Chinese Version of the Vision-Related Quality of Life (NEI-VFQ-25) among Patients with Various Ocular Disorders: A Pilot Study

<i>Background and Objectives</i>: Subjective visual function is currently becoming an increasing appreciation in assessing the health-related quality of life. This study aimed to assess the vision-related quality of life (VRQOL) among patients with refractive errors, keratoconus, senile...

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Bibliographic Details
Main Authors: Jiahn-Shing Lee, Ken-Kuo Lin, Chiun-Ho Hou, Pei-Ru Li, Lai-Chu See
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/5/602
Description
Summary:<i>Background and Objectives</i>: Subjective visual function is currently becoming an increasing appreciation in assessing the health-related quality of life. This study aimed to assess the vision-related quality of life (VRQOL) among patients with refractive errors, keratoconus, senile cataract, and age-related macular degeneration (AMD) using the Chinese version of the National Eye Institute Visual Function Questionnaire 25 (NEI-VFQ-25). <i>Materials and Methods</i>: The questionnaire of NEI-VFQ-25 was filled out in a clinical setting or by telephone/mail. Univariate and multivariate analyses were used to determine which factors are associated with the NEI-VFQ-25. <i>Results</i>: From June 2018 to January 2019, 28 patients with refractive error, 20 patients with keratoconus, 61 with senile cataracts, and 17 with AMD completed the questionnaire NEI-VFQ-25. There were significant differences in the NEI-VFQ-25 subscale of general vision (<i>p</i> = 0.0017), ocular pain (<i>p</i> = 0.0156), near activities (<i>p</i> = 0.0002), vision-specific social functioning (<i>p</i> = 0.007), vision-specific mental health (<i>p</i> = 0.0083), vision-specific dependency (<i>p</i> = 0.0049), color vision (<i>p</i> < 0.0001), peripheral vision (<i>p</i> = 0.0065), and total score (<i>p</i> < 0.0001) among four disease groups, respectively. The multiple linear regression revealed that the best-corrected visual acuity (BCVA) and disease group were important factors of the total NEI-VFQ-25. After adjusting for BCVA, patients with AMD had a worse total NEI-VFQ-25 score than patients with refractive error, keratoconus, or senile cataracts. <i>Conclusions</i>: Among the patients with four ocular disorders and a broad vision spectrum from normal, partial sight, low vision to legal blindness, the BCVA of their better eye was the most important factor in the VRQOL.
ISSN:1010-660X
1648-9144