›› 2012, Vol. 32 ›› Issue (2): 202-.doi: 10.3969/j.issn.1674-8115.2012.02.017

• Original article (Clinical research) • Previous Articles     Next Articles

Effect and evaluation of dry eye-related symptoms on quality of life after phacoemulsification for cataract

ZHU Ming-ming1, SUN Qian1, HUANG Jian-nan1, ZOU Hai-dong1, MIAO Yu-yu1, YU Yong-fu2   

  1. 1.Department of Ophthalmology, the First People's Hospital, Shanghai Jiaotong University, Shanghai 200080, China；2.Department of Health Statistics and Social Medicine, School of Public Health, Fudan University, Shanghai 200032, China
  • Online:2012-02-28 Published:2012-02-28
  • Supported by:

    Shanghai Key Laboratory for Ocular Fundus Diseases Foundation, 07Z22911

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Abstract:

Objective To investigate the effect and evaluation of dry eye-related symptoms on quality of life after phacoemulsification for cataract. Methods Cross-sectional design was adopted, and 103 patients (103 eyes) undergoing phacoemulsification for cataract were randomly selected. Ninety days after operation, the visual acuity, tear film break up time, fluorescence integral and ocular surface disease index (OSDI) were measured, Schirmer I test was performed, and values of utility were determined with time trade-off (TTO), standard gamble (SG1, SG2), and rating scale (RS) to evaluate the quality of life. Results The values of utility determined by TTO, SG1, SG2, and RS were 0.95±0.11, 0.96±0.50, 0.99±0.06 and 0.80±0.12 respectively, and there were significant differences (P<0.05) among these values of utility except for the pair obtained by TTO and SG1. OSDI and visual acuity were significantly related to the four values of utility, especially that obtained by RS. The values of utility determined by TTO, SG1, SG2 and RS in patients without dry eye-related symptoms (OSDI≤12 points) were higher than those in patients with dry eye-related symptoms (OSDI>12 points), and there were significant differences in the values of utility obtained by RS between patients with dry eye-related symptoms and those without dry eye-related symptoms (P<0.05). Conclusion Dry eye-related symptoms after phacoemulsification for cataract have negative impact on quality of life, and the value of utility measured by RS is more sensitive in evaluating the effect of the disease on quality of life.

Key words: utility, phacoemulsification, dry eye-related symptoms