Patient-Reported Outcomes After Laser Anterior Ciliary Excision Procedure Measured With Catquest-9SF 9-Item Questionnaire
Narrative Responses:
Purpose
The purpose of this study was to use the Catquest-9SF to comprehensively assess visual disabilities in terms of their impact on patient’s activities of daily life activity level , general visual satisfaction and quality of life before and after Laser Anterior Ciliary Excision procedure(LaserACE).
Methods
Patients were recruited as part of a single arm, IRB monitored clinical trial to improve dynamic accommodation for near and intermediate visual tasks. The patients completed the questionnaire before surgery and 6 months after. Both preoperative and postoperative questionnaires were included in the analysis. Areas of analysis included “perceived difficulty in performing daily-life activities” (7 questions), global questions about difficulties in general, and satisfaction with vision (2 questions). Responsiveness to the LaserACE procedure was calculated as the effect size.
Results
Completed Catquest were received from 24 patients both preo-op and 6 month post-op after LaserACE procedure. Global question regarding difficulty with vision, overall scores improved from a majority of patients having “some-great difficulty” preoperatively to “little-no difficulty” postoperatively. Global Question B regarding satisfaction with overall vision, the majority of patients improved from the “Rather to Very Dissatisfied” to “Fairly to Very Satisfied”. 7 questions of “perceived difficulty” for specific Activities of Daily Life (ADL) scores improved from “Very Great Difficulty-Some Difficulty” preoperatively to the “Some Difficulty-No Difficulty” (p < 0.05). The Catquest-9SF score correlated significantly with visual acuity.
Conclusion
The Catquest-9SF was a useful psychometric tool to demonstrate patient satisfaction and visual disability outcomes before and after LaserACE procedure .The LaserACE procedure significantly improved both satisfaction of vision along with decreased perceived difficulty with vision and visual disability as it relates specifically to ADL and QOL.