Impact of Cataract Surgery With Lens Implantation on Vision and Physical Function in Elderly Patients

Applegate, William B.; Miller, Stephen T.; Elam, Janet T.; Freeman, Jerre Minor; Wood, Thomas O.; Gettlefinger, Thomas C.

doi:10.1001/jama.1987.03390080054029

Cited by 130 publications

(54 citation statements)

References 7 publications

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“…They have been demonstrated to be strong predictors of outcomes such as mortality (43, 7 3 , falls (71, 76, 87), institutionalization (43,75,95), and other health services utilization (60,95). Specific performance measures have been demonstrated to show improvement in response to interventions such as exercise (22) and cataract surgery (2), and to decline after hospitalization and with the onset of new health problems (82). Evidence has also been developed that performance measures can validly define a gradient of functioning even at the upper end of the functional spectrum (42,43,37,82), and are therefore able to assess the full range of functional status better than self-report measures, which mainly identify the presence of overt disability.…”

Section: Physical Performance Measuresmentioning

confidence: 99%

Disability as a Public Health Outcome in the Aging Population

Guralnik

Fried²,

Salive

1996

Annu. Rev. Public Health

369

171

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Improvements in life expectancy in the twentieth century have resulted from major declines in mortality at younger ages, but it is less well recognized that mortality declines at older ages have also played a substantial role in prolonging expectation of life. A person reaching age 65 in 1900 could expect to live an additional 11.9 years. Life expectancy at age 65 rose to 14.4 years by 1960 and then increased by about three years in the next three decades, reaching 17.5 years in 1992 (56, 70). As a greater proportion of the population survives to very old ages, the public health impact of the burden of disease and disability and related utilization of medical care and need for supportive and long-term care has become an important concern. In particular, the ability of the older person to function independently in the community is a critically important public health issue. A growing body of research in the last decade has addressed the measurement of disability, factors related to its onset, consequences of disability, and the potential for preventive interventions. This article summarizes the state of the art in these areas and discusses their public health relevance.

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Section: Physical Performance Measuresmentioning

confidence: 99%

Disability as a Public Health Outcome in the Aging Population

Guralnik

Fried²,

Salive

1996

Annu. Rev. Public Health

369

171

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“…It has also been shown that interventions which improve visual function, such as cataract surgery, also improve HRQOL [15][16][17][18][19][20]. For persons with permanent visual impairment (i.e.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life following blind rehabilitation

Kuyk

Liu

Elliott³

et al. 2008

Qual Life Res

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Purpose-The purpose of this study was to investigate the effect of residential blind rehabilitation on patients' vision targeted health-related quality of life (HRQOL) and general physical and mental function.Methods-The National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ) plus appendix questions, the 12 item Short-Form Health Survey (SF-12), Hope Scale and Coopersmith self-esteem inventory were administered to 206 legally blind veterans prior to their entering a residential (in-patient) blind rehabilitation program and again to 185 and 176 of the original cohort at two and six months after completion of the rehabilitation program, respectively. Data on visual acuity, visual field extent, contrast sensitivity and scanning ability were also collected. The duration of the in-patient rehabilitation programs ranged from 11-109 days. Questionnaire scores were compared pre-rehabilitation and post-rehabilitation.Results-Following rehabilitation there was a significant improvement in nine of eleven NEI VFQ subscales and in a composite score at both 2-and 6-month post-rehab intervals. Mental health (SF-12) and self esteem also improved significantly although physical health ratings declined over the course of the study (approximately 10 months).Conclusions-Residential blind rehabilitation appears to improve patients' self-reported visiontargeted HRQOL, self-esteem, and mental health aspects of generic HRQOL.

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“…This condition compromises many aspects of vision including acuity (2), contrast sensitivity (2), and visual field sensitivity (3). Cataract hampers health-related quality of life and is associated with increased difficulty with visual activities of daily living (4,5), impaired physical performance (6), and reduced mental status (6). Vision impairment from cataract is now largely reversiblebecause of technological advances in surgical techniques and intraocular lens design, with more than 85% of cases reaching 20/40 acuity or better postsurgery (7).…”

mentioning

confidence: 99%