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Claire Hartnett MD Michael O’Keefe FRCS

Vision-Related Quality of Life Assessment using NEI-VFQ-25 in Children W ith History of Phakic or Aphakic IOL Refractive Surgery. Claire Hartnett MD Michael O’Keefe FRCS The authors have no financial interest in the subject matter of this poster. Purpose.

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Claire Hartnett MD Michael O’Keefe FRCS

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  1. Vision-Related Quality of Life Assessment using NEI-VFQ-25 in Children With History of Phakic or Aphakic IOL Refractive Surgery. Claire Hartnett MD Michael O’Keefe FRCS The authors have no financial interest in the subject matter of this poster.

  2. Purpose • To assess and compare vision specific health-related quality of life in children and adolescents following refractive surgery with phakic or aphakicintraocular lens insertions. • The patients were assessed using the national Eye Institute, 25 item Visual Function Questionnaire (NEI-VFQ-25, version 2000) .

  3. Method • A retrospective chart review was carried out to identify children who had undergone insertion of phakic or aphakic intraocular lenses in order to reduce or correct their high refractive errors. • The aim in was to reduce anisometropia and potential amblyopia and increase compliance with spectacle wear and ultimately improve vision for each child.

  4. Method • All children were requested to complete the questionnaire. • The parents of the younger participants answered on their behalf. • See indications for surgery each case in coming slides.

  5. RESULTS • 13 patients were included in the study. • 8 males 5 females • Ages 2 years – 16 years: Mean 10.3 years • 6 Aphakic patients • 5 Phakic patients • 2 Pseudophakic patients

  6. Aphakic Patients

  7. Phakic Patients

  8. Pseudophakic Patients

  9. RESULTS • 8 Patients had bilateral refractive lens insertions. • 5 Patients had unilateral refractive lens insertions. • A greater improvement in vision-related quality of life assessment scores were recorded in patients who underwent bilateral refractive lens insertions compared with the unilateral group.

  10. RESULTS In the following categories statistically significant improvement in assessment scores were obtained in the bilateral group in comparison to the unilateral group. • Difficulty with distance activities (p = 0.001) • Difficulty with near activities (p = 0.02) • Vision-specific social functioning (p = 0.003) • Role Difficulties (p = 0.05)

  11. CONCLUSION • Refractive surgery for children involving intraocular phakic or aphakic lens insertions can have positive effects on vision-related quality of life activities. • This is especially beneficial in patients requiring bilateral surgery. • This study highlights benefits that can be attained from refractive surgery in children and adolescents.

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