The impact of primary open-angle glaucoma: Quality of life in Indian patients

Kumar, Suresh; Ichhpujani, Parul; Singh, Rajvir; Thakur, Sahil; Sharma, Mandeep; Nagpal, Nimisha

doi:10.4103/ijo.ijo_847_17

Cited by 15 publications

(11 citation statements)

References 21 publications

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“…The mean QoL score (NEI VFQ-25) among Indian open glaucoma patients with age more than 40 (average age: 62 years) appears to be higher compared to PCG patients enrolled in the present study 88 (±4.53). 15 In this cross sectional, NEIVFQ25 scores showed moderate correlation with MD and PSD values. 15 In a study on 237 patients with history of definite or suspicious glaucoma in the United state which published by Jampel 16 the composite score of 77.3 (±15.5) was reported.…”

Section: Discussionmentioning

confidence: 58%

“…15 In this cross sectional, NEIVFQ25 scores showed moderate correlation with MD and PSD values. 15 In a study on 237 patients with history of definite or suspicious glaucoma in the United state which published by Jampel 16 the composite score of 77.3 (±15.5) was reported. 16 In our study, the number was 60.9 ± 24.38 which is lower than Jampel study.…”

Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 58%

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Vision-related quality of life in patients with a history of congenital glaucoma

Miraftabi

Coleman²,

Nilforushan

et al. 2020

European Journal of Ophthalmology

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Purpose: To assess the vision-related quality of life in adult patients with a history of primary congenital glaucoma. Methods: In a cross-sectional hospital-based study eligible patients with a history of primary congenital glaucoma aged more than 18 were recruited in the study. Patients with secondary glaucoma and monocular patients were excluded. All patients underwent a complete ophthalmologic examination. The subjects were requested to answer a Persian approved version of the 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25) questionnaire. Results: A total of 23 congenital glaucoma patients have enrolled in the study. The mean age was 29.22 (9.3 SD) and mean IOP was 13.82 (5.19 SD) and 15.69 (5.26 SD) in right and left eyes, respectively. The mean number of medications was 1.13 (1.25 SD) in the right and 1.30 (1.18 SD) in the left eyes. Among all scores of NEI-VFQ-25, the lowest score belonged to mental health 53.71 (29.72) and the highest score was color vision score 83.69 (20.79). We found a significant influence of visual field defect on many subscales including general health and general vision ( p = 0.007, R = +0.65) and ( p = 0.002, R = +0.71) respectively. The Mean Defect (MD) was associated with low social functioning and peripheral vision too ( p = 0.035, R = +0.53) and ( p = 0.001, R = +0.76) respectively. Age had a negative impact on the general vision subscale ( p = 0.003, R = −0.59). Conclusion: Our study showed that visual field defect was strongly associated with many subscales scores in (NEI VFQ-25) questionnaire.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 58%

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Vision-related quality of life in patients with a history of congenital glaucoma

Miraftabi

Coleman²,

Nilforushan

et al. 2020

European Journal of Ophthalmology

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“…Kumar et al , in their study to assess QoL in varying severity of glaucoma in the Indian population, included patients whose mean age was 62 ± 9.4 years. [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

“…We had male preponderance (73.3%), similar to a previous study from our center (64%). [ 8 ] This could be explained by the fact that in the Indian population, male members of the family are more likely to visit hospitals for ailments. On the contrary, Goldberg et al .…”

Section: Discussionmentioning

confidence: 99%

Quality of life in glaucoma patients: Comparison of medical therapy, trabeculectomy, and glaucoma drainage device surgery

Muralidharan

Kumar

Ichhpujani

et al. 2022

Indian Journal of Ophthalmology

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Purpose: To compare the quality of life (QoL) in patients with glaucoma on medical therapy and after trabeculectomy and glaucoma drainage device (GDD) using vision, glaucoma, and surgery-specific questionnaires. Methods: This cross-sectional study enrolled 30 patients of moderate to severe glaucoma, each in medical, trabeculectomy, and GDD groups. National Eye Institute Visual Function Questionnaire 25 (NEIVFQ-25), Glaucoma Quality of Life (GQL-15), and Surgery Specific Questionnaire (SSQ) were administered, and cumulative scores were compared. Results: The mean age of the participants was 58.95 ± 13.6 years with a male preponderance (73.3%, n = 66). The mean scores (SD) in the medical, trabeculectomy, and GDD groups using NEIVFQ-25 were 68.97 (6.98), 72.83 (7.81), and 75.20 (8.77), respectively, those using GQL-15 were 20.63 (6.00), 26.23 (9.12), and 28.43 (7.74), respectively, and for the SSQ, they were 74.33 (8.75) and 72.10 (5.92) in trabeculectomy and GDD groups, respectively. NEIVFQ-25 showed a better QoL in the GDD group compared to the medical group, whereas GQL-15 showed a better QoL in the medical group and comparable QoL in trabeculectomy and GDD. Both these QoL scores correlated to the LogMAR visual acuity. SSQ scores did not show a significant difference in the QoL across both surgical groups. Conclusion: NEIVFQ-25 questionnaire scores provided a holistic measure of QoL. GQL-15 assessed the activity limitation and visual disability of the patients but did not take into account the general health and psychological factors influencing the QoL. We did not find a significant difference between trabeculectomy and GDD using the SSQ. For QoL assessment in medically or surgically treated glaucoma, vision-specific and disease-specific questionnaires should always be used in conjunction.

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Prevalence of Anxiety and Depression in Patients With Primary Glaucoma in Western India

Dayal

Sodimalla

Chelerkar

et al. 2021

Journal of Glaucoma

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Précis: Glaucoma can cause disturbance in psychological and emotional functioning of patients, leading to anxiety and depression, even early in the disease. Identification and management of these problems should be included as a part of the holistic approach for patient care.Purpose: The purpose of this study was to assess the prevalence of anxiety and depression in patients with primary glaucoma using a standard validated questionnaire.Methodology: A cross-sectional prevalence study was carried out on 200 patients attending the glaucoma outpatient clinic at a tertiary care eye hospital in Pune, India. After obtaining written consent, all patients underwent a thorough ophthalmic examination. Those with primary glaucoma were included in the study and classified on the basis of the Hodapp-Parrish-Anderson criteria. Participants were asked to respond to the Hospital Anxiety and Depression Scale (HADS) questionnaire, and responses were analyzed statistically. Results:The mean HADS-Anxiety score was 4.5 (SD = 3.4), while HADS-Depression was 4.1 (SD = 3.8). The severity of the disease was associated with significantly higher HADS scores. Mean HADS-Anxiety scores were 3.1 (SD = 2.9) for mild glaucoma, 4.4 (SD = 2.6) for moderate, and 7.7 (SD = 3.0) for advanced disease (P < 0.001). Similarly, mean HADS-Depression scores were 2.0 (SD = 2.6), 4.2 (SD = 3.0), and 8.3 (SD = 3.3), respectively for mild, moderate, and severe glaucoma (P < 0.001). Based on HADS scores, a third of patients (34.5%) were symptomatic for anxiety or depression, out of which 25 (12.5%) could be classified as definite cases. Duration of treatment had no association with HADS scores.Conclusions: An association exists between the amount of visual loss among patients with glaucoma and symptoms of anxiety and depression, irrespective of disease duration. This information may help to choose treatment approaches most likely to be beneficial to the patients.

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The impact of primary open-angle glaucoma: Quality of life in Indian patients

Cited by 15 publications

References 21 publications

Vision-related quality of life in patients with a history of congenital glaucoma

Vision-related quality of life in patients with a history of congenital glaucoma

Quality of life in glaucoma patients: Comparison of medical therapy, trabeculectomy, and glaucoma drainage device surgery

Prevalence of Anxiety and Depression in Patients With Primary Glaucoma in Western India

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