The Quality of Life Impact of Refractive Correction (QIRC) Questionnaire: Development and Validation

Pesudovs, Konrad; Garamendi, Estibaliz; Elliott, David B.

doi:10.1097/00006324-200410000-00009

Cited by 213 publications

(184 citation statements)

References 33 publications

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“…Moreover, optimists are able to handle challenging situations and show relatively high levels of QOL. 7 These data are in agreement with other QOL studies of subjects undertaking LASIK surgery 13 that show increased QOL of myopic subjects post LASIK compared with similar cohorts who choose not to undertake surgery.…”

Section: Discussionsupporting

confidence: 86%

“…Personality traits, such as extraversion and introversion, affect how a patient perceives and reports symptoms and cosmesis evaluates the person's view of how the optical correction affects his/her attractiveness. 13,16 A higher score for the tolerance and frequency of disturbing visual and ocular symptoms subscales indicated poorer performance. Higher scores for the HPQ and personality traits subscales reveal subjects who are more likely to be satisfied with life, adapt to new treatments, have adequate coping strategies, and verbalise symptoms consistent with objective assessments.…”

Section: Visual Performance Testsmentioning

confidence: 99%

“…[8][9][10][11][12][13][14] Some dissonance has been found between high levels of satisfaction and the presence of visual disturbances, especially night vision symptoms with refractive surgery, as in one study, a third of patients experienced night vision symptoms yet almost all subjects responded that they would recommend laser in situ keratomileusis (LASIK) to a friend. 15 These seemingly contradictory trends point to the fact that other factors than visual performance have an important role in patient satisfaction after refractive surgery.…”

Section: Introductionmentioning

confidence: 99%

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Visual and non-visual factors associated with patient satisfaction and quality of life in LASIK

Jara

Erickson

Erickson³

et al. 2011

Eye

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Purpose The aim of this study was to determine how laser in situ keratomileusis (LASIK) affects quality of life (QOL) and to identify factors that may affect satisfaction after LASIK. Methods A total of 104 patients with a mean age of 29±6, treated with LASIK for myopia and astigmatism, were enrolled in a prospective study. High (90%) and low (10%) contrast visual acuity (CVA) were measured under photopic and scotopic conditions before surgery and at 3 months later. A multidimensional QOL scale (Institute for Eye Research multidimensional QOL scale), which assesses psychological characteristics, personality traits, cosmesis, frequency, and tolerance to disturbing visual and ocular symptoms, and overall satisfaction with vision correction, was also used. Paired rank tests were used to compare preoperative and postoperative vision and QOL scores. Correlations and a multiple linear regression were used to describe the relationship between CVA, QOL, and satisfaction after LASIK. Results Significant postoperative changes included increased satisfaction following LASIK (Po0.001), reduced frequency of visual and ocular symptoms (Po0.001), and change in psychological characteristics (P ¼ 0.033). The change in satisfaction with LASIK can be predicted by a combination of preoperative satisfaction, postoperative frequency of disturbing visual and ocular symptoms, postoperative mean spherical equivalent, and postoperative scotopic high CVA (R 2 ¼ 0.725, Po0.05). Conclusions Satisfaction with LASIK is related to visual function, preoperative expectations, psychological characteristics, and uncorrected CVA achieved. An increased sense of subjective well-being, adaptability, and self-efficacy was evident after LASIK. Patients reported a more optimistic attitude to life and increase perceived QOL after surgery.

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Section: Discussionsupporting

confidence: 86%

Section: Visual Performance Testsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Visual and non-visual factors associated with patient satisfaction and quality of life in LASIK

Jara

Erickson

Erickson³

et al. 2011

Eye

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“…[5][6][7][8][9] These instruments aim to assess the effect and correction of refractive errors on QOL. Several surveys indicate that laser-assisted in situ keratomileusis (LASIK) patients are highly satisfied with the outcome, [10][11][12][13] despite the presence of visually disturbing phenomena such as haloes, glare and night vision problems.…”

Section: Introductionmentioning

confidence: 99%

Pre-operative quality of life and psychological factors that influence patient decision making in LASIK

Jara¹,

Erickson²,

Erickson³

et al. 2009

Eye

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Purpose To assess pre-operative visual function, psychological factors, personality traits and satisfaction in myopic patients seeking laser-assisted in situ keratomileusis (LASIK). Methods Eligible patients seeking LASIK (n ¼ 183) and successful contact lens wearers (n ¼ 23) not interested in LASIK completed the Institute for Eye Research Quality of Life (QOL) Scale. Of the 183 patients seeking LASIK who completed the QOL instrument before LASIK, 30 declined the procedure and 153 underwent LASIK. One hundred and two patients who underwent LASIK attended their 3-month post-operative follow-up appointment and 51 patients failed to present for their post-operative follow-up appointment. Multiple comparisons (One-way Analysis of Variance (ANOVA)) were conducted to determine differences in visual function, psychological factors, personality traits and satisfaction between patient groups. Results Successful soft contact lens (SCL) wearers reported better functional vision (P ¼ 0.001), felt more attractive (P ¼ 0.007), had a lower frequency of disturbing visual and ocular symptoms (P ¼ 0.027) and higher overall satisfaction with their current optical correction (Po0.001) than patients seeking LASIK. LASIK patients lost to follow-up showed higher self-efficacy, adaptability and well-being than the patients who completed their appointments and those who declined surgery (Po0.05). Conclusions Psychological characteristics, the perception of visual and ocular symptoms and satisfaction with the current method of optical correction play an important role in the decision to undergo LASIK. The IER QOL Scale is a valid and reliable instrument able to discriminate between different groups seeking choices for myopic correction. Psychological factors may influence the level of satisfaction with LASIK.

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“…[1][2][3] Within ophthalmology, many instruments are in use for measuring disability and quality of life related to cataracts, 4 diabetic retinopathy, 5 agerelated macular degeneration, 6 glaucoma, 7 and refractive error. 8 Uncorrected refractive error (URE) is a major cause of visual impairment and blindness worldwide. It is estimated that between 98-153 million people have distance vision worse than 20/60 due to URE.…”

mentioning

confidence: 99%

Visual Function after Correction of Distance Refractive Error with Ready-made and Custom Spectacles: A Randomized Clinical Trial

et al. 2012

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The Quality of Life Impact of Refractive Correction (QIRC) Questionnaire: Development and Validation

Cited by 213 publications

References 33 publications

Visual and non-visual factors associated with patient satisfaction and quality of life in LASIK

Visual and non-visual factors associated with patient satisfaction and quality of life in LASIK

Pre-operative quality of life and psychological factors that influence patient decision making in LASIK

Visual Function after Correction of Distance Refractive Error with Ready-made and Custom Spectacles: A Randomized Clinical Trial

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