Relationships in Glaucoma Patients Between Standard Vision Tests, Quality of Life, and Ability to Perform Daily Activities

Richman, Jesse; Lorenzana, Luciano L.; Lankaranian, Dara; Dugar, Jyoti; Mayer, J; Wizov, Sheryl S.; Spaeth, George L.

doi:10.3109/09286581003734878

Cited by 74 publications

(73 citation statements)

References 29 publications

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“…Similar with the previous study, 7 our data revealed significant associations between improvements of RLVT and changes of clinical measures [18][19][20][21] and less susceptible to confounding factors. 23,35 All these results of current study contribute to the validity of the RLVT as a potential assessment for cataract surgery outcomes.…”

Section: Discussionsupporting

confidence: 79%

“…Pioneering studies has demonstrated that PBMs can be reliable and valid methods in assessing real-life visual ability. [13][14][15][16][17][18][19][20][21][22][23] Owing to its significance in visual hierarchy, PBMs of visual function is becoming an important part of researches on the real-life effects of visual diseases.…”

Section: Introductionmentioning

confidence: 99%

“…More recently there is a coming up of trend in developing a method for evaluation of functional vision-performance-based measures (PBMs) of visual function. [13][14][15][16][17][18][19][20][21][22][23] It involves presenting patients with commonly encountered tasks of daily life in a standardized format and getting a grade in accordance with their visual ability to complete the tasks. Pioneering studies has demonstrated that PBMs can be reliable and valid methods in assessing real-life visual ability.…”

Section: Introductionmentioning

confidence: 99%

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Impact of cataract surgery on vision-related life performances: the usefulness of Real-Life Vision Test for cataract surgery outcomes evaluation

Hou

et al. 2015

Eye

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Purpose Real-Life Vision Test (RLVT) is a newly developed performance-based measures of functional vision. This present study is designed to determine whether it could be a meaningful assessment for cataract surgery outcomes evaluation. Patients and methods Age-related cataract patients (56) who scheduled for bilateral cataract surgery and 44 age-matched controls were evaluated by four types of measurements: (1) demographic, medical, cognitive and depressive evaluation, and the reaction time testing; (2) clinical measures (visual acuity, contrast sensitivity, stereopsis, and color perception); (3) the 25-item National Eye Institute's Visual Functioning Questionnaire (NEI-VFQ); (4) the RLVT. Spearman's coefficients and multiple regression analysis were conducted to investigate the relationship among RLVT, clinical measures, and self-report assessment of visual function. Results The results of RLVT, clinical measures, and NEI-VFQ total scores were improved significantly after cataract surgery. There were no differences between control subjects and post-surgery patients with respect to NEI-VFQ-25 total scores, self-rating depression scale scores and three tasks of RLVT. Change of RLVT was significantly associated with the change of clinical measures in the cataract group. Multiple regression analysis demonstrated that change of distance, intermediate, and near visual acuity, and binocular contrast sensitivity were significant predictors of improvements of RLVT.Conclusions Cataract surgery could improve real-world visual ability effectively for cataract patients. Our study highlights the potential usefulness of RLVT as an adjunct to the current outcomes evaluation system for cataract surgery. The use of RLVT combined with clinical and self-survey methods may be the comprehensive strategy to manifest the impact of cataract surgery on patients' overall vision-related quality of life.

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of cataract surgery on vision-related life performances: the usefulness of Real-Life Vision Test for cataract surgery outcomes evaluation

Hou

et al. 2015

Eye

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“…13,18,20,[23][24][25][26] However, little research has been done on Chinese population so far. Because PBMs are designed to understand how patients react in real-life activities, the 'tasks' that we selected should cover the most usual activities in daily life.…”

Section: Introductionmentioning

confidence: 99%

“…2,10,17 Based on the inherent limitations of clinical tests and self-report questionnaires, more recently there has been an upcoming interest in developing a complementary method for evaluation and outcome measures of visual function-the performancebased measures (PBMs) of visual function. 4,10,13,[18][19][20][21][22][23][24][25][26][27] Vision-specific PBMs take on actual performance of vision-related tasks. It involves presenting patients with commonly encountered tasks of daily life in a standardized format and getting a grade in accordance to their visual ability to complete the tests.…”

Section: Introductionmentioning

confidence: 99%

Using the real-life vision test to assess the functional vision of age-related cataract patients

et al. 2012

Eye

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Purpose (1) To describe and validate a newly developed, timed performance-based measures of functional vision-the real-life vision test (RLVT). (2) To determine how RLVT relates to clinical measures and selfreport assessment of visual function and the complex interactions among visual impairment, psychosocial status, and demographic factors. Methods A total of 64 patients with age-related cataract and 45 age-matched controls were evaluated by four types of measurements: (1) demographic, medical, cognitive, and depressive evaluation and the reaction time (RT) testing; (2) clinical measures (visual acuity, contrast sensitivity, stereopsis, and the color perception); (3) the 25-item National Eye Institute's Visual Functioning Questionnaire; and (4) the RLVT. Spearman's coefficients, partial correlation, and multiple regression analysis were conducted to determine the relationship among RLVT, clinical measures, and selfreport assessment of visual function while controlling for confounders. Results Control subjects performed RLVT significantly better than the cataract patients. RLVT correlated well with both clinical and self-report assessments of visual function. All subscales of RLVT remained highly associated with most of the clinical measures, even after adjusting for age, years of education, depression, cognitive status, and the RT. Distance, intermediate and near visual acuity, and binocular contrast sensitivity were significant predictors of the RLVT performances. Conclusions Given the strong relationship among RLVT, clinical measures, and the self-report assessments, our results highlight the potential usefulness of RLVT for assessing the functional vision of cataract patients. RLVT may provide information not obtainable from clinical measures or surveys and therefore it is essential to be incorporated into future ophthalmological practice.

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Importance of Visual Acuity and Contrast Sensitivity in Patients With Glaucoma

Richman¹

2010

Arch Ophthalmol

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121

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To determine which aspects of vision most influence the ability of patients with glaucoma to function. Methods: A total of 192 patients with a full range of glaucomatous visual loss were selected from the Glaucoma Service of Wills Eye Institute. Patients were evaluated clinically with standard visual assessments: visual acuity, contrast sensitivity, visual field, stereopsis, the Disc Damage Likelihood Scale, and intraocular pressure. Patients were evaluated objectively using a comprehensive performance-based measure of visual function, the Assessment of Disability Related to Vision (ADREV), and subjectively with the 25-item National Eye Institute Visual Function Questionnaire. Statistical analyses, including Spearman correlation coefficients and regression analysis, were performed on the data. Results: Performance on the ADREV was most strongly associated with binocular visual acuity (r=−0.79; PϽ.001) and binocular contrast sensitivity (r=0.80; PϽ.001). Monocular and binocular visual field test results correlated well with the ability to perform the ADREV tasks, but there was a significantly weaker association (PϽ.05) compared with visual acuity and contrast sensitivity. Conclusion: The aspects of visual function that best predict the ability of a patient with glaucoma to perform activities of daily living are binocular visual acuity and contrast sensitivity.

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Relationships in Glaucoma Patients Between Standard Vision Tests, Quality of Life, and Ability to Perform Daily Activities

Abstract: ADREV provides valid estimates of how visual loss due to glaucoma affects the ability to perform activities of daily living. Performance-based testing and quality of life evaluations are both independently important measures of health, which are related, but by no means the same.

Cited by 74 publications

References 29 publications

Impact of cataract surgery on vision-related life performances: the usefulness of Real-Life Vision Test for cataract surgery outcomes evaluation

Impact of cataract surgery on vision-related life performances: the usefulness of Real-Life Vision Test for cataract surgery outcomes evaluation

Using the real-life vision test to assess the functional vision of age-related cataract patients

Importance of Visual Acuity and Contrast Sensitivity in Patients With Glaucoma

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