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BMC Ophthalmology
Published in: BMC Ophthalmology 1/2017

Open Access 01-12-2017 | Research article

Vision-related quality of life following glaucoma filtration surgery

Authors: Kazuyuki Hirooka, Eri Nitta, Kaori Ukegawa, Akitaka Tsujikawa

Published in: BMC Ophthalmology | Issue 1/2017

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Abstract

Background

To evaluate vision-related quality of life (VR-QOL) following glaucoma filtration surgery.

Methods

A total of 103 glaucoma patients scheduled to undergo glaucoma filtration surgery. Prior to and at three months after glaucoma filtration surgery, trabeculectomy or EX-PRESS, all patients completed the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). A total of 48 patients underwent combined cataract and filtration surgery. The clinical data collected pre- and postoperatively included best-corrected visual acuity (BCVA) and intraocular pressure (IOP).

Results

The IOP decreased significantly from 19.0 ± 8.1 mmHg to 9.7 ± 3.9 mmHg (P < 0.001). Preoperative VFQ-25 composite score (65.8 ± 15.6) was similar to the postoperative score (67.8 ± 16.6). A significantly improved VFQ-25 composite score (pre: 63.2 ± 17.1, post: 67.7 ± 17.8; P = 0.001) was observed in the patients who underwent combined cataract and filtration surgery. There was a significant association between the BCVA changes in the operated eye and the changes in the VFQ-25 composite score (r = −0.315, P = 0.003).

Conclusions

Although glaucoma filtration surgery by itself did not decrease the VR-QOL in glaucoma patients, there was significant improvement in the VR-QOL after the patients underwent combined cataract and glaucoma filtration surgery.
Literature
1.
Iwase A, Suzuki Y, Araie M, Yamamoto T, Abe H, Shirato S, et al. The prevalence of primary open-angle glaucoma in Japanese: the Tajimi Study. Ophthalmology. 2004;111:1641–8.PubMed
2.
McMillan B, Gross R. Trabeculectomy first in pseudophakic eyes requiring surgery for medically uncontrolled glaucoma. Surv Ophthalmol Epub ahead of print
3.
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.CrossRefPubMed
4.
McKean-Cowdin R, Wang Y, Wu J, Azen SP, Varma R, Group LALES. Impact of visual field loss on health-related quality of life in glaucoma: the Los Angeles Latino Eye study. Ophthalmology. 2008;115:941–8.CrossRefPubMed
5.
Spaeth G, Walt J, Keener J. Evaluation of quality of life for patients with glaucoma. Am J Ophthalmol. 2006;141:S3–14.CrossRefPubMed
6.
van Gestel A, Webers CA, Beckers HJ, van Dongen MC, Severens JL, Hendrikse F, et al. The relationship between visual field loss in glaucoma and health-related quality-of-life. Eye (Lond). 2010;24:1759–69.CrossRef
7.
Lisboa R, Chun YS, Zangwill LM, Weinreb RN, Rosen PN, Liebmann JM, et al. Association between rates of binocular visual field loss and vision-related quality of life in patients with glaucoma. JAMA Ophthalmol. 2013;131:486–94.CrossRefPubMedPubMedCentral
8.
Sawada H, Fukuchi T, Abe H. Evaluation of the relationship between quality of vision and the visual function index in Japanese glaucoma patients. Graefes Arch Clin Exp Ophthalmol. 2011;249:1721–7.CrossRefPubMed
9.
Takahashi G, Otori Y, Urashima M, Kuwayama Y, Quality of Life Improvement Committee. Evaluation of quality of life in Japanese glaucoma patients and its relationship with visual function. J Glaucoma. 2016;25:e150-56.CrossRef
10.
Okamoto F, Okamoto Y, Hiraoka T, Oshika T. Vision-related quality of life and visual function after retinal detachment surgery. Am J Ophthalmol. 2008;146:85–90.CrossRefPubMed
11.
Hirneiss C, Neubauer AS, Gass CA, Reiniger IW, Priglinger SG, Kampik A, et al. Visual quality of life after macular hole surgery: outcome and predictive factors. Br J Ophthalmol. 2007;91:481–4.CrossRefPubMed
12.
Okamoto F, Okamoto Y, Hiraoka T, Oshika T. Effect of vitrectomy for epiretinal membrane on visual function and vision-related quality of life. Am J Ophthalmol. 2009;147:869–74.CrossRefPubMed
13.
Hiratsuka Y, Yamada M, Akune Y, Murakami A, Okada AA, Yamashita H, et al. 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. Jpn J Ophthalmol. 2014;58:415–22.CrossRefPubMed
14.
Bengtsson B, Heijl A. False-negative responses in glaucoma perimetry: indicators of patient performance or test reliability? Invest Ophthalmol Vis Sci. 2000;41:2201–4.PubMed
15.
Suzukamo Y, Oshika T, Yuzawa T, Tokuda Y, Tomidokoro A, Oki K, et al. Psychometric properties of the 25-item national Eye institute visual function questionnaire (NEI VFQ-25), Japanese version. Health Qual Life Outcomes. 2005;3:65.CrossRefPubMedPubMedCentral
16.
Janz NK, Wren PA, Lichter PR, Musch DC, Gillespie BW, Guire KE, et al. The collaborative initial glaucoma treatment study: interim quality of life findings after initial medical or surgical treatment of glaucoma. Ophthalmology. 2001;108:1954–65.CrossRefPubMed
17.
Guedes RA, Guedes VM, Freitas SM, Chaoubah A. Quality of life of medically versus surgically treated glaucoma patients. J Glaucoma. 2013;22:369–73.CrossRefPubMed
18.
Rosen WJ, Mannis MJ, Brandt JD. The effect of trabeculectomy on corneal topography. Ophthalmic Surg. 1992;23:395–8.PubMed
19.
Dietze PJ, Oram O, Kohnen T, Feldman RM, Koch DD, Gross RL. Visual function following trabeculectomy: effect on corneal topography and contrast sensitivity. J Glaucoma. 1997;6:99–103.CrossRefPubMed
20.
Stewart WC, Shields MB. Management of anterior chamber depth after trabeculectomy. Am J Ophthalmol. 1988;106:41–4.CrossRefPubMed
21.
Cashwell LF, Martin CA. Axial length decrease accompanying successful glaucoma filtration surgery. Ophthalmology. 1999;106:2307–11.CrossRefPubMed
22.
Netland PA, Sarkisian SR, Moster MR, Ahmed II, Condon G, Salim S, et al. Randomized, prospective, comparative trial of EX-PRESS glaucoma filtration device versus trabeculectomy. Am J Ophthalmol. 2014;157:433–40.CrossRefPubMed
23.
Wagschal LD, Trope GE, Jinapriya D, Jin YP, Buys YM. Prospective randomized study comparing Ex-PRESS to trabeculectomy: 1-year results. J Glaucoma. 2015;24:624–9.CrossRefPubMed
24.
Okamoto F, Okamoto Y, Fukuda S, Hiraoka T, Oshika T. Vison-related quality of life and visual function after viterectomy for various vitereoretinal disorders. Invest Ophthalmol Vis Sci. 2010;51:744–51.CrossRefPubMed
25.
Pisella PJ, Pouliquen P, Baudouin C. Prevalence of ocular symptoms and signs with preserved and preservative free glaucoma medications. Br J Ophthalmol. 2002;86:418–23.CrossRefPubMedPubMedCentral
26.
Jaenen N, Baudouin C, Pouliquen P, Manni G, Fiqueiredo A, Zeyen T. Ocular symptoms and signs with preserved and preserved-free glaucoma medications. Eur J Ophthalmol. 2007;17:341–9.PubMed
27.
Peters D, Heijl A, Brenner L, Bengtsson B. Visual impairment and vison-related quality of life in the early manifest glaucoma trial after 20 years of follow-up. Acta Ophthalmol. 2015;93:745–52.CrossRefPubMedPubMedCentral
28.
29.
Solus JF, Jampel HD, Tracey PA, Gilbert DL, Loyd TL, Jefferys JL, et al. Comparison of limbus-based and fornix-based trabeculectomy: Success, bleb-related complications, and bleb morphology. Ophthalmology. 2012;119:703–11.CrossRefPubMed
Metadata
Title
Vision-related quality of life following glaucoma filtration surgery
Authors
Kazuyuki Hirooka
Eri Nitta
Kaori Ukegawa
Akitaka Tsujikawa
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2017
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-017-0466-7

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