Update on Quality of Life in Glaucoma
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Purpose of Review
To summarize the recent studies which evaluate the relationship between quality of life and glaucoma.
Vision-related quality of life (VRQOL) is a patient-reported outcome that is influenced by many factors including visual function, mental health, physical health, and education. It can be correlated to clinical measures such as visual field testing and imaging parameters. Certain thresholds of visual field loss may precede rapid loss of VRQOL. Glaucoma surgery does not decrease VRQOL and may prevent further VRQOL deterioration.
More instruments need to be developed to quickly and reliably evaluate VRQOL. In a patient-centered health care environment, a multi-faceted treatment approach is indicated for glaucoma and includes medical/surgical therapy, education, and referrals for coexisting medical conditions. In the future as the relationship between visual field and quality of life become clearer, the timing of medical and surgical interventions may change.
KeywordsGlaucoma Quality of life Visual function Patient-reported outcomes Vision-related quality of life Visual disability
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 5.•• Peters D, Heijl A, Brenner L, Bengtsson B. Visual impairment and vision-related quality of life in the Early Manifest Glaucoma Trial after 20 years of follow-up. Acta Ophthalmol. 2015;93:745–52. Long-term results from randomized clinical trial correlating worsening visual field performance with declining VRQOL. Also identified evidence of a threshold of visual field loss where subsequent rapid VRQOL occurs. CrossRefPubMedPubMedCentralGoogle Scholar
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