Quality of Life After Combined Cataract and Minimally Invasive Glaucoma Surgery in Glaucoma Patients

Ahmed Al Habash,1 Ahmed A Nagshbandi2 1Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Department of Ophthalmology, Prince Mohammed Bin Abdulaziz Hospital in Riyadh, Riyadh, Saudi ArabiaCorresponde...

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Autores principales: Al Habash A, Nagshbandi AA
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2020
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Acceso en línea:https://doaj.org/article/99cc3b575fae41078cdbb67220ef6ee7
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Sumario:Ahmed Al Habash,1 Ahmed A Nagshbandi2 1Department of Ophthalmology, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Department of Ophthalmology, Prince Mohammed Bin Abdulaziz Hospital in Riyadh, Riyadh, Saudi ArabiaCorrespondence: Ahmed Al Habash P.O Box 31010, Khobar 31952, Saudi ArabiaTel +00966507017777Email ahmedalhabash@gmail.comPurpose: To determine the quality of life (QOL) in glaucoma patients undergoing combined cataract and minimally invasive glaucoma surgery from various perspectives ranging from personal, social, occupational life, and economic status.Settings and Design: A cross-sectional study design at King Fahd Hospital of the University, Khobar, Saudi Arabia.Methods: Patients undergoing phacoemulsification in conjunction with various forms of minimally invasive glaucoma surgery (MIGS) for each patient, including either Kahook Dual Blade (KDB) goniotomy, iStent, iStent inject and gonioscopy-assisted transluminal trabeculotomy (GATT), were included in the study between 2018 and 2019. Data were collected through a self-administered questionnaire based on the Visual Function Questionnaire (VFQ-25) for the 25-item National Eye Institute.Results: The study included 93 eyes of 78 patients (40 males and 38 females) who had MIGS: 50 KDB, 13 iStent, 23 iStent inject, and 7 GATT. An overall reduction in the number of anti-glaucoma medications (p< 0.001) was statistically significant. In the study, 36.6% of patients had a better social life, but 85.2% had no change in occupational life. Eventually, 86% were satisfied with the operation’s outcome, and 79% confirmed that the overall quality of life improved after the procedure.Conclusion: Evaluating QOL is a crucial component of glaucoma treatment. More research is needed on MIGS and their relationship to QOL. In the future, MIGS may provide the desired outcomes in controlling glaucoma and improving the QOL.Keywords: glaucoma, quality of life, goniotomy, Kahook Dual Blade, iStent, iStent inject, gonio-assisted transluminal trabeculotomy, combined phacoemulsification, MIGS, Schlemm’s canal