Correlation of Ocular Surface Disease and Quality of Life in Indian Glaucoma Patients: BAC-preserved versus BAC-free Travoprost
Journal Title: Turkish Journal of Ophthalmology - Year 2020, Vol 50, Issue 2
Abstract
Objectives: The use of benzalkonium chloride (BAC)-preserved medications is associated with ocular surface disease (OSD) that can negatively affect quality of life (QoL) in glaucoma patients. This study aimed to compare QoL and correlate it with OSD in glaucoma patients receiving BAC-preserved and BAC-free travoprost. Materials and Methods: A total of 110 subjects were divided into 3 groups: 40 primary open-angle glaucoma (POAG) patients using BAC-preserved travoprost, 40 POAG patients using BAC-free travoprost, and 30 age-matched controls. All patients were assessed using a single interviewer-administered format of the Ocular Surface Disease index (OSDI) and Glaucoma Quality of Life-15 (GQL-15) questionnaires. Results: Mean GQL-15 score in the BAC group was significantly higher than in the BAC-free group (24.71±7.42 vs. 17.58±3.06; p<0.05). The mean difference in GQL-15 scores between controls and the BAC-free group (1.24) was insignificant (p>0.05). There was a strong positive correlation between OSDI scores and GQL-15 scores in all the groups (r values: BAC: 0.63, BAC-free: 0.23, controls: 0.29), with higher OSDI scores (severe OSD) associated with higher GQL-15 scores (worse QoL). Cronbach’s alpha was 0.84 for GQL-15 and 0.75 for OSDI. Conclusion: BAC-preserved travoprost leads to higher OSDI scores, which correlate strongly with poor QoL scores as compared to BAC-free travoprost. The use of BAC-free formulations should be encouraged to reduce the onset or worsening of OSD and impaired QoL in glaucoma patients.
Authors and Affiliations
Suresh Kumar, Tanu Singh, Parul Ichhpujani, Sanchi Vohra, Sahil Thakur
Keywords
Related Articles
- EP ID EP684437
- DOI 10.4274/tjo.galenos.2019.29000
- Views 247
- Downloads 0
Intracranial Mass Lesion in a Patient Being Followed up for Amblyopia
A 12-year-old boy being followed up for amblyopia presented to our hospital with visual disturbance in the left eye. The patient’s best corrected visual acuity on Snellen chart was 1.0 in the right eye and 0.3 in the lef...
Extranodal Ocular Adnexal Marginal Zone Lymphoma in a Ten-Year-Old Child
A 10-year-old girl was brought to the clinic with the complaint of a salmon-colored conjunctival lesion for 1 month. With the aid of histopathological evaluation and other tests, extranodal ocular adnexal marginal zone l...
Sarcoid-like Granulomatous Intraocular Inflammation Caused by Vemurafenib Treatment for Metastatic Melanoma
Vemurafenib is a potent inhibitor of genetically activated BRAF, which is responsible for tumoral proliferation in cutaneous melanoma. A 56-year-old man receiving vemurafenib therapy presented with uveitis. Over the cour...
The Relationship Between Keratoconus Stage and the Thickness of the Retinal Layers
Objectives: To examine the relationship between keratoconus (KC) stage and the thickness of the retinal layers. Materials and Methods: Retinal layer thicknesses were compared between 85 eyes of 85 KC patients and 40 eye...
Unilateral Acute Macular Toxoplasmic Chorioretinitis Associated with White Dot-Like Choroidal Involvement Demonstrated on Indocyanine Green Angiography
A 9-year-old otherwise healthy boy was examined due to a 4-day history of visual decline in his right eye. Ophthalmological examination revealed an area of active retinochoroiditis in the right macula. Indocyanine green...