Aim: To assess the impact of cataract surgery in nursing home residents on health-related quality of life, as compared to those who have cataract but who do not undergo surgery.
Methods: A prospective cohort study enrolled 30 nursing home residents (? 60 years old) who had cataract and underwent cataract surgery and evaluated vision-targeted and generic health-related quality of life and depressive symptoms both before and approximately 4 months after surgery. This cataract surgery group was compared to 15 nursing home residents who had cataract but who did not have surgery, over the same timeframe.
Results: Visual acuity for near and distance and contrast sensitivity improved following cataract surgery (p<.001). Adjusting for age differences in the two groups, the cataract surgery group exhibited significant score improvement in the general vision (p=.005), reading (p=.001), psychological distress (p=.015), and social interaction (p=.033) subscales of the Nursing Home Vision-targeted Health-Related Quality of Life Questionnaire and the VF-14 (p=.004). There were no group differences in the SF-36, Geriatric Depression Scale or the Cataract Symptom Score.
Conclusion: Nursing home residents who underwent cataract surgery because of functional problems experienced significant improvements in their vision-targeted health-related quality of life, in addition to dramatically improved vision.
- cataract surgery
- health-related quality of life
- nursing home