In:
Current Aging Science, Bentham Science Publishers Ltd., Vol. 15, No. 2 ( 2022-07), p. 147-162
Abstract:
Primary Open-Angle Glaucoma (POAG) is an age-related chronic optic
neuropathy causing progressive constriction of visual field, which compromised quality of life (QoL) of older adults. Objective : The study aims to determine the QoL according to the severity of visual field using Bahasa
Malaysia version of the Glaucoma Quality of Life- 36 (Glau-QoL 36) in older adults with POAG in Malaysia. Methods: A cross-sectional study was conducted in two tertiary hospitals in Malaysia: Hospital
Universiti Sains Malaysia, Kelantan, and Hospital Selayang, Selangor. POAG patients who were ≥ 60 years old at the time of recruitment had minimal cataract, underwent cataract or trabeculectomy
surgery at least 3 months prior and were on medical and surgical treatment. The severity of POAG was based on the modified Advanced Glaucoma Intervention Study (AGIS) score on two reliable
reproducible Humphrey visual field SITA program 24-2 analysis. Face to face, one-on-one interview was conducted using validated Bahasa Malaysia version of GlauQol 36. Results : A total of 360 older adults with POAG were recruited. Majority were between ages 60-67
(38.3%) with 64 (17.8%) mild, 93 (25.8%) moderate, 115 (31.9%) severe POAG and 88 (24.4%) end-stage severity of POAG. The majority of the recruited patients were not working (88.9%) and
live with their families (68.1%). There was a significant association between GlauQoL 36 score of all domains: daily living, driving, physiological well-being, self-image, anxiety, burden of treatment
and confidence in healthcare with the severity of POAG (p 〈 0.001). Increased severity of
POAG was associated with decreased QoL in all GlauQoL 36 domains except confidence in healthcare. There was also a significant increase in dependency, with a majority of the end-stage were living with their families (p 〈 0.001). Conclusions: QoL and independency of older adults with POAG decrease with worsening of visual
field defect. Addressing the problem of visual-related activities in older adults with POAG may reduce their dependency and improve QoL. Happy living is important to lead to healthy living among
older adults with POAG.
Type of Medium:
Online Resource
ISSN:
1874-6098
DOI:
10.2174/1874609814666210903155251
Language:
English
Publisher:
Bentham Science Publishers Ltd.
Publication Date:
2022
Bookmarklink