Visual impairment, visual functioning, and quality of life assessments in patients with glaucoma

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Abstract

Background/Purpose: To determine the relation between visual impairment, visual functioning, and the global quality of life in patients with glaucoma. Methods: Visual impairment, defined with the American Medical Association Guides to the Evaluation of Permanent Impairment; visual functioning measured with the VF-14 and the Field Test Version of the National Eye Institute - Visual Functioning Questionnaire (NEI-VFQ); and the global quality of life, assessed with the Medical Outcomes Study 36 - Item Short Form Health Survey (SF-36), were determined in 147 consecutive patients with glaucoma. Results: None of the SF-36 domains demonstrated more than a weak correlation with visual impairment. The VF-14 scores were moderately correlated with visual impairment. Of the twelve NEI-VFQ scales, distance activities and vision specific dependency were moderately correlated with visual impairment. Of the twelve NEI-VFQ scales, distance activities and vision specific dependency were moderately correlated with visual field impairment; vision specific social functioning, near activities, vision specific role difficulties, general vision, vision specific mental health, color vision and driving were modestly correlated; visual pain was weakly correlated; and two were not significantly correlated. Correcting for visual acuity weakened the strength of the correlation coefficients. Conclusions: The SF-36 is unlikely to be useful in determining visual impairment in patients with glaucoma. Based on the moderate correlation between visual field impairment and the VF-14 score, this questionnaire may be generalizable to patients with glaucoma. Several of the NEI-VFQ scales correlate with visual field impairment scores in patients with a wide range of glaucomatous damage.

Original languageEnglish
Pages (from-to)919-1028
Number of pages110
JournalTransactions of the American Ophthalmological Society
Volume94
StatePublished - Dec 16 1996
Externally publishedYes

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Vision Disorders
Glaucoma
Quality of Life
National Eye Institute (U.S.)
Visual Fields
Color Vision
American Medical Association
Health Surveys
Visual Acuity
Mental Health
Outcome Assessment (Health Care)
Surveys and Questionnaires
Pain

ASJC Scopus subject areas

  • Ophthalmology

Cite this

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abstract = "Background/Purpose: To determine the relation between visual impairment, visual functioning, and the global quality of life in patients with glaucoma. Methods: Visual impairment, defined with the American Medical Association Guides to the Evaluation of Permanent Impairment; visual functioning measured with the VF-14 and the Field Test Version of the National Eye Institute - Visual Functioning Questionnaire (NEI-VFQ); and the global quality of life, assessed with the Medical Outcomes Study 36 - Item Short Form Health Survey (SF-36), were determined in 147 consecutive patients with glaucoma. Results: None of the SF-36 domains demonstrated more than a weak correlation with visual impairment. The VF-14 scores were moderately correlated with visual impairment. Of the twelve NEI-VFQ scales, distance activities and vision specific dependency were moderately correlated with visual impairment. Of the twelve NEI-VFQ scales, distance activities and vision specific dependency were moderately correlated with visual field impairment; vision specific social functioning, near activities, vision specific role difficulties, general vision, vision specific mental health, color vision and driving were modestly correlated; visual pain was weakly correlated; and two were not significantly correlated. Correcting for visual acuity weakened the strength of the correlation coefficients. Conclusions: The SF-36 is unlikely to be useful in determining visual impairment in patients with glaucoma. Based on the moderate correlation between visual field impairment and the VF-14 score, this questionnaire may be generalizable to patients with glaucoma. Several of the NEI-VFQ scales correlate with visual field impairment scores in patients with a wide range of glaucomatous damage.",
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