Visual function and quality of life among patients with glaucoma
Visual function and quality of life among patients with glaucoma
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DOI：
10.1001/archopht.1997.01100160617016
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发表时间：
1997-11-01
影响因子：
--
通讯作者：
MontenegroPiniella, A
中科院分区：
文献类型：
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作者：
Parrish, RK;Gedde, SJ;MontenegroPiniella, A
本研究确定了青光眼患者视野损害、视觉功能和整体生活质量之间的关系。双眼视野损害是通过使用Humphrey自动周长同时进行的Esterman视野测试来计算的。根据美国医学协会永久性损伤评估指南定义的视力障碍；视觉功能，用VF-14量表和美国国家眼科研究所视觉功能问卷的现场测试版本测量；通过医疗结果研究36项简短健康调查评估147例连续青光眼患者的总体生活质量。在医疗结果研究的36项简短健康调查领域中，没有一项显示出与视野损害的相关性超过微弱。VF-14评分呈中度相关（r=-0.58）。在美国国家眼科研究所视觉功能问卷量表中，周边视力（r=-0.60）、远距离活动（r=-0.56）和视觉特异性依赖（r=-0.56）与视野损害有中度相关性；视觉特异性社会功能、近距离活动、视觉特异性角色困难、一般视力、视觉特异性心理健康、色觉和驾驶与视野损害有中度相关（r值在-0.32 ~ -0.55之间）；视觉疼痛与视野损害呈弱相关；总体健康状况和视觉特异性预期与视野损害没有显著相关。对视力进行统计调整后，相关性减弱。医疗结果研究36项简短健康调查显示，我们的青光眼患者与之前研究的无严重全身性疾病的患者相当。然而，在我们的研究中，医疗结果研究36项简短健康调查得分与视野损害无关。基于双眼视野损害与VF-14和美国国家眼科研究所视力功能问卷之间的中度相关性，这些问卷可能对青光眼患者有用。
This study determines the relation between visual field impairment, visual functioning, and global quality of life in patients with glaucoma, Binocular visual field impairment was calculated from simultaneous Esterman visual field testing using the Humphrey automated perimeter. Visual acuity impairment, defined with the American Medical Association's Guides to the Evaluation of Permanent Impairment; visual functioning, measured with the VF-14 and the field test version of the National Eye Institute-Visual Functioning Questionnaire; and global quality of life, assessed with the Medical Outcomes Study 36-Item Short Form Health Survey, were determined in 147 consecutive patients with glaucoma. None of the Medical Outcomes Study 36-Item Short Form Health Survey domains demonstrated more than a weak correlation with visual field impairment. The VF-14 scores were moderately correlated (r=-0.58). Of the National Eye Institute-Visual Functioning Questionnaire scales, peripheral vision (r=-0.60), distance activities (r=-0.56), and vision-specific dependency (r=-0.56) were moderately correlated with visual field impairment; vision-specific social functioning, near activities, vision-specific role difficulties, general vision, vision-specific mental health, color vision, and driving were modestly correlated with visual field impairment (r value between -0.32 and -0.55); visual pain was weakly correlated with visual field impairment; and general health and vision-specific expectations were not notably correlated with visual field impairment. Statistically adjusting for visual acuity weakened the correlations, The Medical Outcomes Study 36-Item Short Form Health Survey indicated that our patients with glaucoma were comparable with previously studied patients without severe systemic medical problems. However, the Medical Outcomes Study 36-Item Short Form Health Survey scores did not correlate with visual field impairment in our study. Based on the moderate correlation between binocular visual field impairment with the VF-14 and the National Eye Institute-Visual Functioning Questionnaire, these questionnaires may be useful among patients with glaucoma.