Assessment of visual function after corneal transplantation: the quality of life and psychometric assessment after corneal transplantation (Q-PACT) study

Mendes, Fernanda de Souza Nogueira Sardinha; Schaumberg, Debra A.; Navon, Sam; Steinert, Roger F.; Sugar, Joel; Holland, Edward J.; Dana, M. Reza

doi:10.1016/s0002-9394(02)02278-x

Cited by 52 publications

(38 citation statements)

References 15 publications

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“…Traumatic wound dehiscence and late recurrence of ectasia can occur following the procedure [23,34]. Interestingly, improvement in visual function in cornea transplantation does not correlate with the postoperative acuity in the grafted eye, but rather it is inversely associated with visual acuity in the better-seeing eye [36]. This analysis argues for consideration of status of the fellow eye in decision for keratoplasty, if the goal is improvement in visual function, and not simply treatment of contact lens failure or intolerance in a particular eye.…”

Section: Discussionmentioning

confidence: 99%

PROSE treatment of corneal ectasia

Baran

Bradley

Alipour

et al. 2012

Contact Lens and Anterior Eye

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Section: Discussionmentioning

confidence: 99%

PROSE treatment of corneal ectasia

Baran

Bradley

Alipour

et al. 2012

Contact Lens and Anterior Eye

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“…6 The patients' expectations may not be met, and they may still experience poor functional outcome despite successful corneal transplantion. 7 To understand the patients' situation and need, it is also important to evaluate their vision-related quality of life in addition to standard clinical variables. A number of selfreported questionnaires had been designed to address this issue, one of which is the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25).…”

Section: Introductionmentioning

confidence: 99%

Vision-related quality of life in corneal graft recipients

Mak

Wong

2012

Eye

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Aims To assess the vision-related quality of life of corneal transplant recipients using the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25), and to identify the socio-demographic factors that associate with patients' self-assessment of perceived visual function. Methods Thirty patients who received corneal transplants were included in this prospective observational, cross-sectional study. Socio-demographic and clinical data, including age, sex, systemic health status, employment status, visual acuity, reason of corneal transplantation, laterality of corneal graft, and follow-up period were collected. NEI VFQ-25 was scored using Rasch analysis. Subgroup analyses were also performed. Results Age, sex, visual acuity, and health status had no significant correlation or association with the Rasch-transformed score. Patients who received bilateral corneal grafts were significantly less able socioemotionally than those with unilateral graft. Patients who became unemployed or retired after transplantation were also significantly less able in both visual functioning and socioemotional status. Conclusion Corneal transplant recipients had a decreased vision-related quality of life as demonstrated by the NEI VFQ-25. Apart from anatomical success and visual acuity, ophthalmologists should also consider other aspects of visual outcome. In particular, those who received bilateral grafts require more attention. Employment programmes should be part of corneal transplantation rehabilitation planning.

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“…1 Improvement in vision after cataract surgery, penetrating keratoplasty or blepharoptosis surgery, for example, is associated with enhanced functional status. 1,4,[13][14][15] In this study, we calculated a functional index score, which examined a 'weighted combined eye' visual function. This is considered a more accurate measure of binocular function.…”

Section: Discussionmentioning

confidence: 99%