Skip to main content
Log in

The relationship between visual acuity and functioning and well-being among diabetics

  • Research Papers
  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Given the enormous recent interest in functional capabilities related to vision, the goal of this study was to examine the relationship of standard clinicial measures of vision (e.g. Snellen acuity) to functioning and well-being. The association between Snellen visual acuity, Amsler grid distortion and presence of diabetic retinopathy with self-reported functioning and well-being (SF-36) were examined in a sample of 327 diabetics from the Medical Outcomes Study (MOS). There was little or no correlation between Snellen visual acuity, Amsler grid distortion or diabetic retinopathy and functioning and well-being (i.e. SF-36 scales). Maximum product-moment correlation was 0.15 with worst eye visual aculty, 0.13 with best eye visual acuity, 0.08 with presence of retinopathy, and 0.10 with Amsler grid distortion. Analysis of variance revealed that visual acuity (both best and worst eye) was statistically related only to the physical function scale; no other exam measure was related to any other SF-36 scale score. Snellen visual acuity, Amsler distortion and diabetic retinopathy correlate weakly with patient self-reported functioning and well-being. Thus, the information provided by functioning and well-being measures is complementary to that of standard clinical measures of visual ability.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Agency for Health Care Policy and Research.Cataract in Adults: Management of Functional Impairment. AHCPR Publications, 1993. [No. 93-0542, March]

  2. Mangione CM, Phillips RS, Lawrence MG, et al. Improved visual function and attenuation of age-related declines in health-related quality of life after cataract extraction.Arch Ophthalmol 1994;112: 1419–1425.

    Google Scholar 

  3. Applegate W, Miller ST, Elam JT, et al. Impact of cataract surgery with lens implantation on vision and physical function in elderly patients.JAMA 1987;256: 1064–1065.

    Google Scholar 

  4. Steinberg EP, Tielsch J, Schein OD, et al. The VF-14: an index of functional impairment in patients with cataract.Arch Ophthalmol 1994;112: 630–638.

    Google Scholar 

  5. American Academy of Ophthalmology.Cataract in the Otherwise Healthy Adult Eye. San Francisco: American Academy of Ophthalmology, 1989.

    Google Scholar 

  6. Tarlov AR, Ware JE, Greenfield S, et al. The Medical Outcomes Study: an application of methods for monitoring the results of medical care.JAMA 1989;262: 925–930.

    Google Scholar 

  7. Schuchard RA. Validity and interpretation of Amsler Grid reports.Arch Ophthalmol 1993;111 776–780.

    Google Scholar 

  8. Hays RD, Sherbourne CD, Mazel RM. The RAND 36-Item Health Survey 1.0.Health Ecom 1993;2: 217–227.

    Google Scholar 

  9. Ware JE, Sherbourne CD. The MOS 36-Item health survey (SF-36): I. Conceptional framework and item selection.Med Care 1992;30: 473–483.

    Google Scholar 

  10. McHorney CA, Ware JE, Raczek AE: The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validating in measuring physical and mental health constructs.Med Care 1991;31: 247–263.

    Google Scholar 

  11. Lee P, Hays R, Spritzer K. The functional impact of blurred vision on health status.Invest Ophth Vis Sci 1993:34 (Suppl): 790.

    Google Scholar 

  12. Fryback DG, Dasbach EJ, Klein R, et al. Vision-related health status: The Beaver Dam Health Outcomes Study.Invest Ophth Vis Sci 1992;33 (Suppl): 1098.

    Google Scholar 

  13. Scott IU, Schein OD, West S, et al. Functional status and quality of life measurement among ophthalmic patients.Arch Ophthalmol 1994;112: 329–335.

    Google Scholar 

  14. Rubin GS, Adamsons IA, Stark WJ. Comparison of acuity, contrast sensitivity and glare disability, before and after cataract surgery.Arch Ophthalmol 1993;111:56–61.

    Google Scholar 

  15. Stark WJ. In response to the new guidelines for patients with cataracts.Arch Ophthalmol 1993;111: 460–461.

    Google Scholar 

  16. Ross JE, Bron AJ, Clarke DD. Contrast sensitivity and visual disability in chronic simple glaucoma.Br J Ophthalmol 1984;68: 821–827.

    Google Scholar 

  17. Russell PW, Sekuler R, Fetkenhour C. Visual function after pan-retinal photocoagulation: a survey.Diabetes Care 1985;8: 57–60.

    Google Scholar 

  18. Javitt JC, Brenner H, Curbow B, et al. Outcomes of cataract surgery.Arch Ophthalmol 1993;111: 686–691.

    Google Scholar 

  19. Mangione CM, Phillips RS, Seddon JM, et al. Development of the “Activities of daily Vision scale”: A measure of visual functional status.Med Care 1992;30: 1111–1126.

    Google Scholar 

  20. Felson DT, Anderson JJ, Hannan MT, et al. Impaired vision and hip fracture.JAGS 1989;37: 495–500.

    Google Scholar 

  21. Sloane ME, Ball K, Owsley C, et al. The visual activities questionnaire: developing an instrument for assessing problems in everyday visual tasks.Technical Digest: Noninvasive Assessment of the Visual System 1992;1: 26–29.

    Google Scholar 

  22. Kosnik W, Winslow L, Kline D, et al. Visual changes in daily life throughout adulthood.J Gerontology 1988;43: P63-P70.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lee, P.P., Whitcup, S.M., Hays, R.D. et al. The relationship between visual acuity and functioning and well-being among diabetics. Qual Life Res 4, 319–323 (1995). https://doi.org/10.1007/BF01593884

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01593884

Key words

Navigation