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Vision-related quality of life in children with glaucoma

Benjamin L Freedman1, Sarah K Jones2, Alice Lin2

  • 1University of Pennsylvania, Philadelphia.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|February 27, 2014
PubMed

Insights

Vision-related quality of life (VRQoL) in children with glaucoma is linked to better visual acuity. However, factors like surgery count and eyedrop numbers did not significantly impact their VRQoL.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Quality of Life Research

Background:

  • Vision-related quality of life (VRQoL) is increasingly reported in adult glaucoma research.
  • Limited understanding exists regarding VRQoL in pediatric glaucoma patients.
  • Factors like disease severity, medication burden, and surgical history's impact on children's VRQoL are largely unknown.

Purpose of the Study:

  • To assess the feasibility of using a self-reported VRQoL instrument in children with glaucoma.
  • To describe the current VRQoL among pediatric glaucoma patients.
  • To explore correlations between VRQoL and clinical factors in children with glaucoma.

Main Methods:

  • Feasibility testing of a self-reported vision-related quality of life instrument.
  • Description of VRQoL in a cohort of pediatric glaucoma patients.
  • Correlation analysis between VRQoL scores and visual acuity, number of surgeries, and medication burden.

Main Results:

  • The self-reported VRQoL instrument was found to be feasible for use in children with glaucoma.
  • Vision-related quality of life in children with glaucoma was positively correlated with visual acuity in the better-seeing eye.
  • No significant correlation was found between VRQoL and the number of surgeries or the number of prescribed eyedrops.

Conclusions:

  • Self-reported VRQoL assessment is feasible in pediatric glaucoma.
  • Visual acuity is a key determinant of quality of life in children with glaucoma.
  • Medication and surgical burden appear to have less impact on VRQoL than visual function itself in this population.

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