Vision-Related Quality of Life in Primary Angle-Closure Glaucoma Patients with or without Visual Field Dysfunction

Purpose. To evaluate the association between visual-related quality of life (VRQoL) and visual field (VF) loss in patients with primary angle-closure glaucoma (PACG). Methods. In this case-control study, a total of 79 patients with PACG (with or without VF detects) and 35 healthy controls were inclu...

Full description

Saved in:
Bibliographic Details
Main Authors: Pingping Ma, Yingru Liu, Yufang Su, Yajun Yang
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2023/9981060
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849694712861032448
author Pingping Ma
Yingru Liu
Yufang Su
Yajun Yang
author_facet Pingping Ma
Yingru Liu
Yufang Su
Yajun Yang
author_sort Pingping Ma
collection DOAJ
description Purpose. To evaluate the association between visual-related quality of life (VRQoL) and visual field (VF) loss in patients with primary angle-closure glaucoma (PACG). Methods. In this case-control study, a total of 79 patients with PACG (with or without VF detects) and 35 healthy controls were included. The patients underwent the 25-item National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25), clinical examination, and VF testing. VF defects were identified by simplified Hodapp’s classification. NEI VFQ-25 scores were compared between the three groups. Results. No significant differences were found in gender, VFQ rating for “composite score” and “color vision” between the three groups. PACG patients with VF loss were most likely to be older and had lower best corrected visual acuity (BCVA), spherical equivalent (SE), mean deviation (MD), and visual field index (VFI), but higher pattern standard deviation (PSD) (all P<0.05). Furthermore, patients with VF loss had significantly lower NVE-VFQ-25 subscale scores for general health, general vision, ocular pain, near activities, distance activities, social functioning, mental health, role difficulties, dependency, driving, and peripheral vision than PACG patients without VF loss and healthy controls (all P<0.05). VFI (β = 1.498, P=0.003) and MD (β = −3.891, P=0.016) were significantly correlated with Role Difficulties scores. Additionally, PSD was significantly correlated with Peripheral Vision scores (β = −1.346, P=0.003). Conclusions. PACG patients with VF loss reported lower NEI VFQ-25 composite and subscale scores. VF indices including VFI, MD, and PSD were strongly correlated with VRQoL as assessed by NEI VFQ-25; thus, VRQoL may be significantly impacted by glaucomatous VF defects.
format Article
id doaj-art-a3bca66a0dc7459c9356366bb305a950
institution DOAJ
issn 2090-0058
language English
publishDate 2023-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-a3bca66a0dc7459c9356366bb305a9502025-08-20T03:19:59ZengWileyJournal of Ophthalmology2090-00582023-01-01202310.1155/2023/9981060Vision-Related Quality of Life in Primary Angle-Closure Glaucoma Patients with or without Visual Field DysfunctionPingping Ma0Yingru Liu1Yufang Su2Yajun Yang3Department of OphthalmologyDepartment of GlaucomaDepartment of GlaucomaDepartment of GlaucomaPurpose. To evaluate the association between visual-related quality of life (VRQoL) and visual field (VF) loss in patients with primary angle-closure glaucoma (PACG). Methods. In this case-control study, a total of 79 patients with PACG (with or without VF detects) and 35 healthy controls were included. The patients underwent the 25-item National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25), clinical examination, and VF testing. VF defects were identified by simplified Hodapp’s classification. NEI VFQ-25 scores were compared between the three groups. Results. No significant differences were found in gender, VFQ rating for “composite score” and “color vision” between the three groups. PACG patients with VF loss were most likely to be older and had lower best corrected visual acuity (BCVA), spherical equivalent (SE), mean deviation (MD), and visual field index (VFI), but higher pattern standard deviation (PSD) (all P<0.05). Furthermore, patients with VF loss had significantly lower NVE-VFQ-25 subscale scores for general health, general vision, ocular pain, near activities, distance activities, social functioning, mental health, role difficulties, dependency, driving, and peripheral vision than PACG patients without VF loss and healthy controls (all P<0.05). VFI (β = 1.498, P=0.003) and MD (β = −3.891, P=0.016) were significantly correlated with Role Difficulties scores. Additionally, PSD was significantly correlated with Peripheral Vision scores (β = −1.346, P=0.003). Conclusions. PACG patients with VF loss reported lower NEI VFQ-25 composite and subscale scores. VF indices including VFI, MD, and PSD were strongly correlated with VRQoL as assessed by NEI VFQ-25; thus, VRQoL may be significantly impacted by glaucomatous VF defects.http://dx.doi.org/10.1155/2023/9981060
spellingShingle Pingping Ma
Yingru Liu
Yufang Su
Yajun Yang
Vision-Related Quality of Life in Primary Angle-Closure Glaucoma Patients with or without Visual Field Dysfunction
Journal of Ophthalmology
title Vision-Related Quality of Life in Primary Angle-Closure Glaucoma Patients with or without Visual Field Dysfunction
title_full Vision-Related Quality of Life in Primary Angle-Closure Glaucoma Patients with or without Visual Field Dysfunction
title_fullStr Vision-Related Quality of Life in Primary Angle-Closure Glaucoma Patients with or without Visual Field Dysfunction
title_full_unstemmed Vision-Related Quality of Life in Primary Angle-Closure Glaucoma Patients with or without Visual Field Dysfunction
title_short Vision-Related Quality of Life in Primary Angle-Closure Glaucoma Patients with or without Visual Field Dysfunction
title_sort vision related quality of life in primary angle closure glaucoma patients with or without visual field dysfunction
url http://dx.doi.org/10.1155/2023/9981060
work_keys_str_mv AT pingpingma visionrelatedqualityoflifeinprimaryangleclosureglaucomapatientswithorwithoutvisualfielddysfunction
AT yingruliu visionrelatedqualityoflifeinprimaryangleclosureglaucomapatientswithorwithoutvisualfielddysfunction
AT yufangsu visionrelatedqualityoflifeinprimaryangleclosureglaucomapatientswithorwithoutvisualfielddysfunction
AT yajunyang visionrelatedqualityoflifeinprimaryangleclosureglaucomapatientswithorwithoutvisualfielddysfunction