Improving Outcomes for Patients with Age-Related Macular Degeneration and Cataracts: The Importance of Including an Assessment of Activities of Daily Life (ADL)

Andreas F Borkenstein,1 Eva-Maria Borkenstein,1 Sara Persson,2 Gustav Muus,3 Niels V Nielsen3 1Borkenstein & Borkenstein, Private Practice at Privatklinik der Kreuzschwestern Graz, Graz, 8010, Austria; 2Skånes universitetssjukhus Malmö, Malmö, 214 28, Sweden; 3Øjenhospitalet Danmark, Charlottenl...

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Autores principales:	Borkenstein AF, Borkenstein EM, Persson S, Muus G, Nielsen NV
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	activities of daily life test amd cataract intraocular lens Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/9e80591ea0f3418e81a78c75c3be759e
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spelling	oai:doaj.org-article:9e80591ea0f3418e81a78c75c3be759e2021-12-02T16:26:43ZImproving Outcomes for Patients with Age-Related Macular Degeneration and Cataracts: The Importance of Including an Assessment of Activities of Daily Life (ADL)1177-5483https://doaj.org/article/9e80591ea0f3418e81a78c75c3be759e2021-08-01T00:00:00Zhttps://www.dovepress.com/improving-outcomes-for-patients-with-age-related-macular-degeneration--peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Andreas F Borkenstein,1 Eva-Maria Borkenstein,1 Sara Persson,2 Gustav Muus,3 Niels V Nielsen3 1Borkenstein & Borkenstein, Private Practice at Privatklinik der Kreuzschwestern Graz, Graz, 8010, Austria; 2Skånes universitetssjukhus Malmö, Malmö, 214 28, Sweden; 3Øjenhospitalet Danmark, Charlottenlund, 2920, DenmarkCorrespondence: Andreas F BorkensteinBorkenstein & Borkenstein Private Practice at Privatklinik der Kreuzschwestern Graz, Kreuzgasse 35, Graz, 8010, AustriaTel +43 316/331-38 80Fax +43 316 / 331-47 38 80Email ordination@borkenstein.atAbstract: Age-related macular degeneration (AMD) is the leading cause of blindness in the developing world. AMD causes a substantial burden on patients, reducing independence, their ability to conduct daily activities, and increasing rates of cognitive decline and depression. There is a significant unmet need for patients with AMD, which will grow as the population ages and rates of disease increase. In the past, many studies have demonstrated a benefit when coexisting cataract formation is treated by removing the cloudy lens. AMD-lenses are intraocular implants designed to improve visual acuity in patients with AMD, avoiding the need for cumbersome manual vision aids and magnifiers. Many IOLs have been investigated in AMD, with differing mechanisms aimed at overcoming visual impairment. Most AMD studies use Early Treatment Diabetic Retinopathy Study (ETDRS) chart-based assessments of vision, but BCVA does not correlate with lesion size or pattern, especially in geographic atrophy, and may not be the most appropriate measure to effectively assess vision defects in AMD before or after a cataract surgery. One option is a simple functional assessment of vision related to activities of daily living (ADL), based on a reproducible, task-based questionnaire. The test consists of 6 assessments of ADL to be completed by patients before and after cataract surgery. Experiences highlight the importance of including an assessment of ADL in patients receiving an implant, which gives an effective measure of patient satisfaction. We would welcome the use of similar questionnaires in larger studies of patients, to validate its utility in a broader patient population. In this review article, we (Scandinavian-Austrian-cooperation) summarize lenses designed for implantation in patients with AMD, and how best to improve outcomes through proper patient selection, appropriate vision evaluation using quality-of-life related assessment, and pre- and post-operative care.Keywords: activities of daily life test, AMD, cataract, intraocular lensBorkenstein AFBorkenstein EMPersson SMuus GNielsen NVDove Medical Pressarticleactivities of daily life testamdcataractintraocular lensOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 3333-3339 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	activities of daily life test amd cataract intraocular lens Ophthalmology RE1-994
spellingShingle	activities of daily life test amd cataract intraocular lens Ophthalmology RE1-994 Borkenstein AF Borkenstein EM Persson S Muus G Nielsen NV Improving Outcomes for Patients with Age-Related Macular Degeneration and Cataracts: The Importance of Including an Assessment of Activities of Daily Life (ADL)
description	Andreas F Borkenstein,1 Eva-Maria Borkenstein,1 Sara Persson,2 Gustav Muus,3 Niels V Nielsen3 1Borkenstein & Borkenstein, Private Practice at Privatklinik der Kreuzschwestern Graz, Graz, 8010, Austria; 2Skånes universitetssjukhus Malmö, Malmö, 214 28, Sweden; 3Øjenhospitalet Danmark, Charlottenlund, 2920, DenmarkCorrespondence: Andreas F BorkensteinBorkenstein & Borkenstein Private Practice at Privatklinik der Kreuzschwestern Graz, Kreuzgasse 35, Graz, 8010, AustriaTel +43 316/331-38 80Fax +43 316 / 331-47 38 80Email ordination@borkenstein.atAbstract: Age-related macular degeneration (AMD) is the leading cause of blindness in the developing world. AMD causes a substantial burden on patients, reducing independence, their ability to conduct daily activities, and increasing rates of cognitive decline and depression. There is a significant unmet need for patients with AMD, which will grow as the population ages and rates of disease increase. In the past, many studies have demonstrated a benefit when coexisting cataract formation is treated by removing the cloudy lens. AMD-lenses are intraocular implants designed to improve visual acuity in patients with AMD, avoiding the need for cumbersome manual vision aids and magnifiers. Many IOLs have been investigated in AMD, with differing mechanisms aimed at overcoming visual impairment. Most AMD studies use Early Treatment Diabetic Retinopathy Study (ETDRS) chart-based assessments of vision, but BCVA does not correlate with lesion size or pattern, especially in geographic atrophy, and may not be the most appropriate measure to effectively assess vision defects in AMD before or after a cataract surgery. One option is a simple functional assessment of vision related to activities of daily living (ADL), based on a reproducible, task-based questionnaire. The test consists of 6 assessments of ADL to be completed by patients before and after cataract surgery. Experiences highlight the importance of including an assessment of ADL in patients receiving an implant, which gives an effective measure of patient satisfaction. We would welcome the use of similar questionnaires in larger studies of patients, to validate its utility in a broader patient population. In this review article, we (Scandinavian-Austrian-cooperation) summarize lenses designed for implantation in patients with AMD, and how best to improve outcomes through proper patient selection, appropriate vision evaluation using quality-of-life related assessment, and pre- and post-operative care.Keywords: activities of daily life test, AMD, cataract, intraocular lens
format	article
author	Borkenstein AF Borkenstein EM Persson S Muus G Nielsen NV
author_facet	Borkenstein AF Borkenstein EM Persson S Muus G Nielsen NV
author_sort	Borkenstein AF
title	Improving Outcomes for Patients with Age-Related Macular Degeneration and Cataracts: The Importance of Including an Assessment of Activities of Daily Life (ADL)
title_short	Improving Outcomes for Patients with Age-Related Macular Degeneration and Cataracts: The Importance of Including an Assessment of Activities of Daily Life (ADL)
title_full	Improving Outcomes for Patients with Age-Related Macular Degeneration and Cataracts: The Importance of Including an Assessment of Activities of Daily Life (ADL)
title_fullStr	Improving Outcomes for Patients with Age-Related Macular Degeneration and Cataracts: The Importance of Including an Assessment of Activities of Daily Life (ADL)
title_full_unstemmed	Improving Outcomes for Patients with Age-Related Macular Degeneration and Cataracts: The Importance of Including an Assessment of Activities of Daily Life (ADL)
title_sort	improving outcomes for patients with age-related macular degeneration and cataracts: the importance of including an assessment of activities of daily life (adl)
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/9e80591ea0f3418e81a78c75c3be759e
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Improving Outcomes for Patients with Age-Related Macular Degeneration and Cataracts: The Importance of Including an Assessment of Activities of Daily Life (ADL)

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