Evaluation of functional vision and eye-related quality of life in children with congenital ectopia lentis: a prospective cross-sectional study

Objectives This study aims to evaluate the effect of congenital ectopia lentis (CEL) on functional vision and eye-related quality of life (ER-QOL) in children and their families using the Paediatric Eye Questionnaire (PedEyeQ).Design A questionnaire survey administered via in-person interviews of pa...

Full description

Bibliographic Details
Main Authors: Guangming Jin, Minjie Zou, Xinyu Zhang, Charlotte Aimee Young, Danying Zheng, Siyuan Liu, Xiaolin Liang, Yiyuan Ma, Lirong Ling
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e075222.full
_version_ 1797370013312614400
author Guangming Jin
Minjie Zou
Xinyu Zhang
Charlotte Aimee Young
Danying Zheng
Siyuan Liu
Xiaolin Liang
Yiyuan Ma
Lirong Ling
author_facet Guangming Jin
Minjie Zou
Xinyu Zhang
Charlotte Aimee Young
Danying Zheng
Siyuan Liu
Xiaolin Liang
Yiyuan Ma
Lirong Ling
author_sort Guangming Jin
collection DOAJ
description Objectives This study aims to evaluate the effect of congenital ectopia lentis (CEL) on functional vision and eye-related quality of life (ER-QOL) in children and their families using the Paediatric Eye Questionnaire (PedEyeQ).Design A questionnaire survey administered via in-person interviews of patients with CEL and their parents.Participants 51 children with CEL and 53 visually normal controls accompanied by 1 parent completed the survey questionnaires for the study from March 2022 to September 2022.Outcome measures PedEyeQ domain scores. Functional vision and ER-QOL of children and their families were evaluated by calculating and comparing the Rasch domain scores of the PedEyeQ.Results PedEyeQ domain scores were significantly worse with CEL compared with controls (p<0.01 for each), with the exception of the Proxy Social domain among children aged 0–4 years (p=0.283). Child PedEyeQ greatest differences were in the functional vision domain (5–11 years, −20 points (95% CI −27 to −12)) and frustration/worry domain (12–17 years, −41 (95% CI −37 to −6)). Proxy PedEyeQ greatest differences were in the functional vision domain (0–4 years, −34 (95% CI −45 to −22)) and frustration/worry domain (5–11 years, −27 (95% CI −39 to −14); 12–17 years, −37(95% CI (−48 to −26))). Parent PedEyeQ greatest difference was in the ‘worry about child’s eye condition’ (−57 (95% CI (−63 to −51))).Conclusions In this study, children with CEL had reduced functional vision and ER-QOL compared with controls. Parents of children with CEL also experience reduced quality of life.
first_indexed 2024-03-08T17:55:17Z
format Article
id doaj.art-7605faa9e22140f2be8419e37a2b04d5
institution Directory Open Access Journal
issn 2044-6055
language English
last_indexed 2024-03-08T17:55:17Z
publishDate 2023-12-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj.art-7605faa9e22140f2be8419e37a2b04d52024-01-02T05:25:07ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-075222Evaluation of functional vision and eye-related quality of life in children with congenital ectopia lentis: a prospective cross-sectional studyGuangming Jin0Minjie Zou1Xinyu Zhang2Charlotte Aimee Young3Danying Zheng4Siyuan Liu5Xiaolin Liang6Yiyuan Ma7Lirong Ling8State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China1 State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou, Guangdong, ChinaAlbany Medical College, Albany, New York, USAState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou, Guangdong, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou, Guangdong, ChinaSchool of Law and Sociology, Xihua University, Chengdu, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, ChinaObjectives This study aims to evaluate the effect of congenital ectopia lentis (CEL) on functional vision and eye-related quality of life (ER-QOL) in children and their families using the Paediatric Eye Questionnaire (PedEyeQ).Design A questionnaire survey administered via in-person interviews of patients with CEL and their parents.Participants 51 children with CEL and 53 visually normal controls accompanied by 1 parent completed the survey questionnaires for the study from March 2022 to September 2022.Outcome measures PedEyeQ domain scores. Functional vision and ER-QOL of children and their families were evaluated by calculating and comparing the Rasch domain scores of the PedEyeQ.Results PedEyeQ domain scores were significantly worse with CEL compared with controls (p<0.01 for each), with the exception of the Proxy Social domain among children aged 0–4 years (p=0.283). Child PedEyeQ greatest differences were in the functional vision domain (5–11 years, −20 points (95% CI −27 to −12)) and frustration/worry domain (12–17 years, −41 (95% CI −37 to −6)). Proxy PedEyeQ greatest differences were in the functional vision domain (0–4 years, −34 (95% CI −45 to −22)) and frustration/worry domain (5–11 years, −27 (95% CI −39 to −14); 12–17 years, −37(95% CI (−48 to −26))). Parent PedEyeQ greatest difference was in the ‘worry about child’s eye condition’ (−57 (95% CI (−63 to −51))).Conclusions In this study, children with CEL had reduced functional vision and ER-QOL compared with controls. Parents of children with CEL also experience reduced quality of life.https://bmjopen.bmj.com/content/13/12/e075222.full
spellingShingle Guangming Jin
Minjie Zou
Xinyu Zhang
Charlotte Aimee Young
Danying Zheng
Siyuan Liu
Xiaolin Liang
Yiyuan Ma
Lirong Ling
Evaluation of functional vision and eye-related quality of life in children with congenital ectopia lentis: a prospective cross-sectional study
BMJ Open
title Evaluation of functional vision and eye-related quality of life in children with congenital ectopia lentis: a prospective cross-sectional study
title_full Evaluation of functional vision and eye-related quality of life in children with congenital ectopia lentis: a prospective cross-sectional study
title_fullStr Evaluation of functional vision and eye-related quality of life in children with congenital ectopia lentis: a prospective cross-sectional study
title_full_unstemmed Evaluation of functional vision and eye-related quality of life in children with congenital ectopia lentis: a prospective cross-sectional study
title_short Evaluation of functional vision and eye-related quality of life in children with congenital ectopia lentis: a prospective cross-sectional study
title_sort evaluation of functional vision and eye related quality of life in children with congenital ectopia lentis a prospective cross sectional study
url https://bmjopen.bmj.com/content/13/12/e075222.full
work_keys_str_mv AT guangmingjin evaluationoffunctionalvisionandeyerelatedqualityoflifeinchildrenwithcongenitalectopialentisaprospectivecrosssectionalstudy
AT minjiezou evaluationoffunctionalvisionandeyerelatedqualityoflifeinchildrenwithcongenitalectopialentisaprospectivecrosssectionalstudy
AT xinyuzhang evaluationoffunctionalvisionandeyerelatedqualityoflifeinchildrenwithcongenitalectopialentisaprospectivecrosssectionalstudy
AT charlotteaimeeyoung evaluationoffunctionalvisionandeyerelatedqualityoflifeinchildrenwithcongenitalectopialentisaprospectivecrosssectionalstudy
AT danyingzheng evaluationoffunctionalvisionandeyerelatedqualityoflifeinchildrenwithcongenitalectopialentisaprospectivecrosssectionalstudy
AT siyuanliu evaluationoffunctionalvisionandeyerelatedqualityoflifeinchildrenwithcongenitalectopialentisaprospectivecrosssectionalstudy
AT xiaolinliang evaluationoffunctionalvisionandeyerelatedqualityoflifeinchildrenwithcongenitalectopialentisaprospectivecrosssectionalstudy
AT yiyuanma evaluationoffunctionalvisionandeyerelatedqualityoflifeinchildrenwithcongenitalectopialentisaprospectivecrosssectionalstudy
AT lirongling evaluationoffunctionalvisionandeyerelatedqualityoflifeinchildrenwithcongenitalectopialentisaprospectivecrosssectionalstudy