Chinese Version of the Vision-Related Quality of Life (NEI-VFQ-25) among Patients with Various Ocular Disorders: A Pilot Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Variables of Interest
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Hutmacher, F. Why is there so much more research on vision than on any other sensory modality? Front. Psychol. 2019, 10, 2246. [Google Scholar] [CrossRef] [PubMed]
- Mangione, C.M.; Berry, S.; Spritzer, K.; Janz, N.K.; Klein, R.; Owsley, C.; Lee, P.P. Identifying the content area for the 51-Item National Eye Institute visual function questionnaire: Results from focus groups with visually impaired persons. Arch. Ophthalmol. 1998, 116, 227–233. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Grisafe, D.J.; Varma, R.; Burkemper, B.S.; Xu, B.Y.; Torres, M.; Fairbrother-Crisp, A.; Patino, C.M.; McKean-Cowdin, R. Impact of Visual Field Loss on Vision-Specific Quality of Life in African Americans: The African American Eye Disease Study. Am. J. Ophthalmol. 2021, 229, 52–62. [Google Scholar] [CrossRef] [PubMed]
- Guo, L.W.; Akpek, E. The negative effects of dry eye disease on quality of life and visual function. Turk. J. Med. Sci. 2020, 50, 1611–1615. [Google Scholar] [CrossRef]
- Steinberg, E.P.; Tielsch, J.M.; Schein, O.D.; Javitt, J.C.; Sharkey, P.; Cassard, S.D.; Legro, M.W.; Diener-West, M.; Bass, E.B.; Damiano, A.M.; et al. The VF-14: An index of functional impairment in patients with cataract. Arch. Ophthalmol. 1994, 112, 630–638. [Google Scholar] [CrossRef]
- Lin, J.C.; Chie, W.C. Psychometric validation of the Taiwan Chinese version of the 25-Item National Eye Institute Visual Functioning Questionnaire. J. Eval. Clin. Pract. 2010, 16, 619–626. [Google Scholar] [CrossRef]
- Mangione, C.M.; Lee, P.P.; Gutierrez, P.R.; Spritzer, K.; Berry, S.; Hays, R.D. Development of the 25-item National Eye Institute visual function questionnaire. Arch. Ophthalmol. 2001, 119, 1050–1058. [Google Scholar] [CrossRef]
- Resnikoff, S.; Pascolini, D.; Mariotti, S.P.; Pokharel, G.P. Global magnitude of visual impairment caused by uncorrected refractive errors in 2004. Bull. World Health Organ. 2008, 86, 63–70. [Google Scholar] [CrossRef]
- Broman, A.T.; Munoz, B.; Rodriguez, J.; Sanchez, R.; Quigley, H.A.; Klein, R.; Snyder, R.; West, S.K. The impact of visual impairment and eye disease on vision-related quality of life in a Mexican-American population: Proyecto VER. Investig. Ophthalmol. Vis. Sci. 2002, 43, 3393–3398. [Google Scholar]
- Ziaei, H.; Katibeh, M.; Sabbaghi, M.; Yaseri, M.; Eskandari, A. Vision related quality of life in myopia; photorefractive keratectomy versus nonsurgical optical correction. J. Ophthalmic. Vis. Res. 2012, 7, 219–224. [Google Scholar]
- Klokova, O.A.; Sakhnov, S.N.; Geydenrikh, M.S.; Damashauskas, R.O. Quality of life after refractive surgery: ReLEx SMILE vs. Femto-LASIK. Clin. Ophthalmol. 2019, 13, 561–570. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Gokul, A.; Vellara, H.R.; Patel, D.V. Advanced anterior segment imaging in keratoconus: A review. Clin. Exp. Ophthalmol. 2018, 46, 122–132. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Javadi, M.A.; Motlagh, B.F.; Jafarinasab, M.R.; Rabbanikhah, Z.; Anissian, A.; Souri, H.; Yazdani, S. Outcomes of penetrating keratoplasty in keratoconus. Cornea 2005, 24, 941–946. [Google Scholar] [CrossRef] [PubMed]
- Pascolini, D.; Mariotti, S.P. Global estimates of visual impairment: 2010. Br. J. Ophthalmol. 2012, 96, 614–618. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kelly, S.P.; Astbury, N.J. Patient safety in cataract surgery. Eye 2006, 20, 275–282. [Google Scholar] [CrossRef] [PubMed]
- Ni, W.; Li, X.; Hou, Z.; Zhang, H.; Qiu, W.; Wang, W. Impact of cataract surgery on vision-related life performances: The usefulness of real-life vision test for cataract surgery outcomes evaluation. Eye 2015, 29, 1545–1554. [Google Scholar] [CrossRef]
- US Department of Health and Human Services. Vision Research—A National Plan: 1999–2003; National Advisory Eye Council: Bethesda, MD, USA, 1998.
- Casten, R.J.; Rovner, B.W. Update on depression and age-related macular degeneration. Curr. Opin. Ophthalmol. 2013, 24, 239–243. [Google Scholar] [CrossRef] [Green Version]
- Lee, L.; Packer, T.L.; Tang, S.H.; Girdler, S. Self-management education programs for age-related macular degeneration: A systematic review. Australas. J. Ageing 2008, 27, 170–176. [Google Scholar] [CrossRef]
- Orr, P.; Rentz, A.M.; Margolis, M.K.; Revicki, D.A.; Dolan, C.M.; Colman, S.; Fine, J.T.; Bressler, N.M. Validation of the National Eye Institute visual function questionnaire-25 (NEI VFQ-25) in age-related macular degeneration. Investig. Ophthalmol. Vis. Sci. 2011, 52, 3354–3359. [Google Scholar] [CrossRef]
- Schippert, A.C.; Jelin, E.; Moe, M.C.; Heiberg, T.; Grov, E.K. The impact of age-related macular degeneration on quality of life and its association with demographic data: Results from the NEI VFQ-25 questionnaire in a Norwegian population. Gerontol. Geriatr. Med. 2018, 4, 2333721418801601. [Google Scholar] [CrossRef] [Green Version]
- Patnaik, J.L.; Lynch, A.M.; Pecen, P.E.; Jasso, M.; Hanson, K.; Mathias, M.T.; Palestine, A.G.; Mandava, N. The impact of advanced age-related macular degeneration on the National Eye Institute’s Visual Function Questionnaire-25. Acta Ophthalmol. 2021, 99, 750–755. [Google Scholar] [CrossRef] [PubMed]
- Scott, I.U.; Figueroa, M.J.; Oden, N.L.; Ip, M.S.; Blodi, B.A.; VanVeldhuisen, P.C. SCORE2 Report 5: Vision-Related Function in Patients with Macular Edema Secondary to Central Retinal or Hemiretinal Vein Occlusion. Am. J. Ophthalmol. 2017, 184, 147–156. [Google Scholar] [CrossRef] [PubMed]
- Felius, J.; Stager, D.R.S.; Berry, P.M.; Fawcett, S.L.; Stager, D.R., Jr.; Salomão, S.R.; Berezovsky, A.; Birch, E.E. Development of an instrument to assess vision-related quality of life in young children. Am. J. Ophthalmol. 2004, 138, 362–372. [Google Scholar] [CrossRef] [PubMed]
- Abe, R.Y.; Diniz-Filho, A.; Costa, V.P.; Gracitelli, C.P.B.; Baig, S.; Medeiros, F.A. The Impact of Location of Progressive Visual Field Loss on Longitudinal Changes in Quality of Life of Patients with Glaucoma. Ophthalmology 2016, 123, 552–557. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Abe, R.Y.; Diniz-Filho, A.; Costa, V.P.; Wu, Z.; Medeiros, F.A. Predicting Vision-Related Disability in Glaucoma. Ophthalmology 2018, 125, 22–30. [Google Scholar] [CrossRef] [Green Version]
- Pawar, S.; Parkar, A.; Menon, S.; Desai, N.; Namrata, D.; Dole, K. Assessment of quality of life of the patients with diabetic retinopathy using National Eye Institute Visual Functioning Questionnaire (VFQ-25). J. Healthc. Qual. Res. 2021, 36, 225–230. [Google Scholar] [CrossRef] [PubMed]
- Hossain, P.; Siffel, C.; Joseph, C.; Meunier, J.; Markowitz, J.T.; Dana, R. Patient-reported burden of dry eye disease in the UK: A cross-sectional web-based survey. BMJ Open. 2021, 11, e039209. [Google Scholar] [CrossRef] [PubMed]
- Holladay, J.T. Proper method for calculating average visual acuity. J. Refract. Surg. 1997, 13, 388–391. [Google Scholar] [CrossRef]
- Lin, J.C.; Yu, J.H. Assessment of quality of life among Taiwanese patients with visual impairment. J. Formos. Med. Assoc. Taiwan Yi Zhi 2012, 111, 572–579. [Google Scholar] [CrossRef] [Green Version]
- Liao, Y.; Yang, Z.; Li, Z.; Zeng, R.; Wang, J.; Zhang, Y.; Lan, Y. A quantitative comparison of multispectral refraction topography and autorefractometer in young adults. Front. Med. 2021, 8, 1582. [Google Scholar] [CrossRef]
- Wübbolt, I.S.; von Alven, S.; Hülssner, O.; Erb, C. Comparisons of manual and automatic refractometry with subjective results. Klin. Mon. Fur Augenheilkd. 2006, 223, 904–907. [Google Scholar] [CrossRef] [PubMed]
- Maberley, D.A.; Hollands, H.; Chuo, J.; Tam, G.; Konkal, J.; Roesch, M.; Veselinovic, A.; Witzigmann, M.; Bassett, K. The prevalence of low vision and blindness in Canada. Eye 2006, 20, 341–346. [Google Scholar] [CrossRef] [PubMed]
- Change the Definition of Blindness. Available online: https://www.who.int/blindness/Change%20the%20Definition%20of%20Blindness.pdf (accessed on 14 July 2015).
- Varma, R.; Wu, J.; Chong, K.; Azen, S.P.; Hays, R.D. Impact of severity and bilaterality of visual impairment on health-related quality of life. Ophthalmology 2006, 113, 1846–1853. [Google Scholar] [CrossRef] [PubMed]
- Knudtson, M.D.; Klein, B.E.; Klein, R.; Cruickshanks, K.J.; Lee, K.E. Age-related eye disease, quality of life, and functional activity. Arch. Ophthalmol. 2005, 123, 807–814. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Taylor, D.J.; Hobby, A.E.; Binns, A.M.; Crabb, D.P. How does age-related macular degeneration affect real-world visual ability and quality of life? A systematic review. BMJ Open 2016, 6, e011504. [Google Scholar] [CrossRef] [PubMed]
- Mitchell, W.; Resnick, H.; Zebardast, N. Age-related macular degeneration and visual and physical disability in a nationally representative sample from the United States. Transl. Vis. Sci. Technol. 2020, 9, 42. [Google Scholar] [CrossRef] [PubMed]
- Ahluwalia, A.; Shen, L.L.; Del Priore, L.V. Central geographic atrophy vs. neovascular age-related macular degeneration: Differences in longitudinal vision-related quality of life. Graefe’s Arch. Clin. Exp. Ophthalmol. Albrecht Von Graefes Arch. Fur Klin. Und Exp. Ophthalmol. 2021, 259, 307–316. [Google Scholar] [CrossRef]
- Wan, Y.; Zhao, L.; Huang, C.; Xu, Y.; Sun, M.; Yang, Y.; An, L.; Lv, S.; Yu, Y.; Chen, D.; et al. Validation and comparison of the National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) and the Visual Function Index-14 (VF-14) in patients with cataracts: A multicentre study. Acta Ophthalmol. 2021, 99, e480–e488. [Google Scholar] [CrossRef]
- Panthier, C.; Moran, S.; Bourges, J.L. Evaluation of vision-related quality of life in keratoconus patients, and associated impact of keratoconus severity indicators. Graefe’s Arch. Clin. Exp. Ophthalmol. 2020, 258, 1459–1468. [Google Scholar] [CrossRef]
- Wu, Y.; Tan, Q.; Zhang, W.; Wang, J.; Yang, B.; Ma, W.; Wang, X.; Liu, L. Rigid gas-permeable contact lens related life quality in keratoconic patients with different grades of severity. Clin. Exp. Optom. 2015, 98, 150–154. [Google Scholar] [CrossRef]
- Sandhu, R.K.; Munoz, B.E.; Swenor, B.K.; West, S.K. Refractive error and visual function difficulty in a Latino population. Ophthalmology 2012, 119, 1731–1736. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Broman, A.T.; Munoz, B.; West, S.K.; Rodriguez, J.; Sanchez, R.; Snyder, R.; Klein, R. Psychometric Properties of the 25-Item NEI-VFQ in a Hispanic Population: Proyecto VER. Investig. Ophthalmol. Vis. Sci. 2001, 42, 606–613. [Google Scholar]
- Sinclair, P.A.; Lyness, J.M.; King, D.A.; Cox, C.; Caine, E.D. Depression and self-reported functional status in older primary care patients. Am. J. Psychiatry 2001, 158, 416–419. [Google Scholar] [CrossRef] [PubMed]
- Lin, K.-K.; Lee, J.-S.; Hou, C.-H.; Chen, W.-M.; Hsiao, C.-H.; Chen, Y.-W.; Yeh, C.-T.; See, L.-C. The sociodemographic and risk factors for keratoconus: Nationwide matched case-control study in Taiwan, 1998–2015. Am. J. Ophthalmol. 2021, 223, 140–148. [Google Scholar] [CrossRef]
- Lee, J.-S.; Chung, C.-C.; Lin, K.-K.; Yu, K.-H.; Kuo, C.-F.; See, L.-C. Time trends in cataract surgery and after-cataract laser capsulotomy in Taiwan: A population-based retrospective cohort study. Int. J. Surg. 2016, 36, 265–273. [Google Scholar] [CrossRef]
- Tsai, T.-H.; Liu, Y.-L.; Ma, I.H.; Su, C.-C.; Lin, C.-W.; Lin, L.L.-K.; Hsiao, C.K.; Wang, I.J. Evolution of the prevalence of myopia among Taiwanese schoolchildren: A review of survey data from 1983 through 2017. Ophthalmology 2021, 128, 290–301. [Google Scholar] [CrossRef]
- Huang, E.J.C.; Wu, S.H.; Lai, C.H.; Kuo, C.N.; Wu, P.L.; Chen, C.L.; Chen, C.Y.; King, Y.C.; Wu, P.C. Prevalence and risk factors for age-related macular degeneration in the elderly Chinese population in south-western Taiwan: The Puzih eye study. Eye 2014, 28, 705–714. [Google Scholar] [CrossRef] [Green Version]
Refractive Error (n = 28) | Keratoconus (n = 20) | Cataract (n = 61) | AMD (n = 17) | p-Value | |
---|---|---|---|---|---|
Age (years) | <0.0001 1 | ||||
20–39 | 16 (57.1%) | 16 (80.0%) | 0 | 0 | |
40–59 | 11 (39.3%) | 2 (10.0%) | 14 (23.0%) | 2 (11.8%) | |
≥60 | 1 (3.6%) | 2 (10.0%) | 47 (77.0%) | 15 (88.2%) | |
Mean ± SD | 38.2 ± 12.8 A | 37.9 ± 13.1 A | 68.3 ± 10.6 B | 70.0 ± 8.8 B | <0.0001 2 |
Sex | 0.4936 3 | ||||
Male | 14 (50.0%) | 12 (60.0%) | 28 (45.9%) | 6 (35.3%) | |
Female | 14 (50.0%) | 8 (40.0%) | 33 (54.1%) | 11 (64.7%) | |
Visual acuity (corrected) (logMAR/decimal unit) | |||||
Better eye | 0.02 ± 0.04/0.95 ± 0.4 A | 0.10 ± 0.20/0.79 ± 2.0 AC | 0.25 ± 0.24/0.56 ± 2.4 C | 0.60 ± 0.49/0.25 ± 4.9 B | |
Worse eye | 0.09 ± 0.12/0.82 ± 1.2 A | 0.34 ± 0.49/0.46 ± 4.9 AC | 0.43 ± 0.35/0.37 ± 3.5 C | 0.91 ± 0.63/0.12 ± 6.3 B |
Refractive Error (n = 28) | Keratoconus (n = 20) | Cataract (n = 61) | AMD (n = 17) | p-Value | |
---|---|---|---|---|---|
General health | 48.2 ± 26.3 | 55.0 ± 25.1 | 43.0 ± 26.3 | 42.6 ± 26.2 | 0.3555 1 |
General vision | 67.1 ± 17.4 AB | 69.0 ± 17.7 A | 54.7 ± 18.7 B | 50.6 ± 21.4 B | 0.0017 1 |
Ocular pain | 76.8 ± 17.6 AB | 65.6 ± 18.1 A | 80.5 ± 22.0 B | 74.3 ± 22.7 AB | 0.0156 1 |
Near activities | 91.4 ± 14.3 A | 91.2 ± 12.2 AC | 80.8 ± 20.0 BC | 64.1 ± 25.4 B | 0.0002 1 |
Distance activities | 86.2 ± 14.0 | 83.3 ± 14.6 | 81.8 ± 21.3 | 69.8 ± 23.1 | 0.1304 1 |
Vision specific: | |||||
Social functioning | 95.5 ± 11.4 A | 93.8 ± 13.1 A | 90.6 ± 16.2 A | 72.8 ± 25.5 B | 0.0007 1 |
Mental health | 78.6 ± 18.0 A | 66.9 ± 23.2 AB | 74.1 ± 18.5 A | 54.8 ± 26.7 B | 0.0083 1 |
Role difficulties | 74.6 ± 22.2 | 63.1 ± 20.1 | 66.6 ± 28.8 | 56.6 ± 31.9 | 0.1734 1 |
Dependency | 95.7 ± 8.0 A | 83.3 ± 19.3 AB | 84.6 ± 23.0 AB | 56.9 ± 40.0 B | 0.0049 1 |
Driving | 80.3 ± 15.5 | 67.4 ± 33.8 | 73.0 ± 29.1 | 43.8 ± 61.9 | 0.7426 1 |
Color vision | 97.3 ± 10.4 AB | 98.8 ± 5.6 A | 95.9 ± 12.2 AB | 78.3 ± 20.8 B | <0.0001 1 |
Peripheral vision | 90.2 ± 18.4 A | 80.0 ± 25.1 AB | 85.7 ± 19.6 AB | 65.0 ± 28.0 B | 0.0065 1 |
Total (25-item composite) | 83.7 ± 11.3 A | 77.5 ± 10.4 A | 77.8 ± 14.9 A | 61.6 ± 22.7 B | <0.0001 2 |
Total (25-Item Composite) | |||
---|---|---|---|
n (%) | Mean ± SD | p-Value | |
Group | 0.0002 1 | ||
Refractive error | 28 (22.2%) | 83.7 ± 11.3 A | |
Keratoconus | 20 (15.9%) | 77.5 ± 10.4 A | |
Cataract | 61 (48.4%) | 77.8 ± 14.9 A | |
AMD | 17 (13.5%) | 61.6 ± 22.7 B | |
Age (years) | −0.22362 | 0.0118 2 | |
20–39 | 32 (25.4%) | 82.9 ± 10.1 A | 0.0466 1 |
40–59 | 29 (23.0%) | 75.6 ± 16.5 AB | |
≥60 | 65 (51.6%) | 74.5 ± 17.7 B | |
Sex | 0.9025 3 | ||
Male | 60 (47.6%) | 77.1 ± 14.9 | |
Female | 66 (52.4%) | 76.7 ± 17.2 | |
Corrected visual acuity (logMAR) | |||
Better eye | −0.4556 2 | <0.0001 2 | |
Worse eye | −0.3757 2 | <0.0001 2 |
Regression Coefficient ± Standard Error | p-Value | Cumulative R2 | |
---|---|---|---|
Intercept | 82.4 ± 2.2 | - | - |
Visual Acuity: better eye (logMAR) | −18.3 ± 5.0 | 0.0004 | 20.8% |
Disease Group | 24.8% | ||
Refractive error | 1.7 ± 3.4 | 0.6250 | |
Keratoconus | −3.1 ± 3.7 | 0.4054 | |
AMD | −9.8 ± 4.3 | 0.0226 | |
Cataract | reference | - |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Lee, J.-S.; Lin, K.-K.; Hou, C.-H.; Li, P.-R.; See, L.-C. Chinese Version of the Vision-Related Quality of Life (NEI-VFQ-25) among Patients with Various Ocular Disorders: A Pilot Study. Medicina 2022, 58, 602. https://doi.org/10.3390/medicina58050602
Lee J-S, Lin K-K, Hou C-H, Li P-R, See L-C. Chinese Version of the Vision-Related Quality of Life (NEI-VFQ-25) among Patients with Various Ocular Disorders: A Pilot Study. Medicina. 2022; 58(5):602. https://doi.org/10.3390/medicina58050602
Chicago/Turabian StyleLee, Jiahn-Shing, Ken-Kuo Lin, Chiun-Ho Hou, Pei-Ru Li, and Lai-Chu See. 2022. "Chinese Version of the Vision-Related Quality of Life (NEI-VFQ-25) among Patients with Various Ocular Disorders: A Pilot Study" Medicina 58, no. 5: 602. https://doi.org/10.3390/medicina58050602