Quality of Life After Laser Surgery for Eye Disorders

  • K. Pesudovs
  • D. B. Elliott
Reference work entry


Refractive error is common, and when uncorrected is a significant disease burden worldwide with 98 million people visually impaired and five million people blind from refractive error alone. Refractive error can be corrected by spectacles, contact lenses or laser refractive surgery, with the latter becoming an increasingly popular treatment. The outcome of laser refractive surgery is assessed by clinical measures and patient reported outcomes, most importantly quality of life (QOL). A number of questionnaires exist for the measurement of quality of life after refractive surgery but these vary in validity. A refractive error related quality of life instrument should include a breadth of content areas e.g., well being, convenience and concerns, not just functioning or satisfaction.  Rasch analysis has been used in the development of The Quality of Life Impact of Refractive Correction (QIRC) questionnaire which facilitated optimization of question inclusion, unidimensionality and valid linear scoring. The QIRC questionnaire, and others, readily demonstrates the benefits of refractive surgery. However, QIRC is also sensitive to the negative impacts of surgical complications, providing a global assessment of QOL outcome. The Quality of Life Impact of Refractive Correction (QIRC) instrument is demonstrably superior to other instruments in terms of validity and reliability, so is the ideal outcome measure for laser refractive surgery.


Refractive Error Refractive Surgery Uncorrected Refractive Error Laser Refractive Surgery Residual Refractive Error 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:


Activities of Daily Vision Scale


International Classification of Functioning, Disability and Health


Laser assisted sub-epithelial keratectomy


Laser in situ keratomileusis


The National Eye Institute Refractive Quality of Life questionnaire


 Photorefractive keratectomy


Patient reported outcome


Quality of Life Impact of Refractive Correction questionnaire


Quality of Life


Refractive keratectomy


The Refractive Status Vision Profile


World Health Organization


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© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • K. Pesudovs
  • D. B. Elliott

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