Self-Reported Quality of Life in Patients with Long-Standing Vogt-Koyanagi-Harada Disease

Ocul Immunol Inflamm. 2020 Apr 2;28(3):409-420. doi: 10.1080/09273948.2019.1595672. Epub 2019 May 28.

Abstract

Purpose: To assess health-related (HR-) and vision-related (VR-) quality of life (QoL) in patients with long-standing Vogt-Koyanagi-Harada disease (VKHD).Methods: Cross-sectional study of 49 patients with disease duration ≥12 months followed at Uveitis Service, Universidade de São Paulo, BR, for at least 12 months. HR- and VR-QoL were evaluated using SF-36 and NEI VFQ-25 questionnaires, respectively. Demographic, clinical and visual function data were compared with questionnaire scores.Results: After generalized linear models, lower mensal household income was associated with lower scores in both questionnaires while unemployment was associated with SF-36 questionnaire only. Treatment with peri-/intraocular medications and ocular surgery were associated with higher scores on SF-36 questionnaire. Worse visual acuity (VA), ocular complications and no ocular surgery were related to lower scores on NEI VFQ-25 questionnaire.Conclusions: On HR- and VR-QoL questionnaires difficulties perceived by patients with long-standing VKHD were mainly associated with socio-economic aspects, VA, local treatment and ocular complications.

Keywords: Inflammation; Uveitis; Uveomeningoencephalitic syndrome; quality of life; surveys and questionnaires.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anterior Eye Segment / diagnostic imaging
  • Cross-Sectional Studies
  • Electroretinography
  • Female
  • Fluorescein Angiography
  • Follow-Up Studies
  • Fundus Oculi
  • Health Status*
  • Health Surveys / methods*
  • Humans
  • Male
  • Middle Aged
  • Ophthalmoscopy
  • Quality of Life*
  • Retrospective Studies
  • Self Report*
  • Severity of Illness Index
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Time Factors
  • Tomography, Optical Coherence
  • Uveomeningoencephalitic Syndrome / diagnosis
  • Uveomeningoencephalitic Syndrome / psychology*
  • Visual Acuity*
  • Young Adult