Factors Associated With Health-Related Quality of Life in Medically and Surgically Treated Patients With Glaucoma

Factors Associated With Health-Related Quality of Life in Medically and Surgically Treated... Key PointsQuestionWhat clinical factors are associated with reduced health-related quality of life in medically and surgically treated patients with glaucoma? FindingsIn this cohort study, reduced health-related quality of life was associated with worse diplopia, lower mean deviation on visual field testing, poor vision, and younger age. Previous glaucoma drainage device surgery was associated with poorer health-related quality of life on Adult Strabismus–20 domains compared with trabeculectomy or medical treatment. MeaningThese findings suggest patients with glaucoma should be assessed for diplopia before and after surgery, given the negative effect of diplopia on health-related quality of life, and that potential psychosocial effects of glaucoma drainage devices should be discussed during preoperative counseling. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Factors Associated With Health-Related Quality of Life in Medically and Surgically Treated Patients With Glaucoma

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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
2168-6165
eISSN
2168-6173
D.O.I.
10.1001/jamaophthalmol.2018.0012
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionWhat clinical factors are associated with reduced health-related quality of life in medically and surgically treated patients with glaucoma? FindingsIn this cohort study, reduced health-related quality of life was associated with worse diplopia, lower mean deviation on visual field testing, poor vision, and younger age. Previous glaucoma drainage device surgery was associated with poorer health-related quality of life on Adult Strabismus–20 domains compared with trabeculectomy or medical treatment. MeaningThese findings suggest patients with glaucoma should be assessed for diplopia before and after surgery, given the negative effect of diplopia on health-related quality of life, and that potential psychosocial effects of glaucoma drainage devices should be discussed during preoperative counseling.

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Apr 22, 2018

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