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Abstract：
BACKGROUND: Cataract is the leading cause of avoidable blindness globally. This study aims to measure the changes in Vision function-related quality of life (VFQoL) before and after cataract surgery and identify the predictors of an improvement in these outcomes.
METHODS: A multicenter, longitudinal cohort study was conducted. Patients with first eye cataracts were interviewed before and 6 months after cataract surgery. Multiple classification analysis (MCA) was performed to assess variation in the intensities of mean change scores for general function, psychosocial impact, and visual function with select factors.
RESULTS: A total of 747 participated in the baseline assessment. The 6-month follow-up rate was 86.5%. The mean general function, psychosocial impact, and visual function scores were 35.3 (±8.6), 12.5 (±3.4), and 8.3 (±3) in the baseline and 17 (±5.3), 6 (±2.2) and 3.8 (±1.3) in the follow-up assessments, respectively. In MCA, patients using spectacles postsurgery (β 0.111) and those having a very good postoperative visual acuity (β 0.098) had the most impact on general function. Patients reporting no ocular complaints postsurgery had a relatively higher effect on the psychosocial impact, (β 0.168) and similarly, patients using spectacles postsurgery and those aged 70 and older had the most impact on the visual function scores (β 0.146 and 0.126), respectively.
CONCLUSIONS: Cataract surgery is associated with meaningful improvements in vision and VFQoL in general. The determinants of better VFQoL include the usage of spectacles postsurgery. Strategies to further improve patient participation in postoperative review visits are needed for spectacle provision and patient education regarding spectacle use and compliance is imparted during such visits.
METHODS: A multicenter, longitudinal cohort study was conducted. Patients with first eye cataracts were interviewed before and 6 months after cataract surgery. Multiple classification analysis (MCA) was performed to assess variation in the intensities of mean change scores for general function, psychosocial impact, and visual function with select factors.
RESULTS: A total of 747 participated in the baseline assessment. The 6-month follow-up rate was 86.5%. The mean general function, psychosocial impact, and visual function scores were 35.3 (±8.6), 12.5 (±3.4), and 8.3 (±3) in the baseline and 17 (±5.3), 6 (±2.2) and 3.8 (±1.3) in the follow-up assessments, respectively. In MCA, patients using spectacles postsurgery (β 0.111) and those having a very good postoperative visual acuity (β 0.098) had the most impact on general function. Patients reporting no ocular complaints postsurgery had a relatively higher effect on the psychosocial impact, (β 0.168) and similarly, patients using spectacles postsurgery and those aged 70 and older had the most impact on the visual function scores (β 0.146 and 0.126), respectively.
CONCLUSIONS: Cataract surgery is associated with meaningful improvements in vision and VFQoL in general. The determinants of better VFQoL include the usage of spectacles postsurgery. Strategies to further improve patient participation in postoperative review visits are needed for spectacle provision and patient education regarding spectacle use and compliance is imparted during such visits.
摘要：
背景：白内障是全球可避免失明的主要原因。这项研究旨在测量白内障手术前后视觉功能相关生活质量（VFQoL）的变化，并确定这些结果改善的预测因素。
方法：多中心，进行纵向队列研究.白内障手术前和术后6个月对第一眼白内障患者进行了访谈。进行多重分类分析（MCA）以评估一般功能的平均变化评分的强度变化。社会心理影响,和视觉功能与选择因素。
结果：共有747人参与了基线评估。6个月随访率为86.5%。平均一般函数，社会心理影响,视功能评分为35.3(±8.6),12.5(±3.4),基线为8.3(±3)，基线为17(±5.3)，6（±2.2）和3.8（±1.3）在后续评估中，分别。在MCA,术后使用眼镜的患者(β0.111)和术后视力非常好的患者(β0.098)对全身功能的影响最大.手术后没有眼部投诉的患者对心理社会影响的影响相对较高，(β0.168)和类似的，术后使用眼镜的患者和70岁及以上的患者对视功能评分的影响最大(β0.146和0.126)，分别。
结论：白内障手术与视力和VFQoL总体上有意义的改善相关。更好的VFQoL的决定因素包括手术后眼镜的使用。需要进一步改善患者参与术后复查就诊的策略，以提供眼镜，并在此类就诊期间对患者进行有关眼镜使用和依从性的教育。
方法：多中心，进行纵向队列研究.白内障手术前和术后6个月对第一眼白内障患者进行了访谈。进行多重分类分析（MCA）以评估一般功能的平均变化评分的强度变化。社会心理影响,和视觉功能与选择因素。
结果：共有747人参与了基线评估。6个月随访率为86.5%。平均一般函数，社会心理影响,视功能评分为35.3(±8.6),12.5(±3.4),基线为8.3(±3)，基线为17(±5.3)，6（±2.2）和3.8（±1.3）在后续评估中，分别。在MCA,术后使用眼镜的患者(β0.111)和术后视力非常好的患者(β0.098)对全身功能的影响最大.手术后没有眼部投诉的患者对心理社会影响的影响相对较高，(β0.168)和类似的，术后使用眼镜的患者和70岁及以上的患者对视功能评分的影响最大(β0.146和0.126)，分别。
结论：白内障手术与视力和VFQoL总体上有意义的改善相关。更好的VFQoL的决定因素包括手术后眼镜的使用。需要进一步改善患者参与术后复查就诊的策略，以提供眼镜，并在此类就诊期间对患者进行有关眼镜使用和依从性的教育。
