Quality of life comprehensive assessment for patients in surgical treatment of primary open-angle glaucoma

Purpose: to analyze the dynamics of quality of life (QoL) indicators during the primary open-angle glaucoma surgical treatment. Material and Methods. The study group consisted of 25 patients with primary open-angle glaucoma (POAG) aged 51 to 80 years. They have performed an antiglaucomatous operation — sinusotrabeculectomy. Before surgery and 1 month after, the quality of life indicators were assessed using the following questionnaires: MOS SF-36, visual analogue scale, VFQ-25, GQL-15, and hospital scale of anxiety and depression. Results. Intraocular pressure (IOP) decreased from 37.9±11.0 to 15.6±5.0 mm Hg. The analysis of the results of the SF-36 and the visual analogue scale did not reveal any changes in the dynamics (p-0.05). According to the VFQ-25 questionnaire, improvements in indicators were recorded on the following scales: “social functioning” from 75±20.0 to 83.75±17.5 points, “mental health” from 47.5±25.0 to 65±15,0 points, “role limitations” from 50.0±37.5 to 76.6±17.5 points (p-0.05). According to GQL-15, the indices before treatment were 33.6±22.0 points, 1 month after the treatment, the indices deteriorated to 38.8±23.0 points (the norm was not more than 15 points, p-0.05). According to the questionnaire of the hospital scale of anxiety and depression, clinically expressed forms of anxiety (13.0±6.0 points) and depression (12.0±3.0 points) were found, which did not change significantly over time. Conclusion. QoL analysis during the glaucoma surgical treatment revealed no changes in parameters over time, despite the clinical improvement in the course of the disease (decrease in IOP). Improving the quality of life of patients is considered an important component in the evaluation of glaucoma therapy, therefore, it is necessary to develop methods to improve the QoL of patients with POAG receiving surgical treatment