RT Journal Article
SR Electronic
T1 Impact of cataract surgery on health-related quality of life in nursing home residents
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 1359
OP 1363
DO 10.1136/bjo.2007.118547
VO 91
IS 10
A1 Cynthia Owsley
A1 Gerald McGwin, Jr
A1 Kay Scilley
A1 G Christine Meek
A1 Deidre Seker
A1 Allison Dyer
YR 2007
UL http://bjo.bmj.com/content/91/10/1359.abstract
AB Aim: To assess the impact of cataract surgery in nursing home residents on health-related quality of life, as compared to those who have cataracts but who do not undergo surgery.Methods: A prospective cohort study enrolled 30 nursing home residents (⩾60 years old) who had cataracts and underwent cataract surgery, and evaluated vision-targeted and generic health-related quality of life and depressive symptoms before and approximately 4 months after surgery. This cataract surgery group was compared to 15 nursing home residents who had cataracts 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<0.001). Adjusting for age differences in the two groups, the cataract surgery group exhibited significant score improvement in the general vision (p = 0.005), reading (p = 0.001), psychological distress (p = 0.015), and social interaction (p = 0.033) subscales of the Nursing Home Vision-targeted Health-Related Quality of Life Questionnaire and the VF-14 (p = 0.004). 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.