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Influence of cataract surgery for the first or second eye on vision-related quality of life (VR-QOL) and the predictive factors of VR-QOL improvement

  • Clinical Investigation
  • Published:
Japanese Journal of Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To assess improvements in vision-related quality of life (VR-QOL) in patients undergoing their first or second eye cataract surgery, as well as clinical factors related to VR-QOL.

Study design

Prospective case series.

Methods

We examined 282 patients undergoing their first (222) or second (60) eye cataract surgery. VR-QOL was evaluated before and after surgery using the 25-item National Eye Institute visual function questionnaire (VFQ-25), along with the best-corrected visual acuity (BCVA), uncorrected visual acuity, and the lens opacities classification system III (LOCSIII). The resulting VFQ-25 subscale scores were compared between patients undergoing their first or second eye cataract surgery, including multiple regression analysis.

Results

The mean VFQ-25 composite score (CS) was 71.5 ± 14.2 before and 84.0 ± 10.2 after the first eye cataract surgery and 73.5 ± 12.7 before and 85.4 ± 10.2 after the second eye cataract surgery. VFQ-25 scores improved significantly, with reduced disparity among patients after surgery in both groups. Preoperative CS was related to the preoperative sum of the BCVA (standardized partial regression coefficient (β) =  − 0.254, P < 0.001). Improvement in the CS was related to a preoperative poor BCVA (β = 0.203, P < 0.001), low CS (β =  − 0.693, P < 0.001), and high general health score (β = 0.118, P = 0.025).

Conclusions

VR-QOL improved after the first and second eye surgery. Many VFQ-25 subscales were related to the BCVA or LOCSIII scores. Low preoperative VR-QOL and BCVA were related to an improved postoperative VR-QOL.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Institute of Clinical Medicine, Tsukuba University, Ibaraki, Japan

    Kenichi Makabe & Tetsuro Oshika

  2. Department of Ophthalmology, Kobe Kaisei Hospital, 3-11-15 Shinoharakitamachi, Nada-ku, Kobe, Hyogo, 657-0068, Japan

    Kenichi Makabe

  3. Inamura Ganka Clinic, Yokohama, Japan

    Mikio Inamura

  4. Hayashi Eye Hospital, Fukuoka, Japan

    Ken Hayashi

  5. Sugita Eye Hospital, Nagoya, Japan

    Gentaro Sugita

  6. Kozawa Eye Hospital, Ibaraki, Japan

    Tadahiko Kozawa

  7. Fujishima Eye Clinic, Fukuoka, Japan

    Kenji Fujishima

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  1. Kenichi Makabe
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  2. Tetsuro Oshika
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  3. Mikio Inamura
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  4. Ken Hayashi
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Correspondence to Kenichi Makabe.

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K. Makabe, None; T. Oshika, None; M. Inamura, None; K. Hayashi, None; G. Sugita, None; T. Kozawa, None; K. Fujishima, None.

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Corresponding author: Kenichi Makabe

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Makabe, K., Oshika, T., Inamura, M. et al. Influence of cataract surgery for the first or second eye on vision-related quality of life (VR-QOL) and the predictive factors of VR-QOL improvement. Jpn J Ophthalmol 64, 468–477 (2020). https://doi.org/10.1007/s10384-020-00762-z

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  • DOI: https://doi.org/10.1007/s10384-020-00762-z

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