Experience of Monocular Vision in Australia

Buys, Nicholas; López, Jorge A. Rodríguez

doi:10.1177/0145482x0409800904

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…In some patients the missing eye also gives rise to phantom pain and headaches 12, 13 . Personal accounts of the difficulties of losing an eye and associated coping strategies are useful in understanding these phenomena 4, 15-16 . In the absence of formal treatment strategies, the psychological and sensory issues involved require sensitivity on the part of the professionals involved in the treatment of the loss of an eye and the subsequent rehabilitation 17, 18 .…”

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Health-Related Quality of Life After Surgical Removal of an Eye

Kondo¹,

Tillman

Schwartz

et al. 2013

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose This study compared the general health related quality of life (HRQOL) and the vision specific HRQOL in patients following the surgical removal of one eye who had good vision in the remaining eye to a group of binocular patients with good vision in both eyes. Methods The Medical Outcomes Study Short Form 12 (SF-12) and the National Eye Institute Visual Function Questionnaire (NEI VFQ) health related quality of life (HRQOL) surveys were administered to 29 patients who had surgical removal of an eye who attended an ocular prosthetics clinic and to 25 binocular persons who accompanied a patient. All subjects in each group had best corrected visual acuity of 20/40 or better. Overall statistical significance was tested using Cramer's V followed by individual t-tests for independent groups for each of the scales on the two questionnaires to determine if the means between the two groups differed statistically. Results The patient group had a mean age of 50.98 years (range 19 to 76). The control group had a mean age of 49.46 years (range 18 to 76). The mean time after loss of vision was 28.03 years (range 1-71 years) and the mean time from surgical removal of the eye was 23.6 years (range 0.5 to 59.5). There was an overall significant difference between the two groups on the 15 derived subscales of the two forms (Cramer's V, p = 0.0025). Three general HRQOL subscales (SF-12- mental component summary (MCS), SF-12 physical component summary (PCS), NEI VFQ-General Health) showed no differences between the two groups (p = 0.48, p = 0.81, p = 0.78 respectively). Three of the twelve vision specific NEI VFQ subscales demonstrated statistically significant differences between the patient and control groups: peripheral vision (p = 0.0006), role difficulties (p = 0.015) and the composite score (p = 0.014). Additionally, two monocular patients had given up driving compared to no binocular subjects (p = 0.056). Conclusions This population of monocular patients had general physical and mental HRQOL equivalent to the normal binocular group despite the surgical removal of one eye. However, the reduced vision specific HRQOL of monocular patients on the NEI VFQ indicates that there are substantial residual visual deficits even after prolonged monocular status.

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confidence: 99%

Health-Related Quality of Life After Surgical Removal of an Eye

Kondo¹,

Tillman

Schwartz

et al. 2013

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…In addition, loss of eye may lead to phantom pain and headaches ( 5 , 6 ). Gaining better insight into such an experience would help managing the difficulties associated with this condition ( 7 , 8 ).…”

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confidence: 99%

Assessment of Anxiety, Depression, Self-Esteem, and Quality-of-Life in Patients Undergoing Surgical Removal of an Eye

Dirim

2024

Beyoglu Eye J

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Objectives: The objective of this study was to compare anxiety, depression, self-esteem, and quality of life in patients who underwent surgical removal of an eye with those of controls as well as to test the correlations of these variables in both groups. Methods: Beck anxiety inventory (BAI), Beck depression inventory (BDI), 36-item short-form health survey (SF-36), and Rosenberg self-esteem scale were administered to 29 patients with surgical removal of an eye and 30 control subjects. Results: The patient group had significantly lower scores on physical functioning, role limitations due to physical and emotional problems, pain, and general health perception domains of SF-36, as well as significantly higher BDI (p=0.004) scores as compared to controls. The study groups did not differ significantly with respect to BAI scores and energy/vitality, mental health, and social functioning domain scores of SF-36 (p>0.05). Conclusion: This population of monocular patients had similar mental health-related and Beck’s Anxiety Inventory scores equivalent to the control group despite the surgical removal of one eye. However, lower scores for some SF-36 domains and higher depression levels in this patient group suggest that psychiatric rehabilitation should be considered after eye removal to improve the psychological outcomes and quality of life in these patients.

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“…1,4 Crowded environments such as shopping centers, bus terminals, and busy city streets are the most problematic, and patients often have spouses or friends walk on the blind side to prevent collisions, or on their seeing side to maintain continuous visual contact with companions. 7 Half of the people with acquired monocular vision in the study of Codey et al 4 reported a negative impact on their ability to pursue various hobbies and play sports.…”

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confidence: 99%