Vision-related quality of life and psychosocial well-being of patients with episcleritis and scleritis: a neglected essence?

Abstract Background To assess the change in vision-related quality of life and psychosocial well-being of the patients with episcleritis and scleritis patients before and after treatment. Results This one-and-a-half-year prospective study was conducted among 76 eyes of 71 new patients of episcleriti...

Full description

Bibliographic Details
Main Authors: Apurva Ratna Tamrakar, Ranju Kharel Sitaula, Sagun Narayan Joshi, Manjita Bajracharya
Format: Article
Language:English
Published: SpringerOpen 2021-09-01
Series:Journal of Ophthalmic Inflammation and Infection
Subjects:
Online Access:https://doi.org/10.1186/s12348-021-00265-z
_version_ 1831768126700650496
author Apurva Ratna Tamrakar
Ranju Kharel Sitaula
Sagun Narayan Joshi
Manjita Bajracharya
author_facet Apurva Ratna Tamrakar
Ranju Kharel Sitaula
Sagun Narayan Joshi
Manjita Bajracharya
author_sort Apurva Ratna Tamrakar
collection DOAJ
description Abstract Background To assess the change in vision-related quality of life and psychosocial well-being of the patients with episcleritis and scleritis patients before and after treatment. Results This one-and-a-half-year prospective study was conducted among 76 eyes of 71 new patients of episcleritis and scleritis. A structured questionnaire was used to assess the visual and to analyze the change in effect size. The male-to-female ratio was 1:1.536. Episcleritis was seen in 41 cases (57.7%) while scleritis was seen in 30 cases (42.3%). Patients with episcleritis had statistically significant improvement in general function score (GF) (p < 0.05) using paired t-test. The effect size showed medium improvement (approximately 0.5). Whereas there was no statistically significant change in psychosocial impact (PI), visual symptoms (VS) scoring, and a total score (p < 0.05) using paired t-test. The effect size showed no improvement for PI and total score and small improvement for VS score. Patients with scleritis had statistically significant improvement in general function score (GF), visual symptoms (VS) scoring and total score (p < 0.05) using paired-t-test. The effect size showed medium improvement (approximately 0.5) for general function score (GF) and total score. However, the effect size showed only a small improvement (approximately 0.2) for psychosocial impact (PI) score. Conclusions VisionRelated Quality of Life of patients with scleritis showed significant improvement following treatment unlike episcleritis indicating scleritis more adversely affecting psychosocial well-being.
first_indexed 2024-12-22T06:55:07Z
format Article
id doaj.art-3d111bd389a447f6b1baa12c7afd4ee7
institution Directory Open Access Journal
issn 1869-5760
language English
last_indexed 2024-12-22T06:55:07Z
publishDate 2021-09-01
publisher SpringerOpen
record_format Article
series Journal of Ophthalmic Inflammation and Infection
spelling doaj.art-3d111bd389a447f6b1baa12c7afd4ee72022-12-21T18:34:59ZengSpringerOpenJournal of Ophthalmic Inflammation and Infection1869-57602021-09-011111510.1186/s12348-021-00265-zVision-related quality of life and psychosocial well-being of patients with episcleritis and scleritis: a neglected essence?Apurva Ratna Tamrakar0Ranju Kharel Sitaula1Sagun Narayan Joshi2Manjita Bajracharya3Phaco and Vitreo-Retinal Surgeon, Kathmandu Eye CentreDepartment of Ophthalmology, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, B. P. Koirala Lions Centre for Ophthalmic StudiesDepartment of Ophthalmology, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, B. P. Koirala Lions Centre for Ophthalmic StudiesDepartment of General practice and emergency medicine, Tribhuvan University Teaching HospitalAbstract Background To assess the change in vision-related quality of life and psychosocial well-being of the patients with episcleritis and scleritis patients before and after treatment. Results This one-and-a-half-year prospective study was conducted among 76 eyes of 71 new patients of episcleritis and scleritis. A structured questionnaire was used to assess the visual and to analyze the change in effect size. The male-to-female ratio was 1:1.536. Episcleritis was seen in 41 cases (57.7%) while scleritis was seen in 30 cases (42.3%). Patients with episcleritis had statistically significant improvement in general function score (GF) (p < 0.05) using paired t-test. The effect size showed medium improvement (approximately 0.5). Whereas there was no statistically significant change in psychosocial impact (PI), visual symptoms (VS) scoring, and a total score (p < 0.05) using paired t-test. The effect size showed no improvement for PI and total score and small improvement for VS score. Patients with scleritis had statistically significant improvement in general function score (GF), visual symptoms (VS) scoring and total score (p < 0.05) using paired-t-test. The effect size showed medium improvement (approximately 0.5) for general function score (GF) and total score. However, the effect size showed only a small improvement (approximately 0.2) for psychosocial impact (PI) score. Conclusions VisionRelated Quality of Life of patients with scleritis showed significant improvement following treatment unlike episcleritis indicating scleritis more adversely affecting psychosocial well-being.https://doi.org/10.1186/s12348-021-00265-zCorticosteroidsEpiscleritisQuality of lifeScleritisVisual function
spellingShingle Apurva Ratna Tamrakar
Ranju Kharel Sitaula
Sagun Narayan Joshi
Manjita Bajracharya
Vision-related quality of life and psychosocial well-being of patients with episcleritis and scleritis: a neglected essence?
Journal of Ophthalmic Inflammation and Infection
Corticosteroids
Episcleritis
Quality of life
Scleritis
Visual function
title Vision-related quality of life and psychosocial well-being of patients with episcleritis and scleritis: a neglected essence?
title_full Vision-related quality of life and psychosocial well-being of patients with episcleritis and scleritis: a neglected essence?
title_fullStr Vision-related quality of life and psychosocial well-being of patients with episcleritis and scleritis: a neglected essence?
title_full_unstemmed Vision-related quality of life and psychosocial well-being of patients with episcleritis and scleritis: a neglected essence?
title_short Vision-related quality of life and psychosocial well-being of patients with episcleritis and scleritis: a neglected essence?
title_sort vision related quality of life and psychosocial well being of patients with episcleritis and scleritis a neglected essence
topic Corticosteroids
Episcleritis
Quality of life
Scleritis
Visual function
url https://doi.org/10.1186/s12348-021-00265-z
work_keys_str_mv AT apurvaratnatamrakar visionrelatedqualityoflifeandpsychosocialwellbeingofpatientswithepiscleritisandscleritisaneglectedessence
AT ranjukharelsitaula visionrelatedqualityoflifeandpsychosocialwellbeingofpatientswithepiscleritisandscleritisaneglectedessence
AT sagunnarayanjoshi visionrelatedqualityoflifeandpsychosocialwellbeingofpatientswithepiscleritisandscleritisaneglectedessence
AT manjitabajracharya visionrelatedqualityoflifeandpsychosocialwellbeingofpatientswithepiscleritisandscleritisaneglectedessence