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Ophthalmology and the Ageing Society pp 141–164Cite as

Cataract and Diabetic Retinopathy: Impact on Quality of Life

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Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

Abstract

This chapter explores the impact of two distinctive ocular conditions, cataract and diabetic retinopathy, and their treatment interventions from the patient’s perspective. We focus on visual functioning, namely, daily activities such as reading, driving etc., as well as the more holistic concept of vision-specific quality of life (VSQoL) which encompasses aspects beyond functioning including emotional well-being, concerns, social interaction, convenience and work. Both conditions may cause severe visual impairment in their late stages which can considerably affect patients’ ability to perform and participate in day-to-day tasks and substantially affect their overall QoL. Cataract is largely reversible due to surgical advances in treatment, and patients tend to report impressive functioning and quality of life (QoL) gains following cataract surgery. Diabetic retinopathy, in contrast, is an irreversible condition with traditional treatment interventions such as laser photocoagulation therapy focussed more on prevention of further visual loss through repeated sessions than restoration of sight. Consequently, the QoL impact of diabetic retinopathy before, during and after treatment interventions remains substantial, although emerging treatments such as anti-vascular endothelial growth factor (VEGF) intraocular injections have shown promise in improving patients’ visual acuity and subsequent VSQoL (Mitchell et al. 2011; Loftus et al. 2011). This chapter draws on our combined expertise in the field of patient-reported outcomes and discusses the impact of these two conditions and their associated treatments on functioning and VSQoL while highlighting some of the remaining uncertainties.

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  1. Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, VIC, Australia

    Ecosse L. Lamoureux & Eva Fenwick

  2. Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore

    Ecosse L. Lamoureux

  3. NHMRC Centre for Clinical Eye Research, Discipline of Optometry and Vision Science, Flinders Medical Centre and Flinders University of South Australia, Adelaide, Australia

    Konrad Pesudovs

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  1. Wilmer Eye Institute, John Hopkins University, N. Wolfe Street 600, Baltimore, 21287-9277, Maryland, USA

    Hendrik P.N. Scholl

  2. Lions Vision Research and Rehabilitation, Wilmer Ophthalmological Institute, John Hopkins University, North Broadway 550, Baltimore, 21205, Maryland, USA

    Robert W. Massof

  3. Wilmer Eye Institute, Dana Center for Preventive Ophthalmology, John Hopkins University, North Wolfe Street 600, Baltimore, 21287, Maryland, USA

    Sheila West

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Lamoureux, E.L., Fenwick, E., Pesudovs, K. (2013). Cataract and Diabetic Retinopathy: Impact on Quality of Life. In: Scholl, H., Massof, R., West, S. (eds) Ophthalmology and the Ageing Society. Essentials in Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36324-5_10

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