Patients with POAG have lower social functioning, dependency

06 September 2022

1 minute read



Chun YS, et al. J Glaucoma. 2022;doi:10.1097/IJG.0000000000002007.

Disclosures: The authors report no relevant financial information.

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According to a study published in the Glaucoma Diary.

“There are no reports in the literature indicating whether there is a difference in [quality of life] between patients with [normal tension glaucoma] and those with [primary open-angle glaucoma]”, Yeoun Sook Chun MD, PhD, from the department of ophthalmology at Chung-Ang University College of Medicine in Seoul, and colleagues wrote. “If there is a difference, it could be important for planning, counseling and vision rehabilitation in each disease group.”

older glaucoma

Seeking to compare vision-related quality of life (QOL) between the two groups, Chun and colleagues used survey results from the LIGHT study, which measured quality of life using the version self-reported National Eye Institute visual function questionnaire.

Researchers analyzed clinical, demographic, and socioeconomic data from 506 patients with normal tension glaucoma (NTG) and 287 patients with primary open-angle glaucoma (POAG) and used propensity score matching to account for various confounding factors. They also measured the integrated binocular visual field (IVF) for each participant.

After a 2:1 match, researchers compared 387 patients with NTG and 238 with POAG and reported no statistically significant differences in eye pain, short and long distance activities, mental health, role difficulties, driving ability and overall composite score between groups.

However, patients with POAG had significantly poorer social functioning (P = .016) and dependency (P = 0.026) compared to patients with NTG.

Although the researchers reported no difference in the mean value of the IVF gap between the two groups, they noted that the upper center was worse in the NTG patients compared to those in the POAG group, while the values lower IVF rates were worse in the POAG group.

Because social functioning involves eye contact when interacting with others, Chun and colleagues hypothesized that lower field deficit, as seen in POAG patients, likely affects the ability to an individual to participate in social activities. Similarly, the lowest lower FIV values ​​in patients with POAG were also related to addiction, or a person’s need to stay home or rely on others for help in because of his sight.

“Confirmation of our current findings in a large-scale study will help improve treatment planning, counseling, and vision rehabilitation for patients with glaucoma,” Chun and colleagues wrote.

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