Evidence map›Paper›PMID 41460395›Full record

ArticleInternational ophthalmology2025

The impact of treatment modality on quality of life in glaucoma patients: findings from a clinical survey study in Augusta, GA.

Neel Edupuganti, Haley Chishom, Tommy Bui, Danny Alevy, Tae Jin Lee, Mathilde Franklin, Marc Töteberg-Harms

Abstract read
In one paragraph

Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Neel EdupugantiMedical College of Georgia, Department of Ophthalmology, Augusta University, Augusta, GA, USA.
Haley ChishomMedical College of Georgia, Department of Ophthalmology, Augusta University, Augusta, GA, USA.
Tommy BuiMedical College of Georgia, Department of Ophthalmology, Augusta University, Augusta, GA, USA.
Danny AlevyMedical College of Georgia, Department of Ophthalmology, Augusta University, Augusta, GA, USA.
Tae Jin LeeMedical College of Georgia, Center for Biotechnology and Genomic Medicine, Augusta University, Augusta, GA, USA.
Mathilde FranklinMedical College of Georgia, Department of Ophthalmology, Augusta University, Augusta, GA, USA.
Marc Töteberg-HarmsMedical College of Georgia, Department of Ophthalmology, Augusta University, Augusta, GA, USA. marc-toeteberg-harms@uiowa.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluates the impact of medical versus combined medical and surgical glaucoma treatments on patients' quality of life (QoL). While both approaches reduce intraocular pressure, research shows mixed effects on QoL. Given updated clinical guidelines and the gap in QoL-focused glaucoma management, this study applies validated QoL measures to assess treatment effects and inform patient-centered care.

methodsFrom June to October 2023, 180 patients at Augusta University Eye Care Center completed the 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25) and Glaucoma Profile Instrument (GPI) surveys. Chart reviews provided demographic and clinical data, including glaucoma status and treatment. QoL scores were calculated using validated algorithms. Associations between clinical variables and QoL outcomes were analyzed using ANOVA and t-tests in R 4.4.1.

resultsAmong 180 patients, 103 had glaucoma or were suspects. 64% of glaucoma patients received medical treatment only, and 34% received combined medical and surgical treatment. VFQ-25 scores differed significantly by race (p = 0.0489), severity (p = 0.0001), and age (p = 0.0459), but not by gender, glaucoma status, or treatment. Severe glaucoma patients had the lowest QoL. Severity strongly impacted GPI scores (p = 0.0092) and multiple VFQ-25 domains. Differences by treatment modality were observed only in the driving subscale (p = 0.0378). No significant differences were observed in overall QoL scores between treatment groups.

conclusionNo significant vision-related QoL differences were found between treatment groups. Most patients were medically managed, possibly reflecting limited QoL benefit from surgery. QoL correlated more with disease severity than treatment modality or demographics. These findings highlight a disconnect between current treatment strategies and patient-perceived outcomes, underscoring the need for innovative strategies to improve QoL in glaucoma care.

Indexed as

Antihypertensive AgentsFiltering SurgeryGlaucomaIntraocular PressureQuality of LifeVisual AcuityAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesSurveys and QuestionnairesAntihypertensive AgentsGlaucoma treatmentIntraocular pressureQuality-of-lifeVisual function

Identifiers

PMID41460395
PMCPMC12748089

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.