This study assessed the impact of various eye disorders on patient-reported quality of life using the EQ5D-3L questionnaire administered to 205 eye patients. The results showed that eye disorders often caused mobility problems and moderate pain or discomfort. Most patients reported no issues with self-care or daily activities. However, many patients developed anxiety or depression due to worries about their condition. The study also found that health literacy levels among eye patients were poor, as some lacked knowledge about their condition, medications, or availability of health insurance.
3. BACKGROUND
• Eye disorders affect the quality of life
of patients in various ways.
• Numerous studies on the impact of
specific eye disorders on quality of life
are available.
• This study assessed the impact of
various eye disorders on patient-
reported quality of life.
4. INTRODUCTION
• The eye is very delicate and intricately
designed.
• It is protected by the eyelids and tears help
flush out any unwanted substances that
might cause harm.
• Any problem or disorder in any one or more
parts of the eye can cause eye disorders
that impact on a patient’s quality of life.
• Usually, if the eye disorder is detected well
in advance it can be cured.
5. OBJECTIVES
• To assess the quality of life of eye
patients using the EQ5D-3L
questionnaire.
• To evaluate the health literacy levels
of eye patients regarding their eye
disorder(s).
6. METHODS
• It is a descriptive cross-sectional study of 205 eye
patients in UBTH who consented.
• The instrument of data collection was an EQ5D-3L
questionnaire with two sections; the socio-demographic
data section and the quality of life section.
• Information obtained through the questionnaire was
entered into Microsoft Excel and cross-checked for
accuracy.
• The data was then loaded into Statistical Package for
Social Sciences (SPSS 19.0), cleaned, sorted and analyzed
with this software for descriptive statistical analysis.
• The level of statistical significance was set at p<0.05.
7. RESULTS
Of the 205 respondents;
• In terms of mobility, 73.7% respondents had
no mobility problems while 1(0.5%) was
confined to bed(p=0.0018).
• For self-care, 79.5% of respondents had no
self-care problems while 1.5% were unable to
wash and dress themselves(p=0.1729).
• Apart from the mobility domain, other (four)
domains of quality of life did not show
significant difference with eye disorder(s)
present.
8. Patient-reported quality of life
0
10
20
30
40
50
60
70
80
90
Noproblems
Someproblems
Confinedtobed
Noproblems
Someproblems
Unabletowashanddress
Noproblems
Someproblems
Unabletoperformusualactivities
Nopainordiscomfort
Moderate
Extreme
Notanxiousordepressed
Moderatelyanxiousordepressed
Extremelyanxiousordepressed
Excellent
Good
Fair
Poor
0-50
50-80
80-100
MOBILITY SELF CARE ACTIVITIES PAIN/DIS AN/DEPR H. STATUS H. TODAY
p
E
R
C
E
N
T
A
G
E
QUALITY OF LIFE DOMAIN
(%)
9. DISCUSSION
• In this study, eye disorders often caused
mobility problems. Published studies
have confirmed that eye disorders often
interfere with mobility especially after
the disorder has worsened.
• Majority of patients did not have
problems with self care. This is in
consonance with several published
studies on early-stage eye
diseases/disorders.
10. • Eye disorders rarely interfered with
usual activities. This changed following
significant degeneration of the
condition.
• Eye disorders often caused moderate
pain/discomfort. This is in consonance
with published studies.
• In this study, most patients developed
anxiety/depression due to continuous
worry about their condition.
11. • Some patients had little or no knowledge
of their condition, its severity/prognosis
or the names of their medications
indicating poor health literacy level.
• Most patients particularly the un-
educated had no knowledge of health
insurance and/or its benefits. Some
literates too did not know of the
availability of health insurance and/or
how to get insured.
12. CONCLUSION
• Patients’ QOL is reduced in the presence
of co-morbidities.
• Most eye disorders cause mobility
problems and decline in health status.
• Health literacy levels of eye patients are
very poor.
• Cataract and glaucoma are the most
prevalent eye disorders.
13. REFERENCES
• Bourne, R; Dineen, BP; et al (2004).
"Prevalence of refractive error in
Bangladeshi adults. Results of the National
Blindness and Low Vision Survey of
Bangladesh". Ophthalmology 111 (6):
pp1150–1160.
• Judd, Deane B.; Wyszecki, Gunter (1975).
Color in Business, Science and Industry.
Wiley Series in Pure and Applied Optics (3rd
ed). New York: Wiley-Interscience. P 388.