Associations of Presbyopia With Vision-Targeted Health-Related Quality of Life
- 1 November 2003
- journal article
- research article
- Published by American Medical Association (AMA) in American Journal of Ophthalmology
- Vol. 121 (11), 1577-81
- https://doi.org/10.1001/archopht.121.11.1577
Abstract
Objective To evaluate the associations of presbyopia and its correction, particularly monovision optical correction, with vision-targeted health-related quality of life. Methods The National Eye Institute Refractive Error Quality of Life (NEI-RQL) Instrument was prospectively self-administered by subjects from 6 medical centers in the following age and correction categories: subjects with emmetropia younger than 45 years (n = 75), subjects with emmetropia aged 45 years or older (n = 38), and subjects with ametropia aged 45 years or older without monovision (n = 486) or corrected with monovision (n = 38). Differences in the 13 NEI-RQL Instrument subscale scores among subjects in the 4 groups were examined. The age of 45 years or older was used as a surrogate for presbyopia. Results A comparison of older (age ≥45 years) vs younger (age P<.05). In those aged 45 years or older, correction of presbyopia with monovision was associated with statistically significantly better scores on 3 subscales (expectations, dependence on correction, and appearance) compared with single-vision correction. One subscale (dependence on correction) showed worsening scores with increasing age without adjustment for need or type of correction. Older persons with monovision correction had significantly worse scores than younger subjects with emmetropia on all subscales except suboptimal correction and appearance. Conclusions Presbyopia is associated with worse vision-targeted health-related quality of life compared with younger subjects with emmetropia. Monovision correction of presbyopia is related to some improvements in health-related quality of life, but it is still worse than that for younger subjects with emmetropia in several areas.Keywords
This publication has 6 references indexed in Scilit:
- Comparison of Suppression, Stereoacuity, and Interocular Differences in Visual Acuity in Monovision and Acuvue Bifocal Contact LensesOptometry and Vision Science, 1999
- Bilateral photorefractive keratectomy with intentional unilateral undercorrection in an aircraft pilotJournal of Cataract & Refractive Surgery, 1997
- Success of monovision in presbyopes: Review of the literature and potential applications to refractive surgerySurvey of Ophthalmology, 1996
- Vision and Task Performance with Monovision and Diffractive Bifocal Contact LensesOptometry and Vision Science, 1992
- Peripheral Visual Acuity with Monovision and Other Contact Lens Corrections for PresbyopiaOptometry and Vision Science, 1989
- Monovision Contact Lens Wear and Occupational Task PerformanceOptometry and Vision Science, 1988