Document Detail


The assessment of disability related to vision performance-based measure in diabetic retinopathy.
MedLine Citation:
PMID:  20399929     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To validate a third-generation performance-based measure of visual function titled "Assessment of Disability Related to Vision" (ADREV) in a study population of patients with diabetic retinopathy. DESIGN: Prospective, cross-sectional study. METHODS: Patients with nonproliferative or proliferative diabetic retinopathy, free from ocular comorbidity, were recruited from a single institute and completed the ADREV, the 25-Item National Eye Institute Visual Functioning Questionnaire (VFQ-25), and a clinical ophthalmic examination. Correlation, regression, and bootstrap analysis were conducted to determine the relationship between ADREV scoring and each of the study's clinical and self-report measures of visual ability, while controlling for potential confounders. RESULTS: Ninety-one patients with diabetic retinopathy completed the study and analysis showed that the ADREV total and subscale scores shared a stronger relationship with the clinical measures of visual function than did the VFQ total and subscale scores. Regression analysis revealed that binocular visual acuity, contrast sensitivity, and better eye visual field were the best predictors of ADREV performance. CONCLUSIONS: The ADREV performance measure is a valid instrument for the assessment of disability related to vision in patients with diabetic retinopathy. Furthermore, the assessments provided by ADREV were more related to traditional clinical indicators of visual impairment than were the results of the self-report measure, specifically the VFQ-25.
Authors:
Kevin J Warrian; Luciano L Lorenzana; Dara Lankaranian; Jyoti Dugar; Sheryl S Wizov; George L Spaeth
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Validation Studies    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  149     ISSN:  1879-1891     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-19     Completed Date:  2010-05-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  852-60.e1     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Glaucoma Research Center, William and Anna Goldberg Glaucoma Service, Wills Eye Institute, Philadelphia, Pennsylvania, USA. kevinjwarrian@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Comorbidity
Contrast Sensitivity / physiology
Cross-Sectional Studies
Diabetic Retinopathy / diagnosis*
Disability Evaluation*
Female
Humans
Male
Middle Aged
Prospective Studies
Quality of Life
Questionnaires
Sickness Impact Profile*
Vision Disorders / diagnosis*
Vision, Binocular / physiology
Visual Acuity / physiology
Visually Impaired Persons*

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


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