Document Detail


Quality of life after postoperative endophthalmitis.
MedLine Citation:
PMID:  18954314     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The aim of this study is to determine if postoperative endophthalmitis adversely affects quality of life after cataract surgery. METHODS: We compared quality of life in patients who developed endophthalmitis after cataract surgery between 1 January and 31 December 2003 with those who had uncomplicated surgery. The National Eye Institute VFQ-25 (VFQ-25) and EuroQol EQ-5D (EQ-5D) questionnaires and time trade-off utility scores were used to compare self-perceived general health and vision-related quality of life between groups. Linear regression was used to model differences between groups after adjusting for age, gender and visual acuity in the better eye. RESULTS: Nineteen postoperative endophthalmitis cases were compared with 30 who had uncomplicated cataract surgery. Following surgery the mean composite VFQ-25 score was 13.5% (95% confidence interval [CI]: 6.0-26.4, P < 0.01) lower in endophthalmitis cases. Endophthalmitis patients reported significantly lower (P < 0.05) general vision, near vision, peripheral vision, mental health and role difficulties subscales scores after adjusting for age, sex and visual acuity. No significant differences were found in other subscales. Mean time trade-off utility and all EQ-5D scores were similar except for mobility (95% CI: 0.04-0.68, P < 0.05). CONCLUSIONS: Endophthalmitis after cataract surgery negatively impacts on self-perceived vision-related quality of life, resulting in poorer psychological well-being and ability to maintain a role in daily life.
Authors:
Antony Clark; Jonathon Q Ng; Nigel Morlet; Elisabeth Tropiano; Priya Mahendran; Katrina Spilsbury; David Preen; James B Semmens
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical & experimental ophthalmology     Volume:  36     ISSN:  1442-9071     ISO Abbreviation:  Clin. Experiment. Ophthalmol.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-10-28     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896531     Medline TA:  Clin Experiment Ophthalmol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  526-31     Citation Subset:  IM    
Affiliation:
Centre for Population Health Research, School of Public Health, Curtin University of Technology, Perth, Australia.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cataract Extraction / adverse effects*
Endophthalmitis / etiology,  physiopathology*,  psychology*
Female
Humans
Linear Models
Male
Mental Health
Mobility Limitation
Quality of Life*
Questionnaires
Visual Acuity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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