Publication: Effect of visual rehabilitation on quality of life and depression among primary glaucoma patients
| dc.contributor.author | Selvaraja, Nanthini | |
| dc.date.accessioned | 2026-05-14T00:00:16Z | |
| dc.date.available | 2026-05-14T00:00:16Z | |
| dc.date.issued | 2022 | |
| dc.description.abstract | INTRODUCTION Glaucoma is an irreversible optic neuropathy characterized by corresponding visual field defects. Increasing visual field damage from glaucoma affects patient’s daily living. Allocating time to physical, social, and cognitive activities has been widely attributed to a state of happiness in the elderly. The goal of visual rehabilitation is to maximize an individual’s functional vision. It may help individuals to gain greater control of their environment, which leads to greater self-confidence, lowered risk of depression and anxiety, and improved quality of life. OBJECTIVE To evaluate effect of visual rehabilitation on IOP, quality of life and depression among patients with primary glaucoma. METHODOLOGY A randomized single-blinded control trial was conducted involving primary glaucoma patients, mainly POAG and PACG patients between Dec 2020 and Dec 2021 at Hospital Universiti Sains Malaysia, Malaysia. Patients who fulfilled inclusion and exclusion criteria were randomized into group A and group B using sequentially numbered, opaque sealed envelopes (SNOSE). Patients in group A were assigned to attend rehabilitation sessions for 6 months. The patients in group B were advised to carry out their normal routine activities. At baseline and 6 months post recruitment, both groups were given GlauQol-36 and mGDS-14 questionnaire to read and answer. Descriptive Analysis and repeated measures ANOVA were performed using SPSS. RESULTS A total of 72 patients were recruited and randomized into two groups (n=36). However, only 67 patients completed the study (5 dropouts). The mean age of the recruited patients with primary glaucoma was 64.0±6.7 years old. There was no significant difference in all demographic data between groups A and B. There was a significantly higher mean IOP in Group A compared to Group B (p=0.003). For GlauQoL36, the total score for 6 months post intervention for group A was lower than group B but without statistically significant (p=0.309) based on RM ANOVA. Group A showed improvement in 6 months post intervention score in 4 domains (daily living, anxiety, treatment burden and confidence healthcare) but without significant difference based on paired T test. Group B showed improvement in 6 months post intervention score in 3 domains (daily living, anxiety and confidence heath care) but without significant difference. For mGDS-14, only one patient from group A scored more than 8 points (depressed) at baseline. The score remain the same at 6 month post intervention. The remaining patient’s mGDS14 questionnaire scoring was below 7 points. The mean mGDS-14 score at baseline was slightly higher in group B than in group A. There is no statistically significant difference (p=0.371) based on RM ANOVA. CONCLUSION In conclusion, visual rehabilitation based on the rehabilitation for patients with stroke may not be suitable for patients with glaucoma. However, there is potential benefit of visual rehabilitation to the QoL and reduction of depression among patients with glaucoma. | |
| dc.identifier.uri | https://erepo.usm.my/handle/123456789/24222 | |
| dc.language.iso | en | |
| dc.subject | - | |
| dc.title | Effect of visual rehabilitation on quality of life and depression among primary glaucoma patients | |
| dc.type | Resource Types::text::thesis::master thesis | |
| dspace.entity.type | Publication | |
| oairecerif.author.affiliation | Universiti Sains Malaysia |