Visual Field Abnormality and Quality of Life of Patient with Primary Open Angle Glaucoma
ABSTRACT: The objective of the
study is to evaluate patient's self-reported visual disability resulting from
glaucoma by means of a questionnaire, to measure the severity of visual field
loss in glaucoma patients, and to assess the relationship between objective
measures ofvisual function (binocular perimetric mean deviation (MD) values)
and patients' perception of their vision-related quality of life. This was an analytic
observational cross sectional study conducted in March–April 2010 in Outpatient
Eye Clinic Dr. Soetomo General Hospital. Twenty patients were randomly
selected, and underwent a comprehensive clinical examination, Humphrey
perimetry examination (binocular perimetric mean deviation (MD) values) and
completed the Glaucoma Quality of Life-15 Questionnaire, then based on the
severity of visual field loss were classified into three groups, with early
visual field loss (n = 4), moderate visual field loss (n = 4), and advanced
visual field loss (n = 12). An overall statistically significant decrease in
performance-related quality of life was noted in all groups of glaucoma
patients, in early visual field loss overall visual performance decreased to
69.34%, moderate visual field loss to 56.67% and advanced visual field loss to
45.36%. A significant relationship was found between the scale questionnaire summary
performance measure with binocular perimetric mean deviation (MD) values (r =
–0.948 with p = 0.000 (p < 0.05). A measure of visual field loss was
associated most strongly with dark adaptation and glare disability, (r = –0.914
and p = 0.000 (p < 0.05)). There is a significant relationship between the
scale questionnaire summary performance measure with binocular perimetric mean
deviation, which means there is a strong relationship between visual field loss
in glaucoma patients with their quality oflife.
Penulis: Dewi Rosalina, Harijo
Wahjudi
Kode Jurnal: jpkedokterandd110022
