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Vision impairment and major eye diseases reduce vision-specific emotional well-being in a Chinese population.

Publication ,  Journal Article
Fenwick, EK; Ong, PG; Man, REK; Sabanayagam, C; Cheng, C-Y; Wong, TY; Lamoureux, EL
Published in: Br J Ophthalmol
May 2017

AIMS: To assess the relationship between vision impairment (VI) and major eye diseases, with vision-specific emotional well-being in a Chinese population. METHODS: In this population-based cross-sectional study, 3353 Chinese participants aged 40-80 years answered the emotional well-being scale of the Impact of Vision Impairment questionnaire, validated using Rasch analysis. Participants underwent visual acuity testing and collection of sociodemographic and medical data from standardised questionnaires. The relationships between presenting bilateral VI, presence of major eye diseases (cataract, undercorrected refractive error, glaucoma, age-related macular degeneration and diabetic retinopathy) and emotional well-being were assessed using linear regression models. Stratified analyses for age, gender, education and immigration status were conducted to determine if change in β coefficients differed within each stratum. RESULTS: Approximately half of patients (n=1805) had normal vision, and 43% (n=1534) and 3.4% (n=114) had moderate and severe bilateral VI, respectively. Vision-specific emotional well-being systematically worsened as severity of bilateral VI increased (p<0.001). Compared with no VI and no eye diseases, respectively, severe bilateral VI (23%; β -1.84; 95% CI -2.23 to -1.43) and glaucoma (β -1.88; 95% CI -3.00 to -0.76) were associated with a clinically meaningful reduction in emotional well-being. The reduction in vision-related emotional well-being was substantially and significantly greater in men compared with women (p<0.05). CONCLUSIONS: Severe VI and glaucoma are associated with substantial decrements in vision-specific emotional well-being, highlighting the importance of preventing progression of vision loss. Evidence-based interventions to improve vision-related coping skills and emotional management for patients with severe VI and glaucoma are warranted.

Duke Scholars

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Published In

Br J Ophthalmol

DOI

EISSN

1468-2079

Publication Date

May 2017

Volume

101

Issue

5

Start / End Page

686 / 690

Location

England

Related Subject Headings

  • Visually Impaired Persons
  • Visual Acuity
  • Vision Disorders
  • Sickness Impact Profile
  • Quality of Life
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Fenwick, E. K., Ong, P. G., Man, R. E. K., Sabanayagam, C., Cheng, C.-Y., Wong, T. Y., & Lamoureux, E. L. (2017). Vision impairment and major eye diseases reduce vision-specific emotional well-being in a Chinese population. Br J Ophthalmol, 101(5), 686–690. https://doi.org/10.1136/bjophthalmol-2016-308701
Fenwick, Eva K., Peng Guan Ong, Ryan E. K. Man, Charumathi Sabanayagam, Ching-Yu Cheng, Tien Y. Wong, and Ecosse L. Lamoureux. “Vision impairment and major eye diseases reduce vision-specific emotional well-being in a Chinese population.Br J Ophthalmol 101, no. 5 (May 2017): 686–90. https://doi.org/10.1136/bjophthalmol-2016-308701.
Fenwick EK, Ong PG, Man REK, Sabanayagam C, Cheng C-Y, Wong TY, et al. Vision impairment and major eye diseases reduce vision-specific emotional well-being in a Chinese population. Br J Ophthalmol. 2017 May;101(5):686–90.
Fenwick, Eva K., et al. “Vision impairment and major eye diseases reduce vision-specific emotional well-being in a Chinese population.Br J Ophthalmol, vol. 101, no. 5, May 2017, pp. 686–90. Pubmed, doi:10.1136/bjophthalmol-2016-308701.
Fenwick EK, Ong PG, Man REK, Sabanayagam C, Cheng C-Y, Wong TY, Lamoureux EL. Vision impairment and major eye diseases reduce vision-specific emotional well-being in a Chinese population. Br J Ophthalmol. 2017 May;101(5):686–690.

Published In

Br J Ophthalmol

DOI

EISSN

1468-2079

Publication Date

May 2017

Volume

101

Issue

5

Start / End Page

686 / 690

Location

England

Related Subject Headings

  • Visually Impaired Persons
  • Visual Acuity
  • Vision Disorders
  • Sickness Impact Profile
  • Quality of Life
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Humans
  • Female