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Research Article Open access CC BY 4.0

Vision-related Quality of Life among Adult Patients with Visual Impairment at a Tertiary Eye Centre, South-South Nigeria

Ernest I. Ezeh, Roseline N. Ezeh

Asian Journal of Medicine and Health · pp. 37–48 · Published 30 Jul 2020

10.9734/ajmah/2020/v18i830229

Abstract

Aim: To determine the vision-related quality of life (VRQOL) and associated factors among adult patients with visual impairment. Study Design: It was a cross-sectional study. Place and Duration of Study: Department of Ophthalmology, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria, between August 2015 and March 2016. Methodology: We consecutively recruited 270 patients aged 18 to 90 years with visual impairment. Presenting visual acuity was assessed to determine the degree of visual impairment, anterior segment and posterior segment examinations as well as refraction were done to establish clinical diagnosis, and an interviewer National Eye Institute’s 25-itemVisual Functioning Questionnaire (NEI-VFQ-25) was administered to estimate the vision-related quality of life (VRQOL). Data was entered into and analyzed with SPSS for Windows version 20. Descriptive statistics such as frequency, mean, standard deviation, and range with 95% confidence interval were calculated and the Chi square (χ2) test for categorical variables and the Student’s t-test for continuous variables were used for test of significance, p value <0.05. ANOVA test, including Post-hoc analysis were used to determine associations between categorical and numerical variables at p value <0.05. Results: A total of 270 study subjects participated in the study. The study participants included 152(56.3%) males and 118(43.7%) females, with Mean age ± SD was 51.07±16.91 years.  Based on the intra study categorization of VRQOL among the study participants, most (85.6%) had good VRQOL. However, the overall mean VRQOL score was remarkably low 41.23±22.87. The proportion of poor VRQOL was 39 (14.4%). The poor VRQOL was significantly associated with blindness 11.60±19.10 (p < 0.001). Age ≥80 years [44.0(95% CI: 27.4-60.7)], rural residents [64.9(95% CI: 58.7-71.1)], no formal education [48.5(95% CI: 33.5-63.5)] and widowhood [48.0(95% CI: 32.4-60.7)] had statistically significant association with low mean VRQOL scores. Conclusion: Above three-fourth of the participants had good VRQOL, with reference to the categorization of in this study. However, the overall mean VRQOL score was remarkably low. Blindness, older age, rural residency, illiteracy, widowhood, agricultural workers and Ibo ethnicity had a statistically significant association with low vision-related quality of life.

Vision-related quality of life visual impairment adults visual acuity blindness

References (29)

  1. 1 Global estimates of visual impairment: 2010 [DOI]
  2. 2 Psychometric Properties of the National Eye Institute Visual Function Questionnaire (NEI-VFQ) [DOI]
  3. 3 Identifying the content area for the 51-item National Eye Institute Visual Function Questionnaire: results from focus groups with visually impaired persons. [DOI]
  4. 4 Vision and quality-of-life.
  5. 5 Visual Impairment and Quality of Life Among Older Adults: An Examination of Explanations for the Relationship [DOI]
  6. 6 The impact of visual impairment and eye disease on vision-related quality of life in a Mexican-American population: proyecto VER.
  7. 7 Rapid Assessment of Avoidable Blindness in Nakuru District, Kenya [DOI]
  8. 8 Prevalence and causes of blindness and Low Vision in Ethiopia [DOI]
  9. 9 Prevalence and causes of blindness and visual impairment in Bangladeshi adults: results of the National Blindness and Low Vision Survey of Bangladesh [DOI]
  10. 10 Visual acuity and quality of life outcomes in patients with cataract in Shunyi County, China [DOI]
  11. 11 Visual acuity and quality of life outcomes in cataract surgery patients in Hong Kong [DOI]
  12. 12 Development of a vision‐related quality of life instrument for children ages 8–18 years for use in juvenile idiopathic arthritis–associated uveitis [DOI]
  13. 13 Aspects of vision loss – visual functions and functional vision [DOI]
  14. 14 Prevalence and causes of blindness and visual impairment in Limbe urban area, South West Province, Cameroon [DOI]
  15. 15 Questionnaires for measuring cataract surgery outcomes [DOI]
  16. 16 Impact of self-reported visual impairment on quality of life in the Ibadan study of ageing [DOI]
  17. 17 Quality of life in patients with visual impairment in Ibadan: a clinical study in primary care [DOI]
  18. 18 The Impact of Visual and Nonvisual Factors on Quality of Life and Adaptation in Adults with Visual Impairment [DOI]
  19. 19 Quality of life and visual function in Nigeria: findings from the National Survey of Blindness and Visual Impairment [DOI]
  20. 20 Using the real-life vision test to assess the functional vision of age-related cataract patients [DOI]
  21. 21 Visual functioning and quality of life outcomes among cataract operated and unoperated blind populations in Nepal [DOI]
  22. 22 Blindness and visual impairment in a region endemic for onchocerciasis in the Central African Republic [DOI]
  23. 23 Prevalence of blindness in people over 40 years in the Volta region of Ghana [DOI]
  24. 24 The population situation in cross River State of Nigeria and its implication for socio-economic development : observations from the 1991 and 2006 censuses
  25. 25 Causes of Blindness in Southwestern Nigeria: A General Hospital Clinic Study [DOI]
  26. 26 Blindness and visual impairment in Remo, Ogun State, Nigeria: A hospital-based study [DOI]
  27. 27 Causes of blindness and low vision in Bayelsa State, Nigeria: a clinic based study.
  28. 28 A New Condition Specific Quality of Life Measure for the Blind and the Partially Sighted in Sub-Saharan Africa, the IOTAQOL : Methodological Aspects of the Development Procedure [DOI]
  29. 29 Blindness and visual impairment in north central Nigeria: a hospital based study [DOI]

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