Kenichi Makabe1,2, Tetsuro Oshika3, Mikio Inamura4, Ken Hayashi5, Gentaro Sugita6, Tadahiko Kozawa7, Kenji Fujishima8. 1. Department of Ophthalmology, Institute of Clinical Medicine, Tsukuba University, Ibaraki, Japan. makabe.k1@gmail.com. 2. Department of Ophthalmology, Kobe Kaisei Hospital, 3-11-15 Shinoharakitamachi, Nada-ku, Kobe, Hyogo, 657-0068, Japan. makabe.k1@gmail.com. 3. Department of Ophthalmology, Institute of Clinical Medicine, Tsukuba University, Ibaraki, Japan. 4. Inamura Ganka Clinic, Yokohama, Japan. 5. Hayashi Eye Hospital, Fukuoka, Japan. 6. Sugita Eye Hospital, Nagoya, Japan. 7. Kozawa Eye Hospital, Ibaraki, Japan. 8. Fujishima Eye Clinic, Fukuoka, Japan.
Abstract
PURPOSE: To assess improvements in vision-related quality of life (VR-QOL) in patients undergoing their first or second eye cataract surgery, as well as clinical factors related to VR-QOL. STUDY DESIGN: Prospective case series. METHODS: We examined 282 patients undergoing their first (222) or second (60) eye cataract surgery. VR-QOL was evaluated before and after surgery using the 25-item National Eye Institute visual function questionnaire (VFQ-25), along with the best-corrected visual acuity (BCVA), uncorrected visual acuity, and the lens opacities classification system III (LOCSIII). The resulting VFQ-25 subscale scores were compared between patients undergoing their first or second eye cataract surgery, including multiple regression analysis. RESULTS: The mean VFQ-25 composite score (CS) was 71.5 ± 14.2 before and 84.0 ± 10.2 after the first eye cataract surgery and 73.5 ± 12.7 before and 85.4 ± 10.2 after the second eye cataract surgery. VFQ-25 scores improved significantly, with reduced disparity among patients after surgery in both groups. Preoperative CS was related to the preoperative sum of the BCVA (standardized partial regression coefficient (β) = - 0.254, P < 0.001). Improvement in the CS was related to a preoperative poor BCVA (β = 0.203, P < 0.001), low CS (β = - 0.693, P < 0.001), and high general health score (β = 0.118, P = 0.025). CONCLUSIONS: VR-QOL improved after the first and second eye surgery. Many VFQ-25 subscales were related to the BCVA or LOCSIII scores. Low preoperative VR-QOL and BCVA were related to an improved postoperative VR-QOL.
PURPOSE: To assess improvements in vision-related quality of life (VR-QOL) in patients undergoing their first or second eye cataract surgery, as well as clinical factors related to VR-QOL. STUDY DESIGN: Prospective case series. METHODS: We examined 282 patients undergoing their first (222) or second (60) eye cataract surgery. VR-QOL was evaluated before and after surgery using the 25-item National Eye Institute visual function questionnaire (VFQ-25), along with the best-corrected visual acuity (BCVA), uncorrected visual acuity, and the lens opacities classification system III (LOCSIII). The resulting VFQ-25 subscale scores were compared between patients undergoing their first or second eye cataract surgery, including multiple regression analysis. RESULTS: The mean VFQ-25 composite score (CS) was 71.5 ± 14.2 before and 84.0 ± 10.2 after the first eye cataract surgery and 73.5 ± 12.7 before and 85.4 ± 10.2 after the second eye cataract surgery. VFQ-25 scores improved significantly, with reduced disparity among patients after surgery in both groups. Preoperative CS was related to the preoperative sum of the BCVA (standardized partial regression coefficient (β) = - 0.254, P < 0.001). Improvement in the CS was related to a preoperative poor BCVA (β = 0.203, P < 0.001), low CS (β = - 0.693, P < 0.001), and high general health score (β = 0.118, P = 0.025). CONCLUSIONS: VR-QOL improved after the first and second eye surgery. Many VFQ-25 subscales were related to the BCVA or LOCSIII scores. Low preoperative VR-QOL and BCVA were related to an improved postoperative VR-QOL.
Entities:
Keywords:
Cataract surgery; VFQ-25; Vision related quality of life; Visual acuity