Vision-Targeted Health-Related Quality-of-Life Survey for Evaluating Minimally Invasive Glaucoma Surgery

Area of Science:

• Ophthalmology
• Patient-Reported Outcomes
• Health-Related Quality of Life

Background:

• Glaucoma management often requires surgical intervention.
• Minimally invasive glaucoma surgery (MIGS) is an emerging treatment option.
• Assessing patient-centered outcomes is crucial for evaluating surgical effectiveness.

Purpose of the Study:

• To develop and validate a vision-targeted health-related quality-of-life instrument for patients considering MIGS.
• To create a patient-reported outcomes measure specific to the MIGS population.

Main Methods:

• A questionnaire was developed through literature review, physician input, and patient focus groups.
• Cognitive interviews were conducted with patients to refine questionnaire clarity and relevance.
• The instrument assesses functional limitations, symptoms, aesthetics, and psychosocial aspects.

Main Results:

• Key patient concerns identified include functional limitations (e.g., driving), discomfort, appearance changes, and psychosocial burdens.
• Questionnaire improvements focused on clarity regarding lighting, psychosocial issues, and disease perception.
• The developed instrument is the Glaucoma Outcomes Survey for MIGS candidates.

Conclusions:

• The Glaucoma Outcomes Survey is a patient-reported outcomes instrument designed for mild to moderate glaucoma patients undergoing MIGS.
• Future implementation involves electronic administration via the AAO IRIS registry.
• This tool will enhance understanding of MIGS' impact on vision-targeted quality of life.