Latif Kareem, Nishida Takashi, Moghimi Sasan, Weinreb Robert N
Viterbi Family Department of Ophthalmology, Hamilton Glaucoma Center, Shiley Eye Institute, University of California, 9500 Campus Point Drive, La Jolla,, San Diego, CA, 92093-0946, USA.
School of Medicine, California University of Science and Medicine, Colton, CA, USA.
Graefes Arch Clin Exp Ophthalmol. 2023 Oct;261(10):3023-3030. doi: 10.1007/s00417-023-06050-z. Epub 2023 Apr 5.
An essential goal of glaucoma management is to prevent a patient's visual impairment that compromises their health-related quality of life (QOL). The disease itself, in addition to the medical or surgical treatment, can have a large impact on one's life. We aim to briefly review and evaluate aspects of QOL in glaucoma.
The PubMed database was utilized for the literature examination of this review. Keywords that were searched included glaucoma, quality of life, vision-related QOL (VRQOL), quality of life questionnaire, and glaucoma therapy.
The main topics identified and analyzed during the literature review stages include factors affecting VRQOL, the assessment of VRQOL using questionnaires, QOL in early and severe glaucoma, glaucoma and activities of daily living, glaucoma treatments, and new advances in clinically assessing QOL. The study findings indicate a relationship between the deterioration of visual field and the quality of life. The investigation shows that visual loss can result in a range of daily life challenges, which include compromised mental health status and difficulties with driving, reading, and recognizing people.
Glaucoma-induced visual field loss can significantly impact different aspects of patients' life, and several methods exist for evaluating changes in quality of life. Quality of life assessments have their limitations as they are subjective. As potential future steps, we suggest exploring technological advancements such as virtual reality to improve patient care and outcomes.
青光眼治疗的一个重要目标是防止患者出现视力损害，因为这种损害会影响其与健康相关的生活质量（QOL）。除了医疗或手术治疗外，青光眼本身也会对患者的生活产生重大影响。我们旨在简要回顾和评估青光眼患者生活质量的各个方面。
本综述利用PubMed数据库进行文献检索。检索的关键词包括青光眼、生活质量、视力相关生活质量（VRQOL）、生活质量问卷和青光眼治疗。
在文献综述阶段确定并分析的主要主题包括影响VRQOL的因素、使用问卷评估VRQOL、早期和重度青光眼患者的生活质量、青光眼与日常生活活动、青光眼治疗以及临床评估生活质量的新进展。研究结果表明视野恶化与生活质量之间存在关联。调查显示，视力丧失会导致一系列日常生活挑战，包括心理健康状况受损以及驾驶、阅读和识别他人方面的困难。
青光眼导致的视野缺损会对患者生活的不同方面产生重大影响，并且存在多种评估生活质量变化的方法。生活质量评估存在主观性等局限性。作为未来可能采取的措施，我们建议探索虚拟现实等技术进步，以改善患者护理和治疗效果。
