Top

Published in:

01-09-2014 | Clinical Investigation

Assessment of vision-related quality of life among patients with cataracts and the outcomes of cataract surgery using a newly developed visual function questionnaire: the VFQ-J11

Authors: Yoshimune Hiratsuka, Masakazu Yamada, Yoko Akune, Akira Murakami, Annabelle A. Okada, Hidetoshi Yamashita, Yuichi Ohashi, Naoya Yamagishi, Hiroshi Tamura, Shunichi Fukuhara, Tomoyuki Takura

Published in: Japanese Journal of Ophthalmology | Issue 5/2014

Abstract

Objective

To investigate vision-related quality of life (VRQoL) and associated factors in patients with cataracts and the outcomes of cataract surgery using the newly developed VRQoL instrument: the visual function questionnaire, 11-item Japanese version (the VFQ-J11).

Methods

A total of 457 patients scheduled for cataract surgery at 12 clinical sites from November 2008 through February 2010 were included in the study. The patients completed the VFQ-J11 before and 3 months after surgery. The VFQ-J11 was used to investigate factors associated with VRQoL of the cataract patients, the outcome of cataract surgery, and the predictors of improved VRQoL due to cataract surgery.

Results

In a multiple regression model, the VFQ-J11 score was significantly associated with corrected distance visual acuity in the better-seeing eye (better eye VA), and improvement in the VFQ-J11 score after cataract surgery was associated not only with improvement in the better eye VA, but also with improvement in the worse eye VA. Compared to one-eye cataract surgery, both-eyes surgery had a greater impact on VFQ-J11 score improvement.

Conclusions

The VFQ-J11 is a good measure of VRQoL in cataract patients. The present study indicates that by including the domains measured in the VFQ, the VFQ-J11 can provide valid data on VRQoL and be less of a burden for patients.

Available only for authorised users

Global data on visual impairments 2010, World Health Organization-WHO/NMH/PBD/12.01. World Health Organization, 2012.

Ellwein LB, Urato CJ. Use of eye care and associated charges among the Medicare population: 1991–1998. Arch Ophthalmol. 2002;120:804–11.PubMedCrossRef

Ministry of Health, Labour and Welfare. Survey of Medical Care Activities in Public Health Insurance 2008. Statistics and Information Department, Minister’s Secretariat, 2009 (in Japanese).

Ministry of Health, Labour and Welfare National Medical Care Expenditure Estimates FY2011. Statistics and Information Department, Minister’s Secretariat, Ministry of Health, Labour and Welfare. 2013. http://www.mhlw.go.jp/toukei/saikin/hw/k-iryohi/11/dl/toukei.pdf. Accessed 13 Dec 2013 (in Japanese).

Yamada M, Hiratsuka Y, Roberts CB, Pezzullo ML, Yates K, Takano S, et al. Prevalence of visual impairment in the adult Japanese population by cause and severity and future projections. Ophthalmic Epidemiol. 2010;17:50–7.PubMedCrossRef

Groessl EJ, Liu L, Sklar M, Tally SR, Kaplan RM, Ganiats TG. Measuring the impact of cataract surgery on generic and vision-specific quality of life. Qual Life Res. 2013;22:1405–14.PubMedCrossRefPubMedCentral

Rosen PN, Kaplan RM, David K. Measuring outcomes of cataract surgery using the Quality of Well-Being Scale and VF-14 Visual Function Index. J Cataract Refract Surg. 2005;31:369–78.PubMedCrossRef

Oshika T, Sugita G, Hayashi K, Eguchi S, Miyata K, Kozawa T, et al. Influence of cataract and intraocular lens surgery on health-related quality of life. Nihon Ganka Gakkai Zasshi. 2005;109:753–60 (in Japanese).PubMed

Mangione CM, Phillips RS, Lawrence MG, Seddon JM, Orav EJ, Goldman L. Improved visual function and attenuation of declines in health-related quality of life after cataract extraction. Arch Ophthalmol. 1994;112:1419–25.PubMedCrossRef

10.

Steinberg EP, Tielsch JM, Schein OD, Javitt JC, Sharkey P, Cassard SD, et al. National study of cataract surgery outcomes. Variation in 4-month postoperative outcomes as reflected in multiple outcome measures. Ophthalmology. 1994;101:1131–40.PubMedCrossRef

11.

Javitt JC, Brenner MH, Curbow B, Legro MW, Street DA. Outcomes of cataract surgery. Improvement in visual acuity and subjective visual function after surgery in the first, second, and both eyes. Arch Ophthalmol. 1993;111:686–91.PubMedCrossRef

12.

Hiratsuka Y, Yamada M, Murakami A, Okada AA, Yamashita H, Ohashi Y, Eye Care Comparative Effectiveness Research Team (ECCERT), et al. Cost-effectiveness of cataract surgery in Japan. Jpn J Ophthalmol. 2011;55:333–42.PubMedCrossRef

13.

Mangione CM, Lee PP, Gutierrez PR, Spritzer K, Berry S, Hays RD, National Eye Institute Visual Function Questionnaire Field Test Investigators. Development of the 25-item National Eye Institute Visual Function Questionnaire. Arch Ophthalmol. 2001;119:1050–8.PubMedCrossRef

14.

Yamada M, Mizuno Y, Miyake Y, Cataract Survey Group of the National Hospital Organization of Japan. A multicenter study on the health-related quality of life of cataract patients: baseline data. Jpn J Ophthalmol. 2009;53:470–6.PubMedCrossRef

15.

Mizuno Y, Yamada M, Miyake Y, Dry Eye Survey Group of the National Hospital Organization of Japan. Association between clinical diagnostic tests and health-related quality of life surveys in patients with dry eye syndrome. Jpn J Ophthalmol. 2010;54:259–65.PubMedCrossRef

16.

Fukuhara S, Wakita T, Yamada M, Hiratsuka Y, Green J, Oki K. Development of a short version of the visual function questionnaire using item-response theory. PLoS One. 2013;8(9):e73084. doi:10.1371/journal.pone.0073084.PubMedCrossRefPubMedCentral

17.

Hiratsuka Y, Yamada M, Akune Y, Murakami A, Okada AA, Yamashita H, Eye Care Comparative Effectiveness Research Team (ECCERT), et al. Cost-utility analysis of cataract surgery in Japan: a probabilistic Markov modeling study. Jpn J Ophthalmol. 2013;57:391–401.PubMedCrossRef

18.

Brown GC. Vision and quality-of-life. Trans Am Ophthalmol Soc. 1999;97:473–511.PubMedPubMedCentral

19.

20.

Tan AC, Tay WT, Zheng YF, Tan AG, Wang JJ, Mitchell P, et al. The impact of bilateral or unilateral cataract surgery on visual functioning: when does second eye cataract surgery benefit patients? Br J Ophthalmol. 2012;96:846–51.PubMedCrossRef

21.

Busbee BG, Brown MM, Brown GC, Sharma S. Incremental cost-effectiveness of initial cataract surgery. Ophthalmology. 2002;109:606–12.PubMedCrossRef

22.

Clemons TE, Chew EY, Bressler SB, McBee W, Age-Related Eye Disease Study Research Group. National Eye Institute Visual Function Questionnaire in the Age-Related Eye Disease Study (AREDS): AREDS Report No. 10. Arch Ophthalmol. 2003;121:211–7.PubMedCrossRefPubMedCentral

Title: Assessment of vision-related quality of life among patients with cataracts and the outcomes of cataract surgery using a newly developed visual function questionnaire: the VFQ-J11
Authors: Yoshimune Hiratsuka
Masakazu Yamada
Yoko Akune
Akira Murakami
Annabelle A. Okada
Hidetoshi Yamashita
Yuichi Ohashi
Naoya Yamagishi
Hiroshi Tamura
Shunichi Fukuhara
Tomoyuki Takura
Publication date: 01-09-2014
Publisher: Springer Japan
Published in: Japanese Journal of Ophthalmology / Issue 5/2014
Print ISSN: 0021-5155
Electronic ISSN: 1613-2246
DOI: https://doi.org/10.1007/s10384-014-0335-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Assessment of vision-related quality of life among patients with cataracts and the outcomes of cataract surgery using a newly developed visual function questionnaire: the VFQ-J11

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 5/2014

Effects of vitreomacular adhesion on ranibizumab treatment in Japanese patients with age-related macular degeneration

Immediate changes in intraocular pressure after clear corneal micro-incision versus small-incision cataract surgery

Influence of simple myopic against-the-rule and with-the-rule astigmatism on visual acuity in eyes with monofocal intraocular lenses

Switching efficacy on intraocular pressure from latanoprost to bimatoprost in eyes with open angle glaucoma: implication to the changes of central corneal thickness

Intraocular pressure alterations after visual field testing

Familial cases of Norrie disease detected by copy number analysis