Impact of cataract surgery on health-related quality of life in nursing home residents.

Academic Article

Abstract

  • AIM: To assess the impact of cataract surgery in nursing home residents on health-related quality of life, as compared to those who have cataracts but who do not undergo surgery. METHODS: A prospective cohort study enrolled 30 nursing home residents (>or=60 years old) who had cataracts and underwent cataract surgery, and evaluated vision-targeted and generic health-related quality of life and depressive symptoms before and approximately 4 months after surgery. This cataract surgery group was compared to 15 nursing home residents who had cataracts but who did not have surgery, over the same timeframe. RESULTS: Visual acuity for near and distance and contrast sensitivity improved following cataract surgery (p<0.001). Adjusting for age differences in the two groups, the cataract surgery group exhibited significant score improvement in the general vision (p = 0.005), reading (p = 0.001), psychological distress (p = 0.015), and social interaction (p = 0.033) subscales of the Nursing Home Vision-targeted Health-Related Quality of Life Questionnaire and the VF-14 (p = 0.004). There were no group differences in the SF-36, Geriatric Depression Scale or the Cataract Symptom Score. CONCLUSION: Nursing home residents who underwent cataract surgery because of functional problems experienced significant improvements in their vision-targeted health-related quality of life, in addition to dramatically improved vision.
  • Published In

    Keywords

  • Aged, Aged, 80 and over, Cataract, Cataract Extraction, Contrast Sensitivity, Female, Humans, Male, Middle Aged, Nursing Homes, Prospective Studies, Quality of Life, Stress, Psychological, Treatment Outcome, Vision, Binocular, Visual Acuity
  • Digital Object Identifier (doi)

    Author List

  • Owsley C; McGwin G; Scilley K; Meek GC; Seker D; Dyer A
  • Start Page

  • 1359
  • End Page

  • 1363
  • Volume

  • 91
  • Issue

  • 10