Vision-Related Quality of Life following Combined Cataract and Minimally Invasive Glaucoma Surgery or Cataract Surgery Alone in Glaucoma Patients
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Outcome
2.3. Surgical Procedure
2.4. Statistical Analyses
3. Results
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Phaco (n = 20) | Phaco-TLO (n = 55) | p Value | |
---|---|---|---|
Age (years) | 73.3 ± 7.4 | 71.5 ± 9.7 | 0.51 |
Gender (Male/Female) | 10/10 | 21/34 | 0.36 |
Type of glaucoma | 0.49 | ||
Primary open-angle glaucoma | 14 | 29 | |
Primary angle-closure glaucoma | 5 | 17 | |
Exfoliation glaucoma | 1 | 8 | |
Steroid glaucoma | 0 | 1 | |
Visual acuity (logMAR) | 0.34 ± 0.42 | 0.37 ± 0.43 | 0.89 |
IOP (mmHg) | 12.5 ± 2.8 | 16.1 ± 5.4 | 0.002 |
IOP-lowering medications score | 1.7 ± 1.4 | 2.7 ± 1.2 | 0.002 |
Mean deviation (dB) | |||
Operated eye | −8.7 ± 4.3 | −11.9 ± 7.0 | 0.11 |
Fellow eye | −8.5 ± 7.1 | −10.2 ± 9.3 | 0.54 |
Visual field index (%) | |||
Operated eye | 83.5 ± 12.9 | 67.7 ± 27.1 | 0.048 |
Fellow eye | 77.9 ± 23.2 | 70.7 ± 26.7 | 0.62 |
Phaco | Phaco-TLO | |||||
---|---|---|---|---|---|---|
Before | After | p Value | Before | After | p Value | |
BCVA | 0.34 ± 0.42 | −0.02 ± 0.07 | <0.0001 | 0.37 ± 0.43 | 0.09 ± 0.32 | <0.0001 |
IOP (mmHg) | 12.5 ± 2.8 | 11.6 ± 2.9 | 0.41 | 16.1 ± 5.4 | 12.6 ± 2.8 | <0.0001 |
IOP-lowering medications | 1.7 ± 1.4 | 0.9 ± 1.3 | 0.002 | 2.7 ± 1.2 | 1.0 ± 0.9 | <0.0001 |
VFQ-25 Scale | Preoperative (IQR) | Postoperative (IQR) | p Value |
---|---|---|---|
General health | 60.0 (45.6–69.4) | 60.0 (51.3–71.9) | 0.15 |
General vision | 60.0 (50.0–65.0) | 75.0 (61.3–80.0) | 0.009 |
Ocular pain | 87.5 (70.0–100) | 87.5 (70.0–100) | 0.43 |
Near visual acuity | 62.5 (58.3–75.0) | 75.0 (63.5–83.3) | 0.0007 |
Distant visual acuity | 70.8 (58.3–78.1) | 77.1 (64.6–83.3) | 0.046 |
Social functioning | 79.2 (75.0–83.3) | 83.3 (75.0–91.7) | 0.04 |
Mental health | 65.0 (51.3–80.0) | 80.0 (71.3–93.8) | 0.01 |
Role difficulties | 81.3 (68.8–98.4) | 87.5 (76.6–100) | 0.37 |
Dependency | 93.8 (70.3–100) | 100 (79.7–100) | 0.51 |
Driving | 66.7 (50.0–83.3) | 75.0 (66.7–83.3) | 0.25 |
Color vision | 100 (75.0–100) | 100 (100–100) | 0.06 |
Peripheral vision | 0 (0–75.0) | 12.5 (0–75.0) | >0.99 |
Composite score | 71.1 (62.4–80.6) | 79.4 (69.0–84.0) | 0.006 |
VFQ-25 Scale | Preoperative (IQR) | Postoperative (IQR) | p Value |
---|---|---|---|
General health | 55.0 (42.5–65.0) | 55.0 (42.5–65.0) | 0.89 |
General vision | 55.0 (45.0–65.0) | 70.0 (55.0–80.0) | <0.0001 |
Ocular pain | 75.0 (62.5–87.5) | 75.0 (62.5–87.5) | 0.14 |
Near visual acuity | 70.8 (50.0–79.2) | 75.0 (62.5–83.3) | 0.002 |
Distant visual acuity | 66.7 (54.2–75.0) | 75.0 (62.5–79.2) | 0.02 |
Social functioning | 83.3 (75.0–91.7) | 83.3 (66.7–91.7) | 0.63 |
Mental health | 65.0 (50.0–85.0) | 75.0 (55.0–90.0) | 0.002 |
Role difficulties | 75.0 (62.5–100) | 81.3 (68.8–100) | 0.08 |
Dependency | 87.5 (68.8–100) | 87.5 (75.0–100) | 0.41 |
Driving | 70.8 (47.9–75) | 75.0 (58.3–83.3) | 0.15 |
Color vision | 100 (75.0–100) | 100 (75.0–100) | 0.96 |
Peripheral vision | 37.5 (0–75.0) | 50.0 (0–75.0) | 0.21 |
Composite score | 69.8 (55.3–78.6) | 74.7 (65.1–83.3) | 0.005 |
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Yuasa, Y.; Hirooka, K.; Okada, N.; Onoe, H.; Murakami, Y.; Okumichi, H.; Kiuchi, Y. Vision-Related Quality of Life following Combined Cataract and Minimally Invasive Glaucoma Surgery or Cataract Surgery Alone in Glaucoma Patients. J. Clin. Med. 2023, 12, 3279. https://doi.org/10.3390/jcm12093279
Yuasa Y, Hirooka K, Okada N, Onoe H, Murakami Y, Okumichi H, Kiuchi Y. Vision-Related Quality of Life following Combined Cataract and Minimally Invasive Glaucoma Surgery or Cataract Surgery Alone in Glaucoma Patients. Journal of Clinical Medicine. 2023; 12(9):3279. https://doi.org/10.3390/jcm12093279
Chicago/Turabian StyleYuasa, Yuki, Kazuyuki Hirooka, Naoki Okada, Hiromitsu Onoe, Yumiko Murakami, Hideaki Okumichi, and Yoshiaki Kiuchi. 2023. "Vision-Related Quality of Life following Combined Cataract and Minimally Invasive Glaucoma Surgery or Cataract Surgery Alone in Glaucoma Patients" Journal of Clinical Medicine 12, no. 9: 3279. https://doi.org/10.3390/jcm12093279