scholarly journals Vision related problems after cataract surgery

2017 ◽  
Vol 70 (9-10) ◽  
pp. 307-311
Author(s):  
Vladimir Canadanovic ◽  
Slobodanka Latinovic ◽  
Nikola Babic ◽  
Aleksandar Miljkovic ◽  
Desanka Grkovic ◽  
...  

Introduction. Senile cataract is an age-related eye disease and one of the most common causes of visual impairment. It is one of the most important causes of reversible blindness in the elderly persons, with a steady increase in prevalence with advanced age. The resulting loss of visual acuity has important implications for physical functions and the overall quality of life of affected individuals. However, cataract related visual loss is completely reversible with modern cataract surgery techniques. The purpose of the study was to evaluate the visual outcomes (visual acuity and visual function) before and after cataract surgery, and to assess patient satisfaction with final surgical outcomes. Material and Methods. This prospective study included 176 consecutive patients with senile cataract who underwent phacoemulsification with a foldable intraocular lens implantation. Evaluation of vision related problems of daily living was done in all patients using a vision related quality of life questionnaire, before and 10 days after the surgery. All patients self-rated their vision-related problems into 4 categories: no problems, small problems, big problems, and very big problems. The results were presented as a vision-related quality of life index. Results. There were 176 patients included in this study, with an average age of 65.4 ? 12 years. The operated patients had significantly better visual acuity than before cataract surgery (p < 0,001), with a median postoperative visual acuity of 0.8. Before cataract surgery, the average vision-related quality of life index was 53.7 (range 21.3 - 87.7). The self-rated vision related problems were present in 59.8% patients before senile cataract surgery, and only in 12.8% of patients undergoing phaco cataract surgery (p<0.001). Ten days after cataract surgery vision-related quality of life index improved to 92.9 (range 57.1 - 98.7). Conclusion. Visual function, self-estimated vision related problems and patients satisfaction are significantly higher after the phaco cataract surgery. We believe that vision related quality of life index is a valid and sensitive tool for visual function and vision-related quality of life evaluation.

2007 ◽  
Vol 60 (11-12) ◽  
pp. 653-656 ◽  
Author(s):  
Slobodanka Latinovic ◽  
Vladimir Canadanovic ◽  
Nikola Babic ◽  
Ljiljana Ljesevic ◽  
Desanka Grkovic ◽  
...  

Introduction. Since 1996, advanced methods and new instruments for the assessment of vision quality of life (VisQoL) index (37 and 15) have been developed and applied at the University Eye Clinic in Novi Sad. Many researches assume that postoperative results should not be evaluated only by postoperative visual acuity, but also by subjective perception of visual function and the patients ability to perform everyday activities, i.e. by quality of life. Therefore, our clinical results were based on both parameters of visual function, as the most objective attributes for assessing outcomes of certain types of cataract surgery. Material and Methods. Based on the results of the Cataract Study in Vojvodina in 2004, 5.7% of patients waiting for cataract surgery were already blind, 16.5% had low vision with cataract on both eyes, and 57% of patients had monocular blindness. Results and Discussion. With improvement of visual acuity to 0.5 or higher, after cataract surgery in 96.5% of patients, the cumulative VisQoL 15-index changed from 59.3 to 95.5. Intraocular lens implantation contributed most to the significant improvement in the vision related quality of life. Our study showed that pseudophakic patients had better quality of life than aphakic patients, who had the same visual acuity and refractive correction. Difficulties in performing everyday activities, such as shopping, using the telephone and reading, were found in 12.7% of aphakic, but only in 3% of pseudophakic patients. Conclusion. Advanced phacoemulsification techniques enable operated cataract patients immediate vision recovery, better quality of life, and personal satisfaction with visual function in everyday activities.


2017 ◽  
Vol 33 (S1) ◽  
pp. 82-83
Author(s):  
Julie Jones-Diette ◽  
Ros Wade ◽  
Kath Wright ◽  
Alexis Llewellyn ◽  
Stephen Rice ◽  
...  

INTRODUCTION:Primary hyperhidrosis has no discernible cause and is characterised by uncontrollable excessive and unpredictable sweating, which occurs at rest, regardless of temperature. The symptoms of hyperhidrosis can significantly affect quality of life, and can lead to social embarrassment, loneliness, anxiety and depression.The aim of this literature review was to identify the tools used to measure quality of life in studies of hyperhidrosis. Patient advisors provided insight and their perspective.METHODS:Studies were identified through searches undertaken in January 2016. The search strategies combined topic terms for hyperhidrosis with a recognised search filter for “quality of life”. All studies that reported measuring quality of life or described a quality of life measure/tool in the context of primary hyperhidrosis were included. The information on the tools and their use in hyperhidrosis was summarized in a narrative synthesis. Patient advisors contributed to the interpretation of the findings.RESULTS:The review included 184 studies and many studies used multiple tools. Twenty-two individual tools were identified. The review identified disease specific, dermatology specific, and general health/utility tools. The most commonly identified tools were the Dermatology Life Quality Index (DLQI), the Hyperhidrosis Disease Severity Scale (HDSS), and the Hyperhidrosis Quality of Life Questionnaire (HQLQ). The Hyperhidrosis Quality of Life index (HidroQoL©) is recently designed and validated, and therefore was used only in its validation study.When asked about these four quality of life tools patient advisors agreed that the HidroQoL© tool covered disease-specific quality of life dimensions relevant to them most comprehensively and was easy to complete. The DLQI was considered to be too general and too focussed on the skin. The HDSS was considered to be too basic and not sufficiently discriminating.CONCLUSIONS:Future studies of the effectiveness of interventions for hyperhidrosis on health-related quality of life may benefit from including the HidroQoL© tool.


2015 ◽  
Vol 22 (4) ◽  
pp. 274-282 ◽  
Author(s):  
Lachlan Farmer ◽  
Cecilia Innes-Wong ◽  
Caroline Bergman-Hart ◽  
Robert J. Casson ◽  
John Crompton

Author(s):  
Adriana Aparecida Ferreira ◽  
Isabel Cristina Gonçalves Leite ◽  
Maria Teresa Bustamante-Teixeira ◽  
Camila Soares Lima Corrêa ◽  
Danielle Teles da Cruz ◽  
...  

2021 ◽  
Vol 13 (3) ◽  
pp. 37-45
Author(s):  
Wen Zhu ◽  
Elena B. Katinas ◽  
Mikhail M. Solovyov ◽  
Karolina Fedotova ◽  
Andrey I. Yaremenko ◽  
...  

Purpose. To evaluate the changes in the quality of life of patients with thyroid eye disease after different methods of orbital decompression. Materials and methods. The study included 24 patients (37 orbits) with thyroid eye disease, aged 41.6 20.6 (from 20 to 79 years), 18 women and 6 men. The patients were divided into two groups. The first group included 12 patients (19 orbits) who underwent orbital fat decompression. The second group included 12 patients (18 orbits) who underwent endoscopic endonasal bony orbital decompression. The Graves ophthalmopathy quality of life questionnaire (GO-QOL) was completed before surgery, and 3 and 6 months after it. Outcome analysis included also the assessment of visual acuity, proptosis, eyelid retraction, and palpebral fissure height. Results. The GO-QOL visual function scores in both groups did not change significantly in 3 and in 6 months after orbital decompression (p 0.05): in the first group, before and after 6 months, scores were 69.27 20.02 and 68.96 18.44, in the second group 53.13 29.13 and 57.81 23.56, respectively. An improvement in the GO-QOL visual function estimation was observed in those patients whose visual acuity improved after surgery. The GO-QOL facial appearance scores significantly improved 3 months after surgery, and continued to increase up to 6 months: in the first group, facial appearance scores improved from 23.96 23.01 to 48.42 25.56 (p = 0.004), in the second group from 47.92 21.04 to 66.15 23.15 (p = 0.037). Conclusions. Orbital decompression significantly improves the quality of life of patients with thyroid eye disease, this is primarily associated with an improvement in facial appearance.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
A. Basu ◽  
E. J. Philip ◽  
B. Dewitt ◽  
J. Hanmer ◽  
A. Chattopadhyay ◽  
...  

Abstract The majority of women diagnosed with breast cancer will experience some form of drug-related toxicity and subsequent impairments in Health-related Quality of Life (HRQoL). Despite this, HRQoL is assessed inconsistently and there is no validated method to integrate HRQoL data into the assessment of therapeutic agents. This proof of concept study utilizes data from the neoadjuvant I-SPY 2 clinical trial to describe the development of the Quality of Life Index (QoLI) measure. The QoLI represents a single composite score that incorporates validated longitudinal measures of clinical efficacy and QoL and one that permits a more comprehensive, direct comparison of individual therapeutic agents. Preliminary data suggest the QoLI is able to distinguish between agents based on their efficacy and toxicity; with further validation, the QoLI has the potential to provide more patient-centered evaluations in clinical trials and help guide treatment decision making in breast cancer and other oncologic diseases.


2016 ◽  
Vol 93 (12) ◽  
pp. 1495-1501
Author(s):  
Gang Chen ◽  
Robert P. Finger ◽  
Edith Eva Holloway ◽  
Angelo Iezzi ◽  
Jeff Richardson

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