Understanding the visual function symptoms and associated functional impacts of phakic presbyopia

Journal of Patient-Reported Outcomes

Rob Arbuckle¹  Chloe Johnson¹  Sarah Bentley¹  Amy Findley¹  James S. Wolffsohn²  Sima Chiva-Razavi³  Christel Naujoks³  Francesco Patalano³ 

[1]Adelphi Values, Cheshire, UK

[2]Health and Life Sciences, Aston University, Birmingham, UK

[3]Novartis Pharma AG, Basel, Switzerland

关键词: Presbyopia;    Near vision;    Quality of life;    Qualitative research;    Interviews;   

DOI  :  10.1186/s41687-021-00383-1

来源: Springer

【 摘 要 】

BackgroundPresbyopia is defined as the age-related deterioration in the ability to focus on close objects, causing difficulty with near vision tasks. The study aim was to understand the lived experience of phakic presbyopia and identify all relevant visual function symptoms and associated functional impacts.MethodsFifty individuals with clinician-confirmed phakic presbyopia (US n = 30, France n = 10, Germany n = 10) and seven healthcare professionals (HCPs) participated in in-depth, face-to-face, qualitative concept elicitation interviews. Verbatim transcripts were analyzed using thematic analysis methods.ResultsVisual function symptoms reported by participants with phakic presbyopia were categorized as: primary near vision functioning symptoms (impaired near visual acuity, n = 50/50, 100%; difficulty with near vision in dim light, n = 42/50, 84%; difficulty focusing at close distances, n = 30/50, 60%; difficulty seeing things when glare is present, n = 30/50, 60%) and secondary symptoms (eye strain, n = 37/50, 74%; dry eyes, n = 35/50, 70%; headaches, n = 30/50, 60%). Proximal impacts on functional vision included difficulty reading in near vision (n = 49/50, 98%, including printed text and handwriting), seeing objects in near vision n = 48/50, 96%, and performing activities of daily living that require near vision (n = 49/50, 98%, including using a smartphone or computer). Distal impacts on functional vision included emotional, work, financial and social impacts. HCP interviews supported participant findings.ConclusionFindings provide a comprehensive understanding of the lived experience of phakic presbyopia which informed the development of a presbyopia conceptual model and patient-reported outcome assessments of vision correction independence and near vision functioning. The sample did not include those whose vision cannot be adequately corrected with lenses or surgery.

【 授权许可】

CC BY