Quality of Life in People with Diabetic Retinopathy: Indian Study

Pereira, D; Shah, Ajay; D'Souza, May; Simon, Paul; George, Thomas; D'souza, Nameeth; Suresh, Sarasija; Baliga, Manjeshwar Shrinath

doi:10.7860/jcdr/2017/24496.9686

Cited by 24 publications

(47 citation statements)

References 21 publications

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“…Patients who have been included in this study predominantly had unilateral CSC, which could cause only a slight reduction in VRQOL. Moreover, the visual expectancy could be relatively high in younger patients, which could cause the discrepancy between perception and actual visual function [8]. However, in general, the presence of central serous chorioretinopathy doesn't seem to affect the quality of life much in both acute and chronic state of the disease.…”

Section: Discussionmentioning

confidence: 99%

“…However, in recurrent and chronic cases of CSC, vision may be compromised due to damage to the photoreceptors [1,2] .Vision-related quality of life (VRQOL) can be assessed using the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ25). The reliability and validity of the questionnaire has been established among patients with various other conditions such as age-related macular degeneration, [3,4] retinal venous occlusions, [5] uveitis, [6] retinitis pigmentosa [7], and diabetic retinopathy [8]. Decreased VRQOL has been reported both in acute and chronic CSC [9,10].…”

Section: Introductionmentioning

confidence: 99%

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Stress and vision-related quality of life in acute and chronic central serous chorioretinopathy

et al. 2020

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Background: To compare vision-related quality of life (VRQOL) between acute and chronic Central serous chorioretinopathy (CSC) and correlate this with Cohen's Perceived Stress Scale (PSS) questionnaire. Methods: Patients who were diagnosed with both acute and chronic CSC were recruited in this study. Visionrelated quality of life (VRQOL) was assessed with Rasch revised National Eye Institute Visual Functioning Questionnaire 25 (NEI-VFQ25) and perceived stress with Cohen's PSS questionnaire in 118 subjects with either acute or chronic CSC. The quality of life score was compared between patients with acute and chronic CSC. Correlations between the functional score and visual acuity (VA), stage of CSC, and stress were studied. Results: There was no significant difference in VRQOL between Acute and Chronic CSC. In Acute CSC, affected eye VA correlated significantly with near vision question of the visual function subscale. Better eye VA correlated significantly with distance vision, social function, role limitation and dependency of the socioeconomic subscale. In chronic CSC, affected eye VA correlated with social function question of the socioemotional subscale and the better eye VA correlated with driving and distance vision of the visual function subscale. No other significant correlations with VA were noted. No correlations were observed between outcome of Cohen's PSS questionnaire and NEI-VFQ25 scores of acute and chronic CSC. Conclusion: The VRQOL is similar between acute and chronic CSC. Perceived stress was not found to influence the VRQOL in CSC.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Stress and vision-related quality of life in acute and chronic central serous chorioretinopathy

et al. 2020

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“…Cross-sectional design was the dominant study design in 14 studies. 7,16,[18][19][20][21][22][23][24][25][26][27][28][29] The average of patient age were 62.03 years old. We found a variety of sample characteristics within studies such as grading severity of diabetic DR, comorbidity, complication, other ophthalmic disorder, and treated or untreated retinopathy in both type 1 and type 2 diabetic patients.…”

Section: General Characteristicsmentioning

confidence: 99%

“…Eight studies used a generic measure only, 10 studies used a specific instrument only and 4 studies applied combination instruments (≥2 instruments) among the study population. 18 Two studies used Euro Quality of Life-5 Dimension-5 level (EQ-5D-5L). One of 2 studies revealed that DR/DME group had a lower EQ-5D utility score compared with participants with any DR/DME group (0.80 vs. 0.76; p=0.04) in univariate analysis.…”

Section: Quality Of Life and Quality Of Life Instrumentsmentioning

confidence: 99%

“…Severity of DR in many studies was classified in two categories, PDR and NPDR (mild NPDR, moderate NPDR, and severe NPDR). Severity of DR affected to declining of QoL, were significantly worse off in patients with PDR than those with less severe or no DR. 16,[18][19][20][22][23][24]26,30,35 More severe DR was associated with worse QOL scores on all of the NEI-VFQ-25 and SF-12 subscales (p<0.05). 19 In contrast, a study stated that severity grade of DR had no direct effect on the QOL but an indirect through visual acuity impairment and DME.…”

Section: Severity Of Diabetic Retinopathymentioning

confidence: 99%

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The Impact of Severity, Comorbidities, and Complications on Quality of Life: A Systematic Review in Patient With Diabetic Retinopathy

Yuhara¹,

Magistasari²,

Ikakusumawati³

et al. 2019

Int. Res. J. Pharm.

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People with chronic disease and its complication tend to have a decline in quality of life (QoL), as in the case of diabetic retinopathy (DR). DR severity varies, while concurrent conditions such as comorbidities and complications are common. However the evidence was concern in effect of those factors on QoL is still limited. The aim of this systematic review is to explore QoL in patients with DR by emphasizing on the impact of severity, comorbidity and complication, in order to conceive the profundity of the impact of those factors on QoL. Terms and keywords relevant to QoL and DR were systematically searched using three electronic databases (PubMed, Science Direct, Google Scholar). A total of 172 studies were initially obtained and screened. Further, after the references were reviewed, 22 studies met all the eligibility criteria were finally selected. The included studies involved 6,457 patients in DR and conducted from different countries. Diabetic patients with DR had lower QoL compared to those without DR. Due to increasing number of comorbidity, complication and DR severity, QoL among patients were decreased. Our study showed that increasing number of comorbidity, complication, and severity were associated with poor QoL. Several medical interventions could improve the QoL. This study provides new evidence of factors related to QoL for clinicians and policy makers, hence intervention was needed accordingly to prevent occurrence and worsening the progress on those factors in patient with DR.

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Diabetic Retinopathy and Quality of Life

Zayed,

Karsan,

Peto

et al. 2024

JAMA Ophthalmol

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ImportanceThe association between diabetic retinopathy (DR) and quality of life (QoL) has not been thoroughly investigated.ObjectiveTo investigate the association between DR and both vision-related QoL (VRQoL) and general health-related QoL (HRQoL).Data SourcesMEDLINE, EBSCO, Embase, and Web of Science were searched from their inception to April 2022.Study SelectionStudies included adults with DR and a measure of QoL.Data Extraction and SynthesisPreferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Two assumption-free meta-analyses were conducted. Analysis 1 included studies with participants without DR as the referent group to which QoL scores of participants with DR, grouped according to DR severity, were compared. Analysis 2 included all studies with participants with DR and a measure of QoL. QoL scores were pooled within categories of DR severity, and comparisons were made between these categories.Main Outcome and MeasuresQoL measured using HRQoL and VRQoL scales.ResultsA total of 93 articles were included: 79 in the meta-analyses and 14 in the narrative results. VRQoL was recorded in 54 studies, HRQoL in 26, and both in 13 studies. The most commonly used scales were the National Eye Institute 25-item Visual Function Questionnaire (VFQ-25) (n = 49) for VRQoL and the Short Form (SF) Health Survey (n = 18) for HRQoL. Thirty-five studies reported VFQ-25 composite scores. Analysis 1 consisted of 8 studies including 1138 participants with DR and 347 participants without DR. Compared with participants without DR, the composite VFQ-25 score was 3.8 (95% CI, 1.0-6.7) points lower in those with non–vision-threatening DR (NVTDR), 12.5 (95% CI, 8.5-16.5) lower in those with any DR, and 25.1 (95% CI, 22.8-27.2) lower in VTDR (P &lt; .001 for trend). Analysis 2 consisted of 35 studies including 6351 participants with DR. The pooled mean VFQ-25 composite score was 91.8 (95% CI, 91.0-92.7) for participants with NVTDR, 77.6 (95% CI, 76.9-78.3) for any DR, and 73.2 (95% CI, 72.6-73.7) for VTDR (P &lt; .001 for trend). HRQoL scores had weak or no associations with NVTDR and strong associations with VTDR.Conclusions and RelevanceThis study found that VRQoL declined with the presence and severity of DR. Interventions to reduce progression of DR at both early and more advanced stages could improve VRQoL.

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Quality of Life in People with Diabetic Retinopathy: Indian Study

Cited by 24 publications

References 21 publications

Stress and vision-related quality of life in acute and chronic central serous chorioretinopathy

Stress and vision-related quality of life in acute and chronic central serous chorioretinopathy

The Impact of Severity, Comorbidities, and Complications on Quality of Life: A Systematic Review in Patient With Diabetic Retinopathy

Diabetic Retinopathy and Quality of Life

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