June 2023
Volume 64, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2023
Effects of Reading Speed and Driving in the Quality of Life in Glaucoma Patients.
Author Affiliations & Notes
  • Chiamaka Ruth Udedibor
    Glaucoma, Johns Hopkins University, Baltimore, Maryland, United States
  • Chhavi Saini
    Glaucoma, Johns Hopkins University, Baltimore, Maryland, United States
  • Aleksandra Mihailovic
    Glaucoma, Johns Hopkins University, Baltimore, Maryland, United States
  • Pradeep Y Ramulu
    Glaucoma, Johns Hopkins University, Baltimore, Maryland, United States
  • Footnotes
    Commercial Relationships   Chiamaka Udedibor None; Chhavi Saini None; Aleksandra Mihailovic None; Pradeep Ramulu None
  • Footnotes
    Support  EY022976
Investigative Ophthalmology & Visual Science June 2023, Vol.64, 4227. doi:
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      Chiamaka Ruth Udedibor, Chhavi Saini, Aleksandra Mihailovic, Pradeep Y Ramulu; Effects of Reading Speed and Driving in the Quality of Life in Glaucoma Patients.. Invest. Ophthalmol. Vis. Sci. 2023;64(8):4227.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To determine the association between functional measures of reading speed and driving with self-reported quality of life (QOL) in Glaucoma patients.

Methods : Participants with a diagnosis of glaucoma or suspected glaucoma, aged 60 years or older were prospectively enrolled in this observational study. Glaucoma Quality of Life was assessed using a standard questionnaire (GQL-15) and Rasch analyzed to create an ability score. Reading speed was measured using the MNRead charts. Maximum reading speed in words per minute was calculated using nonlinear mixed effects models. Driving cessation, driving limitation and vision attributable driving limitation were reported by study participants as a part of a questionnaire. The association between reading speed and driving metrics with glaucoma quality of life score was assessed using linear regression models. Models controlled for age, race, gender, polypharmacy, comorbidities, and integrated visual field sensitivities.

Results : Of the 245 participants included, 51% were males and 29% identified as Black. The Mean age was 71±7.6 years. Those who reported not driving had significantly worse GQL (beta=1.07 logits, 95% confidence interval (CI): 0.46-1.68, p=0.001) as compared to those who reported driving. Those who reported driving with 3 and 4 or more limitations also had significantly worse quality of life than those driving without any limitations (beta=0.76 logits, 95% CI: 0.02-1.50, p=0.04 and beta=1.15 logit, 95% CI: 0.52-1.78, p<0.001, respectively). Further, those who reported driving with 1 and 2 or more vision attributable limitations had significantly worse quality of life than those driving without any vision related limitations (beta=0.91 logits, 95% CI: 0.24-1.58, p=0.008 and beta=1.73 logit, 95% CI: 0.85-2.62, p<0.001, respectively). On the contrary, reading speed did not appear to affect GQL (p=0.64).

Conclusions : Driving appears to have a strong impact on the quality of life for patients with glaucoma. It has a particularly strong impact on those who report vision-related limitations. Exploring this relationship further may lead to helpful information for rehabilitation of those living with visual impairment.

This abstract was presented at the 2023 ARVO Annual Meeting, held in New Orleans, LA, April 23-27, 2023.

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