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Tulay Cakiner-Egilmez, Abhishek R Payal, Luis A Gonzalez, Amy Chomsky, David E Vollman, Elizabeth Baze, Mary G Lawrence, Mary K Daly; Visual outcomes and vision-related quality of life in veterans with hearing impairment: Results from the Veterans Affairs Ophthalmic Surgery Outcomes Data Project. Invest. Ophthalmol. Vis. Sci. 2016;57(12):2008.
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© ARVO (1962-2015); The Authors (2016-present)
To analyze visual acuity outcomes and functional visual improvement after cataract surgery in veterans who have a history of hearing impairment.
We analyzed 3154 of 4,923 cataract surgery cases, either without (Group A) or with hearing impairment (Group B), who completed both pre- and postoperative National Eye Institute-Visual Function Questionnaire (NEI-VFQ 25), in the Veterans Affairs (VA) Ophthalmic Surgical Outcomes Data (OSOD) Project. The two groups were compared on best-corrected visual acuity (BCVA, logMAR scale) and all NEI-VFQ 25 subscales. Data were analyzed using analysis of variance and nonparametric tests. Correlation was estimated using Pearson’s correlation coefficient.
2473 (78.4%) of 3154 cases were in Group A, 675 (21.4%) cases were in Group B, and 6 (0.2%) had missing data. BCVA improved significantly from pre-to post-surgery in Group A (0.08 ± 0.23, P<.0001) and in Group B (0.09 ± 0.21, P<.0001). BCVA improved more in Group A than in Group B from pre-to post-surgery (P=.0014). However, hearing impairment did not increase the risk of postoperative BCVA worse than 20/40 compared to Group A (B: 7.7% vs A: 6.4%, OR 1.27, 95% CI 0.89 – 1.78, P=0.18, adjusted for systemic comorbidities).VFQ composite scores increased significantly from pre- to post-surgery in Group A (84.02 ± 16.9, P<.0001), as well as in Group B (81.58 ± 17.7, P<.0001). The improvement in VFQ composite scores in Group A was comparable to improvement in Group B (P=.21). In both groups, the improvement in BCVA correlated significantly with improvement in VFQ composite scores (Pearson’s r =0.16, P<.0001 for both)
Cataract surgery offers significant improvement in vision and vision-related quality of life (VRQoL) for eyes in both groups. Veterans without hearing impairments may benefit more in terms of visual acuity, but both groups experience comparable improvements in VRQoL.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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