Impact of First Eye Cataract Surgery on Quality of Life

Mayasari Wahyu Kuntorini, Maya Primagustya Achmad, Aldiana Halim

Abstract


Cataracts are the second leading cause of visual impairment and the first cause of blindness, both globally and Indonesia. Cataracts do not only reduce vision but also the quality of life of the patients. Cataract surgery of at least one eye is expected to improve the patient's visual function and quality of life. This study aimed to assess the quality of life of patients with bilateral senile cataracts after the first eye surgery compared to people with normal vision. This was a cross-sectional study on 75 patients who underwent their first eye cataract surgery at the Cataract and Refractive Surgery Unit and 75 people with normal vision who visited the Refraction, Contact Lens, and Low Vision Unit of the National Eye Center of Cicendo Eye Hospital during the period of March-June 2020. The quality of life assessment was conducted through interviews using the National Eye Institute Visual Function Questionnaire-25. The non-inferiority test with a margin of 20% was performed. The mean age of the subjects was 63.49 years with no difference in the proportion of gender. Presenting visual acuity of binoculars after the first cataract surgery was 0.26 LogMAR and normal vision was 0.07 LogMAR. With a margin of 20%, the patient's quality of life after the first cataract surgery was not inferior to the normal vision subjects (d = -2.45% (95% CI -6.3% to 1.4%).) Hence, patients' quality of life after the first cataract surgery is not inferior to those with normal vision.


Keywords


Bilateral senile cataract, first eye cataract surgery, normal vision, quality of life

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References


  1. International Agency for the Prevention of blindness. vision atlas evidence series: the causes of vision loss [Internet]. 2021 [cited 2022 Aug 1]. Available from: https://www.iapb.org/learn/resources/causes-of-vision-loss/.
  2. Steinmetz JD, Bourne RRA, Briant PS, Flaxman SR, Taylor HRB, Jonas JB, et al. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to vision 2020: the right to sight: an analysis for the global burden of disease study. Lancet Glob Heal. 2021;9(2):e144–60.
  3. Syumarti, Rini M, Ratnaningsih N, Halim A, Limburgh H. Prevalence and causes of blindness in people age 50 years and above. the intervention category and action required reducing blindness in West Java Province Indonesia. J Ophthalmol Clin Res. 2017;1(1):1–4.
  4. American Academy of Ophthalmology. Lens and Cataract. In: Jick SL, editor. Basic and clinical science course 2016-2017. American Academy of Ophthalmology; 2016.
  5. National Eye Institute. visual function questionnaire-25 [Internet]. 2000 [cited 2019 Nov 2]. Available from: https://www.nei.nih.gov/learn- about-eye-health/resources-for- health-educators/outreach- materials/visual-function- questionnaire-25.
  6. Fraser ML. Meuleners LB, Lee AH, Ng JQ, Morlet N. Vision. Quality of life and depressive symptoms after first eye cataract surgery. Psychogeriatrics. 2013;13(4):237–43.
  7. To KG, Meuleners LB, Fraser ML, Do D Van. Duong D Van, Huynh V-AN, et al. The impact of cataract surgery on vision-related quality of life for bilateral cataract patients in Ho Chi Minh City. Vietnam: a prospective study. Health Qual Life Outcomes. 2014;12(1):16.
  8. Mahajan S, Misra S. Barriers to the second eye cataract surgery amongst the rural population of Western Maharashtra. India. Ophthalmol Res An Int J. 2016;5(3):1–7.
  9. Amedo AO, Koomson NY, Pascal TM, Kumah D Ben, Nana J, Ocansey A, et al. Quality of life of cataract patients before and after surgery-evidence from four rural communities in Ghana. Res Artic Mathews J Ophthalmol. 2016;1:1–7.
  10. Abdullahi S, Alhassan M, Babalola O. The impact of cataract surgery on subjective visual functions and quality of life in patients with cataract in Northwestern Nigeria. Niger J Ophthalmol. 2016;24(2):57.
  11. Finger RP, Kupitz DG, Fenwick E, Balasubramaniam B, Ramani R V, Holz FG, et al. The Impact of successful cataract surgery on quality of life, household income and social status in South India. PLoS One. 2012;7(8):e44268.
  12. Tu changsen, Ni J, Xu X, Mima Z. The impact of cataract surgery on vision-related quality of life for cataract patients in China: a Prospective Study. Eye. 2015;29(12):1545–54.
  13. Sugiyono. Metode penelitian kuantitatif. Kualitatif dan R&D. Bandung: Alfabeta; 2017.
  14. Porela-Tiihonen S, Roine RP, Sintonen H, Kaarniranta K, Kokki M, Kokki H. Health-related quality of life after cataract surgery with the phacoemulsification technique and intraocular lens implantation. Acta Ophthalmol. 2016;94(1):21–5.
  15. Lisnawati A, Fatmawati NK, Aminyoto M. Perbedaan kualitas hidup pasien usia lanjut sebelum dan setelah operasi katarak. Med Heal Sci J. 2020;4(1):63–8.
  16. Ratnaningsih N, Rini M, Halim A. Barriers for cataract surgical services in West Java Province of Indonesia. Ophthalmol Indones. 2016;42(1):63–8.
  17. Chen M. Accommodation in pseudophakic eyes. Taiwan J Ophthalmol. 2012;2(4):117–21.
  18. Post M. Definitions of quality of life: what has happened and how to move on. Top Spinal Cord Inj Rehabil. 2014;20(3):167–80.
  19. Macaya F, Ryan N, Salinas P, Pocock SJ. Challenges in the design and interpretation of noninferiority trials insights from recent stent trials. J Am Coll Cardiol. 2017;70(7):894–903.




DOI: https://doi.org/10.15395/mkb.v55n1.2935

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