Blancafort Alias Sergi, Del Campo Carrasco Zoraida, Salvador-Miras Ignacio, Luna Mariné Sabina, Gómez Prieto María José, Liñán Martín Francesca, Salvà Casanovas Antoni
Fundació Salut i Envelliment (Health and Ageing Foundation), Universitat Autònoma de Barcelona (UAB), Barcelona, 08041, Spain.
Service of Ophthalmology, Hospital de Sant Pau, Barcelona, 08025, Spain.
Clin Ophthalmol. 2022 May 27;16:1641-1652. doi: 10.2147/OPTH.S358386. eCollection 2022.
To explore quality of life related with intermediate vision of patients before and after cataract surgery, and to make patients' experience available for the design of future scales that assess visual function related with intermediate distance.
A qualitative research methodology based on thematic content analysis was used to explore vision-related quality of life based on the experiences of patients with cataract. Patients were recruited at the Service of Ophthalmology of the Hospital de Sant Pau (Barcelona, Spain). Data were collected through nineteen semi-structured interviews conducted with patients diagnosed with cataract and implanted with a standard aspheric monofocal intraocular lens (IOL) (Tecnis ZA9003) (n = 6), an enhanced monofocal IOL (Tecnis Eyhance ICB000) (n = 6), and patients from the waiting list (n = 7). The data analysis consisted in coding, aggregation, and theme development of the transcribed audios.
Patients on waiting lists reported difficulty and insecurity in performing daily and meaningful tasks related to near visual ranges (eg: threading a needle, reading price tags), intermediate (eg: using a computer or dialling numbers on a smartphone), and distant (eg: recognizing faces, walking on uneven surfaces). Patients after surgery with the standard IOL reported improvement in performing activities mainly in the distant visual range, but also the need for a better communication with clinical staff to adjust their own expectations on the results of the surgery. Finally, patients implanted with the enhanced IOL reported satisfaction and improved visual function in performing daily activities, especially those related to the intermediate visual range.
Our exploratory study found that patients after cataract surgery with the enhanced IOL reported a better performance in activities that require the intermediate vision. These results will inform the development of scales to assess vision-related quality of life in the intermediate visual range prioritizing outcomes according to patients' daily and meaningful activities.
探讨白内障手术前后患者与中间视力相关的生活质量，并为未来评估与中间距离相关视觉功能的量表设计提供患者体验。
采用基于主题内容分析的定性研究方法，根据白内障患者的经历探讨与视力相关的生活质量。患者在西班牙巴塞罗那圣保禄医院眼科招募。通过对19名被诊断为白内障并植入标准非球面单焦点人工晶状体（IOL）（Tecnis ZA9003）（n = 6）、增强型单焦点IOL（Tecnis Eyhance ICB000）（n = 6）的患者以及候补名单上的患者（n = 7）进行半结构化访谈收集数据。数据分析包括对转录音频进行编码、汇总和主题开发。
候补名单上的患者在进行与近视力范围（如穿针、看价格标签）、中间视力范围（如使用电脑或在智能手机上拨号）和远视力范围（如识别面孔、在不平坦表面行走）相关的日常和有意义任务时报告有困难和不安全感。接受标准IOL手术后的患者报告主要在远视力范围内进行活动有所改善，但也需要与临床工作人员更好地沟通，以调整自己对手术结果的期望。最后，植入增强型IOL的患者在进行日常活动，尤其是与中间视力范围相关的活动时报告满意度和视觉功能有所改善。
我们的探索性研究发现，植入增强型IOL的白内障手术后患者在需要中间视力的活动中表现更好。这些结果将为评估中间视力范围内与视力相关生活质量的量表开发提供参考，根据患者的日常和有意义活动确定优先结果。
