factor: 3.240