title: Vision-related Quality of Life Outcomes of Cataract Surgery in Advanced Glaucoma Patients.
abstract: OBJECTIVE
  To demonstrate longitudinal postoperative vision-related quality of life and visual acuity changes after cataract surgery in advanced glaucoma patients.
  
  
  METHODS
  In total, 93 patients who underwent cataract surgeries were collected from June 2010 through June 2013 in Shanghai First People's Hospital, Shanghai Jiao Tong University, and were followed up for at least 3 months. Patients with advanced glaucoma, here defined as near total cupping of the optic nerve with severe visual field loss within 10 degrees of fixation, were enrolled. A standard phacoemulsification technique with the insertion of an intraocular lens was used. No complications occurred intraoperatively or postoperatively. Preoperative and 3-month postoperative vision-related quality of life were assessed in face-to-face interviews. The Chinese-version of the Low Vision Quality of Life Questionnaire (CLVQOL) was used. Wilcoxon signed-rank test was used to compare the differences in the best-corrected visual acuity (BCVA), weighted average LogMAR (WMAR), and CLVQOL scores. A binary logistic regression analysis was conducted to explore the potential factors associated with the change in CLVQOL scores.
  
  
  RESULTS
  The overall changes in the CLVQOL composite scores ranged between 4 and 42 (median=19). Statistically significant increases occurred in the composite scores of all of the subscales, the total CLVQOL, the BCVA in the surgery eye, and the WMAR (all P<0.001). Greater increases in the CLVQOL composite scores was associated with superior preoperative WMAR (odds ratio: 9.920, P<0.05), and age below 60 years (odds ratio: 9.905, P<0.05).
  
  
  CONCLUSIONS
  Cataract surgery should be recommended for advanced glaucoma patients with stable intraocular pressure.
authors.affiliation: *Department of Ophthalmology, Shanghai General Hospital of Nanjing Medical University †Department of Preventative Ophthalmology, Shanghai Eye Disease Prevention and Treatment Center, Shanghai, China.
authors.forename: Xian
authors.initials: X
authors.lastname: Xu
authors.forename: Qian
authors.initials: Q
authors.lastname: Sun
authors.forename: Ying-Yan
authors.initials: YY
authors.lastname: Ma
authors.forename: Hai-Dong
authors.initials: HD
authors.lastname: Zou
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D015812:Glaucoma, Angle-Closure / Q000523:psychology*; D005902:Glaucoma, Open-Angle / Q000523:psychology*; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011184:Postoperative Period; D019591:Pseudophakia / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires; D014792:Visual Acuity / Q000502:physiology*