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Clinical science
Health-related quality of life in Ahmed FP7, and Baerveldt 250 and 350 patients compared with medical controls
  1. Khin P Kilgore1,2,
  2. Feng Wang1,3,
  3. Nicole C Stern1,
  4. Sepideh Jamali Dogahe1,
  5. Launia J White4,
  6. Cheryl L Khanna1
  1. 1 Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota, USA
  2. 2 Department of Ophthalmology, Washington University in Saint Louis, Saint Louis, Missouri, USA
  3. 3 Department of Ophthalmology, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
  4. 4 Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA
  1. Correspondence to Dr. Cheryl L Khanna, Department of Ophthalmology, Mayo Clinic, Rochester, MN 55905-0002, USA; Khanna.cheryl{at}mayo.edu

Abstract

Purpose To compare health-related quality of life (HRQoL) in patients with Ahmed FP7 (FP7), Baerveldt 250 (B250) and Baerveldt 350 (B350) glaucoma drainage device (GDDs), and medically treated controls.

Methods This was a prospective cohort study from August 2017 to July 2019. The NEI 25-Item Visual Function Questionnaire (VFQ-25), the Adult Strabismus-20 questionnaire (AS-20) and the Diplopia Questionnaire were conducted ≥30 days postoperatively in GDD patients, on enrolment for controls. Age, sex, treatment type, visual acuity, mean deviation and diplopia were evaluated for association with HRQoL

Results Of the 128 GDD patients enrolled, 35 (27.3%) had FP7, 32 (25.0%) had B250 and 61 (47.7%) had B350. In univariate analysis, decreased HRQoL was associated with younger age (r2 range 0.042–0.071), diplopia (r2 range 0.039–0.119), GDD treatment (r2 range 0.023–0.103), lower visual acuity (r2 range 0.021–0.215) and worse mean deviation (r2 range 0.029–0.131). All GDD groups had lower HRQoL subscores than the controls. HRQoL scores were lower compared with controls among B350 patients for AS-20 Self-perception subscale, B250 and B350 for Reading and General Function subscales, and FP7 and B350 for VFQ-25 Visual Functioning subscale. There were no significant differences among the GDDs.

Conclusions Glaucoma patients with a younger age, diplopia, lower visual acuity, worse mean deviation or a GDD had lower HRQoL. Those with B350 had lower self-perception scores, consistent with previous reports in the literature. This subscale was not diminished in FP7 or B250, so the decreased self-perception scores may be due to greater visibility or awareness of the B350.

  • glaucoma
  • treatment medical
  • treatment surgery

Data availability statement

Data are available on reasonable request.

https://doi.org/10.1136/bjophthalmol-2020-317856

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    Data availability statement

    Data are available on reasonable request.

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    Footnotes

    • Contributors CLK, KPK and FW contributed to the planning, and all authors contributed to the conduct of the study except LJW, who performed the statistical analyses in the study. CLK, KPK and LJW contributed to the reporting of the work described in the article. CLK is the guarantor for this study.

    • Funding This work was supported in part by a private individual’s donation to CLK, a Mayo Center for Clinical and Translational Science grant number UL1TR000135, and an unrestricted grant to the Mayo Clinic Department of Ophthalmology by Research to Prevent Blindness, New York, New York, USA.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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