Impact of visual impairment on the wellbeing and functional disability of patients with glaucoma in India
| Autor: | Preeti Matah, Harleen Bedi, Lokesh Chauhan, Manveen Bedi, Saptarshi Mukherjee, Jigyasa Sahu, Suneeta Dubey |
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| Rok vydání: | 2019 |
| Předmět: |
Quality of life
medicine.medical_specialty genetic structures Functional disability Visual impairment Glaucoma Social burden 03 medical and health sciences 0302 clinical medicine medicine Social functioning Univariate analysis business.industry Indian patients medicine.disease eye diseases Ophthalmology Social function 030221 ophthalmology & optometry Physical therapy Original Article sense organs medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Current Ophthalmology |
| ISSN: | 2452-2325 |
| Popis: | Purpose: To investigate the impact of glaucoma-associated vision loss on quality of life and social functioning in Indians. Methods: A cross-sectional study with prospective enrollment was conducted. Participants were divided as: mild, moderate, and severe. Severity of glaucoma was stratified by the degree of binocular visual field loss in accordance with the Nelson Glaucoma Severity Scale (NGSS). The Glaucoma Quality of Life-15 (GQL-15) and a self-developed social function scale (SFS) were utilized to assess patients' wellbeing. Results: A total of 260 patients (mean ± SD age = 58.1 ± 12.01 years; 106 females) participated in the study. Univariate analyses revealed a significant relationship between final quality of life score and number of anti-glaucoma medications (P = 0.01), previous surgeries (P = 0.00), patients age (P = 0.00), patients education level (P = 0.02), and severity of glaucoma (P = 0.00). Previous surgeries (P = 0.04) and severity of glaucoma (P = 0.00) were significant predictors of GQL-15 summary score. With increasing glaucoma severity, patients noted greater difficulty with peripheral vision, glare and dark adaptation, and outdoor tasks (P < 0.0001). Severe glaucoma also impacted patients' functional performance—a significant decline was observed in sense of personal (P < 0.0001) and social wellbeing (P < 0.0001). Conclusions: Patients with advanced glaucoma report significant decline in functioning, their ability to interact in community, take care of self, and do leisure activities. Glaucoma imposes greater social burden on the elderly by impacting their sense of personal safety. Targeted visual and social rehabilitative programs are necessary to improve their wellbeing and independent functioning. |
| Databáze: | OpenAIRE |
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