Determinants of vision function related quality of life of patients undergoing unilateral cataract surgical services in charitable hospitals in India: a multicentre prospective cohort study

Kurian, Elizabeth; Vishwakarma, Pankaj; Deenadayalan, Jaikumar; Mondal, Amit Kumar; Ranpise, Dhanaji; Chavan, Shobhana; Kumar, Sunil

doi:10.18203/2394-6040.ijcmph20180774

Cited by 3 publications

(4 citation statements)

References 21 publications

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“…Regaining functional independence was previously reported to be strongly associated with significant improvements in the quality of life, including better psychological outcomes. 53 , 54 With about two-thirds of the sample engaged in some form of active work, it is understandable that vision restoration post-surgery is associated with reduced psychological distress. This suggests that increased engagement in work may lead to increased self-efficacy and satisfaction, which, in turn, improve psychological well-being.…”

Section: Discussionmentioning

confidence: 99%

A Multisite Longitudinal Investigation of Psychological Outcomes Following Cataract Surgery in India

Kumar,

Vishwakarma,

Ranpise

et al. 2023

Indian Journal of Psychological Medicine

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Background: Systematic data on mental health issues among adults with cataracts are not available from India. This study explored the impact of cataract surgery on depressive and generalized anxiety (GA) symptoms in an adult Indian sample. Methods: A multicenter, prospective, longitudinal cohort study was conducted. Subjects were recruited from four tertiary eye hospitals to assess depression, GA, and associated risk factors. A follow-up survey was carried out at 6 ( n = 273, group 1), 12 ( n = 198, group 2), or 18 months ( n = 105, group 3) post-cataract surgery. Variations in the intensity of depression and GA were assessed using multiple classification analysis (MCA). Results: A total of 576 patients completed both baseline and follow-up assessments. The mean (SD) depression score was 25.6 (8.5) before surgery and 8.6 (7.7), 9.9 (7), and 9.8 (6.8), respectively, post-surgery for the three groups on the Center for Epidemiologic Studies Depression scale (CES-D). The mean GA score was 6.7 (4.2) at baseline and 1.1 (2.3), 1 (1.8), and 0.6 (1.3) after surgery on the Generalized Anxiety Disorder scale (GAD-7). MCA showed that factors with the highest impact on the mean change scores for both depressive and GA symptoms were restoration of vision post-surgery ( β = 0.381 and 0.185) in group 1, regaining functional independence and female sex in group 2 ( β = 0.192 and 0.23), and the presence of ocular comorbidities in the fellow eye ( β = 0.36 and 0.315) in group 3. Conclusion: Mental health symptoms improved significantly post-cataract surgery across the three groups. The urgent need to invest in strategies that enable early cataract case detection and treat ocular anomalies in the fellow eye is highlighted.

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Section: Discussionmentioning

confidence: 99%

A Multisite Longitudinal Investigation of Psychological Outcomes Following Cataract Surgery in India

Kumar,

Vishwakarma,

Ranpise

et al. 2023

Indian Journal of Psychological Medicine

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“…Sample size calculations were powered to detect a 10% improvement in VFQoL 6 months postcataract surgery based on previous study findings. [ 8 , 11 ] The mean VFQoL scores decreased from 76.65 before surgery to 68.5 at follow-up,[ 8 , 11 ] with two-sided statistical significance of 5% and 90% power, 32 patients would be required from each participating hospital with a cumulative sample of 575 participants from all 17 participating hospitals. This was increased to 747 to account for a 30% loss to follow-up in a longitudinal study.…”

Section: Methodsmentioning

confidence: 99%

“…This scale was previously used to assess VFQoL in ophthalmic patients suffering from cataracts including among the Indian adult populations. [ 8 , 11 ] The WHO/PBD VF20, was translated into the local languages for use by the researchers, and then was back-translated and field-tested to ensure proper readability. If the option on visual task was not applicable, it was also mentioned.…”

Section: Methodsmentioning

confidence: 99%

“…[ 3 ] Several studies in the past have looked at the impact of cataract surgery on the QoL of patients. [ 7 8 9 10 11 12 ] While most of these studies attributed the improvements in QoL to clinical parameters such as timely cataract surgery, type, technique, quality of surgery, and the presence of preexisting ocular comorbidities,[ 7 , 9 , 10 ] there is currently insufficient evidence linking changes in QoL to the ethnographic parameters. Socioeconomics, intrapersonal influences, and choices do impact the QoL and well-being of patients.…”

Section: Introductionmentioning

confidence: 99%

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Spectacle compliance postcataract surgery significantly improved vision function-related quality of life of adult patients in India: Evidence from a multicenter longitudinal cohort study

Prem Kumar,

Vishwakarma,

Sundararaj

et al. 2023

Oman J Ophthalmol

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BACKGROUND: Cataract is the leading cause of avoidable blindness globally. This study aims to measure the changes in Vision function-related quality of life (VFQoL) before and after cataract surgery and identify the predictors of an improvement in these outcomes. METHODS: A multicenter, longitudinal cohort study was conducted. Patients with first eye cataracts were interviewed before and 6 months after cataract surgery. Multiple classification analysis (MCA) was performed to assess variation in the intensities of mean change scores for general function, psychosocial impact, and visual function with select factors. RESULTS: A total of 747 participated in the baseline assessment. The 6-month follow-up rate was 86.5%. The mean general function, psychosocial impact, and visual function scores were 35.3 (±8.6), 12.5 (±3.4), and 8.3 (±3) in the baseline and 17 (±5.3), 6 (±2.2) and 3.8 (±1.3) in the follow-up assessments, respectively. In MCA, patients using spectacles postsurgery (β 0.111) and those having a very good postoperative visual acuity (β 0.098) had the most impact on general function. Patients reporting no ocular complaints postsurgery had a relatively higher effect on the psychosocial impact, (β 0.168) and similarly, patients using spectacles postsurgery and those aged 70 and older had the most impact on the visual function scores (β 0.146 and 0.126), respectively. CONCLUSION: Cataract surgery is associated with meaningful improvements in vision and VFQoL in general. The determinants of better VFQoL include the usage of spectacles postsurgery. Strategies to further improve patient participation in postoperative review visits are needed for spectacle provision and patient education regarding spectacle use and compliance is imparted during such visits.

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Depressive and generalized anxiety symptoms in adults awaiting cataract surgery in India

Kumar¹,

Ranpise²,

Chavan³

et al. 2023

NMJI

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Background Systematic data on mental health issues among adults awaiting cataract treatment are not readily available in India. We explored the prevalence and predictors of depressive and generalized anxiety (GA) symptoms in a cohort of adults awaiting cataract surgery. Methods Our study is based on data from baseline assessments which were conducted as part of a multicentre prospective, longitudinal cohort study. Subjects were recruited from four eye hospitals to assess depression and GA and associated risk factors using standardized scales, i.e. Center for Epidemiologic Studies–Depression Scale (CES-D) and Generalised Anxiety Disorder (GAD-7). Variation in the intensity of depression and GA was assessed using multiple classification analysis (MCA). Results A total of 813 adults awaiting cataract surgery participated, of whom 456 (56.1%) were men. The mean (SD) CES-D and GAD-7 scores were 24.6 (7.8) and 6.3 (SD 4.2) for men and 25.8 (8.9) and 6.9 (4.4) for women, respectively. The overall prevalence of depression score of >16 was 87.4% (95% confidence interval [CI] 84.7%– 89.6%), and GA score of >10 was 57.1% (95% CI 53.5%–60.7%). The prevalence of comorbid depressive and anxiety symptoms was 56.6% (95% CI 52.9%– 60.2%). MCA showed that being neglected and mistreated by family/friends because of vision condition and facing difficulty and requiring help with daily tasks had the highest effect on the intensity of both depression (beta=0.254 and 0.238, respectively) and GA (beta=0.219 and 0.211, respectively). Conclusion The majority of adults with untreated cataract had both depressive and GA symptoms. These findings could be used for planning mental health interventions for adults awaiting cataract surgery.

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Determinants of vision function related quality of life of patients undergoing unilateral cataract surgical services in charitable hospitals in India: a multicentre prospective cohort study

Cited by 3 publications

References 21 publications

A Multisite Longitudinal Investigation of Psychological Outcomes Following Cataract Surgery in India

A Multisite Longitudinal Investigation of Psychological Outcomes Following Cataract Surgery in India

Spectacle compliance postcataract surgery significantly improved vision function-related quality of life of adult patients in India: Evidence from a multicenter longitudinal cohort study

Depressive and generalized anxiety symptoms in adults awaiting cataract surgery in India

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