Original articleGlaucoma and Quality of Life: The Salisbury Eye Evaluation
Section snippets
Materials and Methods
Data for this analysis came from the Salisbury Eye Evaluation Project, a prospective cohort study of 2520 community-dwelling adults begun in 1993 to study the impact of visual function on physical function.16 Approval from the Johns Hopkins University Joint Committee on Clinical Investigation was obtained. Written informed consent was obtained for all participants.
Eligibility criteria at baseline included age between 65 and 84 years; residence near Salisbury, Maryland; noninstitutionalization;
Results
In the 1160 individuals eligible for this analysis, an evaluation of glaucoma was able to be performed in 1118. There were 67 (5.8%) individuals with bilateral glaucoma, 69 (5.9%) with unilateral glaucoma, and 982 (84.7%) with possible or no glaucoma. Individuals with bilateral glaucoma were older and, after age adjustment, were more likely to be African American and to have less formal education and worse scores for cognition, mean deviation (MD), binocular VF, VA, and contrast sensitivity
Discussion
Individuals with bilateral glaucoma had 3 times the odds of reporting the most difficulty on the ADVS quality of life questionnaire than those without glaucoma, whereas those with unilateral glaucoma were no more likely than those without glaucoma to report the most difficulty on the ADVS. The average VF loss for those with unilateral glaucoma was apparently not severe enough to affect the report of difficulty with visual tasks (average MD in worse eye, −6.5 dB). Those with bilateral glaucoma
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Manuscript no. 2006-1177.
Funded by grants from the National Institute on Aging, Bethesda, Maryland (no. AG10184), and National Eye Institute, Bethesda, Maryland (no. EY01765).
- 1
Dr West is a Research to Prevent Blindness (New York, New York) Senior Scientific Investigator.
- 2
Dr Friedman is a Robert E. McCormick Scholar for Research to Prevent Blindness.