Analysis of visual related quality of life and its influencing factors in aged glaucoma patients with unilateral blindness
老年独眼青光眼患者视觉相关生活质量现状及影响因素分析

摘要

目的 探究老年独眼青光眼患者视觉相关生活质量（VRQoL）现状及影响因素。方法 通过便利抽样法选取2023年4月至2025年3月天津市眼科医院152例老年独眼青光眼患者，分析其视觉相关生活质量现状及影响因素。结果 VRQoL综合评分（58.31±12.42）分，各维度得分最低三项为驾驶（1.63±0.41）分、周边视力（1.58±0.33）分、角色限制（1.79±0.37）分。多元回归显示：现存眼更差矫正视力（BCVA）、更严重视野缺损（MD）、使用≥3种降眼压药、影响活动的全身合并症、高中及以下教育水平是独立危险因素（P＜0.05）；VRQoL与BCVA、MD值呈正相关（P＜0.05）。结论 老年独眼青光眼患者VRQoL明显下降，其中现存眼视功能、用药负担、教育水平及全身疾病是主要影响因素。

Abstract

Objective To explore the current status and influencing factors of visual related quality of life (VRQoL) in aged glaucoma patients with unilateral blindness.
Methods A total of 152 eligible patients were enrolled by convenience sampling from Tianjin Eye Hospital between April 2023 and March 2025. Their VRQoL status and influencing factors were analyzed.
Results The VRQoL comprehensive score was (58.31 ± 12.42), with the lowest scores in each dimension being driving (1.63 ± 0.41), peripheral vision (1.58 ± 0.33), and role limitation (1.79 ± 0.37). Multiple regression analysis showed that worse corrected visual acuity (BCVA), more severe visual field defects (MD), use of ≥ 3 intraocular pressure lowering drugs, systemic comorbidities affecting daily activities, and an education level of high school or below were independent risk factors (P<0.05); VRQoL is positively correlated with BCVA and MD values (P<0.05).
Conclusion   VRQoL is significantly impaired in aged glaucoma patients with unilateral blindness, with the main influencing factors being visual function of the surviving eye, medication burden, education level, and systemic comorbidities.