Effect of cataract surgery on quality of life for patients with severe vision impairment due to age-related macular degeneration

Background: To determine whether patients with severe vision impairment due to advanced age-related macular degeneration (AMD) benefit from bilateral cataract surgery in terms of vision-related quality of life (QoL). Methods: A prospective interventional single-center study. Ten patients with severe...

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Veröffentlicht in:Annals of translational medicine 2020-11, Vol.8 (22), p.1543-1543, Article 1543
Hauptverfasser: Taipale, Claudia, Grzybowski, Andrzej, Tuuminen, Raimo
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creator Taipale, Claudia
Grzybowski, Andrzej
Tuuminen, Raimo
description Background: To determine whether patients with severe vision impairment due to advanced age-related macular degeneration (AMD) benefit from bilateral cataract surgery in terms of vision-related quality of life (QoL). Methods: A prospective interventional single-center study. Ten patients with severe vision impairment due to advanced bilateral AMD were included. The preoperative corrected distance visual acuity (CDVA) was >= 1.0/>= 1.0 LogMAR units on Snellen chart and
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Methods: A prospective interventional single-center study. Ten patients with severe vision impairment due to advanced bilateral AMD were included. The preoperative corrected distance visual acuity (CDVA) was &gt;= 1.0/&gt;= 1.0 LogMAR units on Snellen chart and &lt;20/&lt;20 points on Early Treatment Diabetic Retinopathy Study (ETDRS) chart. Patients were not on active treatment for wet AMD as the treatment was expected to have no effect or benefit. The patients were scheduled for immediate sequential bilateral cataract surgery, with target refraction emmetropia (SN60WF, Alcon). Vision-related QoL was measured with National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) preoperatively, at 3 months and 1 year. Results: The mean age of the patients was 82.56.2 years. The mean NEI VFQ-25 overall composite score changed from 44.0 +/- 7.1 preoperatively to 54.9 +/- 13.7 at 3 months and to 56.9 +/- 15.6 at 1 year (P=0.045, Friedman test). During the 1-year follow-up, there was an improvement in the subscale scores indicating difficulty with peripheral vision, mental health symptoms, and role difficulties due to vision (P&lt;0.05 for all, Wilcoxon sign-rank test). Conclusions: Cataract surgery may improve the vision-related QoL in patients with severe vision impairment due to bilateral advanced AMD.</description><identifier>ISSN: 2305-5839</identifier><identifier>EISSN: 2305-5839</identifier><identifier>DOI: 10.21037/atm-2020-965</identifier><identifier>PMID: 33313288</identifier><language>eng</language><publisher>SHATIN: AME PUBLISHING COMPANY</publisher><subject>Life Sciences &amp; Biomedicine ; Medicine, Research &amp; Experimental ; Oncology ; Original on Recent Developments in Cataract Surgery ; Research &amp; Experimental Medicine ; Science &amp; Technology</subject><ispartof>Annals of translational medicine, 2020-11, Vol.8 (22), p.1543-1543, Article 1543</ispartof><rights>2020 Annals of Translational Medicine. All rights reserved.</rights><rights>2020 Annals of Translational Medicine. All rights reserved. 2020 Annals of Translational Medicine.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>7</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000598361800002</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c317t-5a3a1072dece6e23bc5c1ebe30e96de727388f25a76c18b81768f41568d631a13</citedby><cites>FETCH-LOGICAL-c317t-5a3a1072dece6e23bc5c1ebe30e96de727388f25a76c18b81768f41568d631a13</cites><orcidid>0000-0002-3724-2391</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7729353/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7729353/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27928,27929,53795,53797</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33313288$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Taipale, Claudia</creatorcontrib><creatorcontrib>Grzybowski, Andrzej</creatorcontrib><creatorcontrib>Tuuminen, Raimo</creatorcontrib><title>Effect of cataract surgery on quality of life for patients with severe vision impairment due to age-related macular degeneration</title><title>Annals of translational medicine</title><addtitle>ANN TRANSL MED</addtitle><addtitle>Ann Transl Med</addtitle><description>Background: To determine whether patients with severe vision impairment due to advanced age-related macular degeneration (AMD) benefit from bilateral cataract surgery in terms of vision-related quality of life (QoL). Methods: A prospective interventional single-center study. Ten patients with severe vision impairment due to advanced bilateral AMD were included. The preoperative corrected distance visual acuity (CDVA) was &gt;= 1.0/&gt;= 1.0 LogMAR units on Snellen chart and &lt;20/&lt;20 points on Early Treatment Diabetic Retinopathy Study (ETDRS) chart. Patients were not on active treatment for wet AMD as the treatment was expected to have no effect or benefit. The patients were scheduled for immediate sequential bilateral cataract surgery, with target refraction emmetropia (SN60WF, Alcon). Vision-related QoL was measured with National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) preoperatively, at 3 months and 1 year. Results: The mean age of the patients was 82.56.2 years. The mean NEI VFQ-25 overall composite score changed from 44.0 +/- 7.1 preoperatively to 54.9 +/- 13.7 at 3 months and to 56.9 +/- 15.6 at 1 year (P=0.045, Friedman test). During the 1-year follow-up, there was an improvement in the subscale scores indicating difficulty with peripheral vision, mental health symptoms, and role difficulties due to vision (P&lt;0.05 for all, Wilcoxon sign-rank test). Conclusions: Cataract surgery may improve the vision-related QoL in patients with severe vision impairment due to bilateral advanced AMD.</description><subject>Life Sciences &amp; Biomedicine</subject><subject>Medicine, Research &amp; Experimental</subject><subject>Oncology</subject><subject>Original on Recent Developments in Cataract Surgery</subject><subject>Research &amp; Experimental Medicine</subject><subject>Science &amp; Technology</subject><issn>2305-5839</issn><issn>2305-5839</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><recordid>eNqNkc9rFDEUx4Motqw9epUcBRlN8ppJ5iLIUn9AwYuew9vMm21kZrJNMlv25p9u2q1LvXnKg_fhmy_vw9hrKd4rKcB8wDI1SijRdK1-xs4VCN1oC93zJ_MZu8j5lxBCKtmBEC_ZGQBIUNaes99Xw0C-8DhwjwUT1jkvaUvpwOPMbxccQzncr8cwEB9i4jssgeaS-V0oNzzTnhLxfcih8mHaYUhTXfN-IV4ixy01iUYs1PMJ_TJi4j1taaZUc-L8ir0YcMx08fiu2M_PVz_WX5vr71--rT9dNx6kKY1GQCmM6slTSwo2XntJGwJBXduTUQasHZRG03ppN1aa1g6XUre2b0GihBX7eMzdLZuJel8rJhzdLoUJ08FFDO7fzRxu3DbunTGqAw014O1jQIq3C-XippA9jSPOFJfs1KURQoGuTVasOaI-xZwTDadvpHAP4lwV5-7FuSqu8m-edjvRfzVV4N0RuKNNHLKv9_d0wqpa3Vlopa1TrbBi9v_pdSgPHtZxmQv8Abtlt84</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Taipale, Claudia</creator><creator>Grzybowski, Andrzej</creator><creator>Tuuminen, Raimo</creator><general>AME PUBLISHING COMPANY</general><general>AME Publishing Company</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3724-2391</orcidid></search><sort><creationdate>20201101</creationdate><title>Effect of cataract surgery on quality of life for patients with severe vision impairment due to age-related macular degeneration</title><author>Taipale, Claudia ; Grzybowski, Andrzej ; Tuuminen, Raimo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c317t-5a3a1072dece6e23bc5c1ebe30e96de727388f25a76c18b81768f41568d631a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Life Sciences &amp; Biomedicine</topic><topic>Medicine, Research &amp; Experimental</topic><topic>Oncology</topic><topic>Original on Recent Developments in Cataract Surgery</topic><topic>Research &amp; Experimental Medicine</topic><topic>Science &amp; Technology</topic><toplevel>online_resources</toplevel><creatorcontrib>Taipale, Claudia</creatorcontrib><creatorcontrib>Grzybowski, Andrzej</creatorcontrib><creatorcontrib>Tuuminen, Raimo</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of translational medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Taipale, Claudia</au><au>Grzybowski, Andrzej</au><au>Tuuminen, Raimo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of cataract surgery on quality of life for patients with severe vision impairment due to age-related macular degeneration</atitle><jtitle>Annals of translational medicine</jtitle><stitle>ANN TRANSL MED</stitle><addtitle>Ann Transl Med</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>8</volume><issue>22</issue><spage>1543</spage><epage>1543</epage><pages>1543-1543</pages><artnum>1543</artnum><issn>2305-5839</issn><eissn>2305-5839</eissn><abstract>Background: To determine whether patients with severe vision impairment due to advanced age-related macular degeneration (AMD) benefit from bilateral cataract surgery in terms of vision-related quality of life (QoL). Methods: A prospective interventional single-center study. Ten patients with severe vision impairment due to advanced bilateral AMD were included. The preoperative corrected distance visual acuity (CDVA) was &gt;= 1.0/&gt;= 1.0 LogMAR units on Snellen chart and &lt;20/&lt;20 points on Early Treatment Diabetic Retinopathy Study (ETDRS) chart. Patients were not on active treatment for wet AMD as the treatment was expected to have no effect or benefit. The patients were scheduled for immediate sequential bilateral cataract surgery, with target refraction emmetropia (SN60WF, Alcon). Vision-related QoL was measured with National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) preoperatively, at 3 months and 1 year. Results: The mean age of the patients was 82.56.2 years. The mean NEI VFQ-25 overall composite score changed from 44.0 +/- 7.1 preoperatively to 54.9 +/- 13.7 at 3 months and to 56.9 +/- 15.6 at 1 year (P=0.045, Friedman test). During the 1-year follow-up, there was an improvement in the subscale scores indicating difficulty with peripheral vision, mental health symptoms, and role difficulties due to vision (P&lt;0.05 for all, Wilcoxon sign-rank test). Conclusions: Cataract surgery may improve the vision-related QoL in patients with severe vision impairment due to bilateral advanced AMD.</abstract><cop>SHATIN</cop><pub>AME PUBLISHING COMPANY</pub><pmid>33313288</pmid><doi>10.21037/atm-2020-965</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3724-2391</orcidid><oa>free_for_read</oa></addata></record>
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Life Sciences & Biomedicine
Medicine, Research & Experimental
Oncology
Original on Recent Developments in Cataract Surgery
Research & Experimental Medicine
Science & Technology
title Effect of cataract surgery on quality of life for patients with severe vision impairment due to age-related macular degeneration
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