Quality of life in myopia
BACKGROUND The safety and predictability of refractive surgery for all degrees of myopia is now becoming established. It is therefore appropriate to evaluate whether there is a patient driven demand for such treatments and, if so, to establish guidelines for its provision within the National Health...
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| Veröffentlicht in: | British journal of ophthalmology 2000-09, Vol.84 (9), p.1031-1034 |
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| container_title | British journal of ophthalmology |
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| creator | Rose, Karen Harper, Robert Tromans, Cindy Waterman, Christine Goldberg, David Haggerty, Clare Tullo, Andrew |
| description | BACKGROUND The safety and predictability of refractive surgery for all degrees of myopia is now becoming established. It is therefore appropriate to evaluate whether there is a patient driven demand for such treatments and, if so, to establish guidelines for its provision within the National Health Service (NHS). METHODS A comparative study was designed to assess the effect of degree of myopia on quality of life (“high” (n = 30) –10.00D, worse eye; “moderate” (n = 40) –4.00 to –9.75D, worse eye; “low” (n = 42) |
| doi_str_mv | 10.1136/bjo.84.9.1031 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1723631</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4012627971</sourcerecordid><originalsourceid>FETCH-LOGICAL-b511t-bbd51b707f195308c5a4149bd4b2a5515a9524183afb40ee30e7422dcd1cdcb93</originalsourceid><addsrcrecordid>eNqFkc9rFDEcxYNY7Fo9evAiC5XiZdZ883NyEcpiq7K2COo1JJmMZp2ZrMmMdP_7ZtmlrV48fAlf3oeXlxeEXgBeAFDx1q7jomYLtQBM4RGaARN1RbBUj9EMYywrAAHH6GnO67ISAfIJOgashFACz9DLL5Ppwridx3behdbPwzDvt3ETzDN01Jou--eH8wR9u3j_dfmhWl1fflyeryrLAcbK2oaDlVi2oDjFteOGAVO2YZYYzoEbxQmDmprWMuw9xV4yQhrXgGucVfQEvdv7bibb-8b5YUym05sUepO2Opqg_1aG8FP_iH80SEIFhWJwdjBI8ffk86j7kJ3vOjP4OGUtCaGYkx14-g-4jlMayuOKl1RlmBSFqvaUSzHn5Nu7KID1rnJdKtc100rvKi_8q4f5H9D7jgvw-gCY7EzXJjO4kO85Xn4J0_t7Qx79zZ1s0i8tJJVcX31fakIuV-zi02ddF_7Nnrf9-j8RbwGmjqMA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1779177476</pqid></control><display><type>article</type><title>Quality of life in myopia</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Rose, Karen ; Harper, Robert ; Tromans, Cindy ; Waterman, Christine ; Goldberg, David ; Haggerty, Clare ; Tullo, Andrew</creator><creatorcontrib>Rose, Karen ; Harper, Robert ; Tromans, Cindy ; Waterman, Christine ; Goldberg, David ; Haggerty, Clare ; Tullo, Andrew</creatorcontrib><description>BACKGROUND The safety and predictability of refractive surgery for all degrees of myopia is now becoming established. It is therefore appropriate to evaluate whether there is a patient driven demand for such treatments and, if so, to establish guidelines for its provision within the National Health Service (NHS). METHODS A comparative study was designed to assess the effect of degree of myopia on quality of life (“high” (n = 30) –10.00D, worse eye; “moderate” (n = 40) –4.00 to –9.75D, worse eye; “low” (n = 42) <–4.00D, worse eye) compared with a group of patients with keratoconus (n = 30) treated by optical correction. Data collection included binocular logMAR visual acuity, Pelli-Robson low contrast letter sensitivity, questionnaires to assess subjective visual function (VF-14) and effect on quality of life (VQOL), and semi-structured interviews. RESULTS There were no significant differences in any of the measures between patients with a high degree of myopia and those with keratoconus, or between those with a low and those with a moderate degree of myopia. However, those with a high degree of myopia had highly significantly poorer logMAR, VF-14, and VQOL scores than those with low and moderate myopia (p<0.001). Interview data supported these findings with patients with a high degree of myopia and those with keratoconus reporting that psychological, cosmetic, practical, and financial factors affected their quality of life. CONCLUSION Compared with low and moderate myopia, patients with a high degree of myopia experience impaired quality of life similar to that of patients with keratoconus. Criteria should therefore be identified to enable those in sufficient need to obtain refractive surgical treatment under the NHS.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.84.9.1031</identifier><identifier>PMID: 10966960</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Female ; Health Services Needs and Demand ; Humans ; keratoconus ; Keratotomy, Radial ; Male ; Medical sciences ; Middle Aged ; myopia ; Myopia - surgery ; Ophthalmology ; Original articles - Clinical science ; Practice Guidelines as Topic - standards ; Quality of Life ; refractive surgery ; State Medicine ; Surveys and Questionnaires ; Vision disorders</subject><ispartof>British journal of ophthalmology, 2000-09, Vol.84 (9), p.1031-1034</ispartof><rights>British Journal of Ophthalmology</rights><rights>2000 INIST-CNRS</rights><rights>Copyright: 2000 British Journal of Ophthalmology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b511t-bbd51b707f195308c5a4149bd4b2a5515a9524183afb40ee30e7422dcd1cdcb93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1723631/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1723631/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1500703$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10966960$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rose, Karen</creatorcontrib><creatorcontrib>Harper, Robert</creatorcontrib><creatorcontrib>Tromans, Cindy</creatorcontrib><creatorcontrib>Waterman, Christine</creatorcontrib><creatorcontrib>Goldberg, David</creatorcontrib><creatorcontrib>Haggerty, Clare</creatorcontrib><creatorcontrib>Tullo, Andrew</creatorcontrib><title>Quality of life in myopia</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>BACKGROUND The safety and predictability of refractive surgery for all degrees of myopia is now becoming established. It is therefore appropriate to evaluate whether there is a patient driven demand for such treatments and, if so, to establish guidelines for its provision within the National Health Service (NHS). METHODS A comparative study was designed to assess the effect of degree of myopia on quality of life (“high” (n = 30) –10.00D, worse eye; “moderate” (n = 40) –4.00 to –9.75D, worse eye; “low” (n = 42) <–4.00D, worse eye) compared with a group of patients with keratoconus (n = 30) treated by optical correction. Data collection included binocular logMAR visual acuity, Pelli-Robson low contrast letter sensitivity, questionnaires to assess subjective visual function (VF-14) and effect on quality of life (VQOL), and semi-structured interviews. RESULTS There were no significant differences in any of the measures between patients with a high degree of myopia and those with keratoconus, or between those with a low and those with a moderate degree of myopia. However, those with a high degree of myopia had highly significantly poorer logMAR, VF-14, and VQOL scores than those with low and moderate myopia (p<0.001). Interview data supported these findings with patients with a high degree of myopia and those with keratoconus reporting that psychological, cosmetic, practical, and financial factors affected their quality of life. CONCLUSION Compared with low and moderate myopia, patients with a high degree of myopia experience impaired quality of life similar to that of patients with keratoconus. Criteria should therefore be identified to enable those in sufficient need to obtain refractive surgical treatment under the NHS.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Health Services Needs and Demand</subject><subject>Humans</subject><subject>keratoconus</subject><subject>Keratotomy, Radial</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>myopia</subject><subject>Myopia - surgery</subject><subject>Ophthalmology</subject><subject>Original articles - Clinical science</subject><subject>Practice Guidelines as Topic - standards</subject><subject>Quality of Life</subject><subject>refractive surgery</subject><subject>State Medicine</subject><subject>Surveys and Questionnaires</subject><subject>Vision disorders</subject><issn>0007-1161</issn><issn>1468-2079</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc9rFDEcxYNY7Fo9evAiC5XiZdZ883NyEcpiq7K2COo1JJmMZp2ZrMmMdP_7ZtmlrV48fAlf3oeXlxeEXgBeAFDx1q7jomYLtQBM4RGaARN1RbBUj9EMYywrAAHH6GnO67ISAfIJOgashFACz9DLL5Ppwridx3behdbPwzDvt3ETzDN01Jou--eH8wR9u3j_dfmhWl1fflyeryrLAcbK2oaDlVi2oDjFteOGAVO2YZYYzoEbxQmDmprWMuw9xV4yQhrXgGucVfQEvdv7bibb-8b5YUym05sUepO2Opqg_1aG8FP_iH80SEIFhWJwdjBI8ffk86j7kJ3vOjP4OGUtCaGYkx14-g-4jlMayuOKl1RlmBSFqvaUSzHn5Nu7KID1rnJdKtc100rvKi_8q4f5H9D7jgvw-gCY7EzXJjO4kO85Xn4J0_t7Qx79zZ1s0i8tJJVcX31fakIuV-zi02ddF_7Nnrf9-j8RbwGmjqMA</recordid><startdate>20000901</startdate><enddate>20000901</enddate><creator>Rose, Karen</creator><creator>Harper, Robert</creator><creator>Tromans, Cindy</creator><creator>Waterman, Christine</creator><creator>Goldberg, David</creator><creator>Haggerty, Clare</creator><creator>Tullo, Andrew</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20000901</creationdate><title>Quality of life in myopia</title><author>Rose, Karen ; Harper, Robert ; Tromans, Cindy ; Waterman, Christine ; Goldberg, David ; Haggerty, Clare ; Tullo, Andrew</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b511t-bbd51b707f195308c5a4149bd4b2a5515a9524183afb40ee30e7422dcd1cdcb93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Health Services Needs and Demand</topic><topic>Humans</topic><topic>keratoconus</topic><topic>Keratotomy, Radial</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>myopia</topic><topic>Myopia - surgery</topic><topic>Ophthalmology</topic><topic>Original articles - Clinical science</topic><topic>Practice Guidelines as Topic - standards</topic><topic>Quality of Life</topic><topic>refractive surgery</topic><topic>State Medicine</topic><topic>Surveys and Questionnaires</topic><topic>Vision disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rose, Karen</creatorcontrib><creatorcontrib>Harper, Robert</creatorcontrib><creatorcontrib>Tromans, Cindy</creatorcontrib><creatorcontrib>Waterman, Christine</creatorcontrib><creatorcontrib>Goldberg, David</creatorcontrib><creatorcontrib>Haggerty, Clare</creatorcontrib><creatorcontrib>Tullo, Andrew</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rose, Karen</au><au>Harper, Robert</au><au>Tromans, Cindy</au><au>Waterman, Christine</au><au>Goldberg, David</au><au>Haggerty, Clare</au><au>Tullo, Andrew</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life in myopia</atitle><jtitle>British journal of ophthalmology</jtitle><addtitle>Br J Ophthalmol</addtitle><date>2000-09-01</date><risdate>2000</risdate><volume>84</volume><issue>9</issue><spage>1031</spage><epage>1034</epage><pages>1031-1034</pages><issn>0007-1161</issn><eissn>1468-2079</eissn><coden>BJOPAL</coden><abstract>BACKGROUND The safety and predictability of refractive surgery for all degrees of myopia is now becoming established. It is therefore appropriate to evaluate whether there is a patient driven demand for such treatments and, if so, to establish guidelines for its provision within the National Health Service (NHS). METHODS A comparative study was designed to assess the effect of degree of myopia on quality of life (“high” (n = 30) –10.00D, worse eye; “moderate” (n = 40) –4.00 to –9.75D, worse eye; “low” (n = 42) <–4.00D, worse eye) compared with a group of patients with keratoconus (n = 30) treated by optical correction. Data collection included binocular logMAR visual acuity, Pelli-Robson low contrast letter sensitivity, questionnaires to assess subjective visual function (VF-14) and effect on quality of life (VQOL), and semi-structured interviews. RESULTS There were no significant differences in any of the measures between patients with a high degree of myopia and those with keratoconus, or between those with a low and those with a moderate degree of myopia. However, those with a high degree of myopia had highly significantly poorer logMAR, VF-14, and VQOL scores than those with low and moderate myopia (p<0.001). Interview data supported these findings with patients with a high degree of myopia and those with keratoconus reporting that psychological, cosmetic, practical, and financial factors affected their quality of life. CONCLUSION Compared with low and moderate myopia, patients with a high degree of myopia experience impaired quality of life similar to that of patients with keratoconus. Criteria should therefore be identified to enable those in sufficient need to obtain refractive surgical treatment under the NHS.</abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>10966960</pmid><doi>10.1136/bjo.84.9.1031</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Biological and medical sciences Female Health Services Needs and Demand Humans keratoconus Keratotomy, Radial Male Medical sciences Middle Aged myopia Myopia - surgery Ophthalmology Original articles - Clinical science Practice Guidelines as Topic - standards Quality of Life refractive surgery State Medicine Surveys and Questionnaires Vision disorders |
| title | Quality of life in myopia |
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