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Quality of life and caregiver burden in pediatric glaucoma: A systematic review

Amy Basilious1,2, Steven Villani2, Hyunsoo Jang2

  • 1Department of Ophthalmology, Ivey Eye Institute, St. Joseph's Health Care, London, Ontario, Canada.

Plos One
|October 26, 2022
PubMed

Insights

Caregivers of children with pediatric glaucoma experience significant burden and reduced quality of life (QoL). Interventions like surgery may improve caregiver QoL, highlighting the need for further research.

Area of Science:

  • Ophthalmology
  • Public Health
  • Psychology

Background:

  • Pediatric glaucoma significantly impacts caregivers' quality of life (QoL) and well-being.
  • Caregiver burden and reduced QoL are prevalent in families managing chronic childhood conditions.
  • Limited research exists on the specific challenges faced by caregivers of pediatric glaucoma patients.

Approach:

  • A systematic review was conducted using multiple databases (Embase, Medline, PsycINFO, CINAHL, Web of Science, ARVO journals).
  • Inclusion criteria focused on studies reporting pediatric caregivers' QoL using quantitative or qualitative methods.
  • Eight publications involving 667 participants were included after screening and risk of bias assessment.

Key Points:

  • Caregivers of pediatric glaucoma patients report significantly higher burden and poorer QoL.
  • Factors associated with poorer caregiver QoL and greater burden include female sex, lower education/income, and employment status.
  • Disease severity and duration negatively correlate with caregiver well-being.
  • Surgical interventions, specifically combined trabeculotomy-trabeculectomy, showed potential to improve caregiver QoL.

Conclusions:

  • Existing research indicates substantial caregiver burden and diminished QoL in pediatric glaucoma caregiving.
  • There is a critical need for longitudinal studies to understand the long-term trajectory of caregiver QoL in this population.
  • Further research should focus on developing and evaluating support strategies for caregivers of children with lifelong glaucoma.

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