Impact of low luminance conditions on quality of life for the visually impaired: development of the Low Luminance Questionnaire Japanese version.
Activities of daily living
Low Luminance Questionnaire
Low luminance deficit
Low luminance visual acuity
Quality of life
Journal
Japanese journal of ophthalmology
ISSN: 1613-2246
Titre abrégé: Jpn J Ophthalmol
Pays: Japan
ID NLM: 0044652
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
received:
19
10
2020
accepted:
26
03
2021
pubmed:
16
5
2021
medline:
19
8
2021
entrez:
15
5
2021
Statut:
ppublish
Résumé
This study aimed to develop a Japanese version of the Low Luminance Questionnaire (LLQ-J) and to evaluate its reliability and validity. Cross-sectional study. LLQ-J was developed by standardized methods. A total of 101 patients comprising 55 with age-related macular degeneration, 25 with glaucoma, 15 with regressed proliferative diabetic retinopathy, and 6 with retinitis pigmentosa were included in this study. The patients completed the LLQ-J and Japanese version of the visual function Questionnaire-25 (VFQ-25). Using the LLQ-J data, floor and ceiling effects were computed. To examine internal consistency, some patients completed the LLQ-J a second time 2-4 weeks later and the data were analyzed for Cronbach's alpha and intra-class correlation coefficients (ICCs). Best-corrected visual acuity (BCVA) and low luminance visual acuity (LLVA) were measured, and low-luminance deficit (LLD) was calculated. Criterion validity was also tested. No ceiling or floor effects were present in the LLQ-J data. Cronbach's alfa was 0.88, and ICCs were higher than 0.70 for all subscales. Moderate to high correlation was observed between LLQ-J and VFQ-25 (p < 0.01), confirming concurrent validity. "General dim lighting" and "Peripheral vision" were significantly associated with LLVA in the better eye (p < 0.05). "Mobility", "General dim lighting" and "Peripheral vision" were significantly associated with LLD (p < 0.05). "Emotional distress" was significantly associated with BCVA in the worse eye (p < 0.05). No subscales were associated with BCVA of the better eye. The LLQ-J is a valid and reliable questionnaire for assessing QOL under low luminance conditions.
Identifiants
pubmed: 33991271
doi: 10.1007/s10384-021-00838-4
pii: 10.1007/s10384-021-00838-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
554-560Références
Hiraoka T, Hoshi S, Okamoto Y, Okamoto F, Oshika T. Mesopic functional visual acuity in normal subjects. PLoS ONE. 2015;10:e0134505.
doi: 10.1371/journal.pone.0134505
Hertenstein H, Bach M, Gross NJ, Beisse F. Marked dissociation of photopic and mesopic contrast sensitivity even in normal observers. Graefes Arch Clin Exp Ophthalmol. 2016;254:373–84.
doi: 10.1007/s00417-015-3020-4
Owsley C, McGwin G Jr, Scilley K, Kallies K. Development of a questionnaire to assess vision problems under low luminance in age-related maculopathy. Invest Ophthalmol Vis Sci. 2006;47:528–35.
doi: 10.1167/iovs.05-1222
Owsley C, McGwin G Jr, Jackson GR, Kallies K, Clark M. Cone- and rod-mediated dark adaptation impairment in age-related maculopathy. Ophthalmology. 2007;114:1728–35.
doi: 10.1016/j.ophtha.2006.12.023
Thompson AC, Luhmann UFO, Stinnett SS, Vajzovic L, Horne A, Toth CA, et al. Association of low luminance questionnaire with objective functional measures in early and intermediate age-related macular degeneration. Invest Ophthalmol Vis Sci. 2018;59:289–97.
doi: 10.1167/iovs.17-22528
Yazdanie M, Alvarez J, Agrón E, Wong WT, Wiley HE, Ferris FL 3rd, et al. Decreased visual function scores on a low luminance questionnaire is associated with impaired dark adaptation. Ophthalmology. 2017;124:1332–9.
doi: 10.1016/j.ophtha.2017.05.005
Chen KG, Alvarez JA, Yazdanie M, Papudesu C, Wong WT, Wiley HE, et al. Longitudinal study of dark adaptation as a functional outcome measure for age-related macular degeneration. Ophthalmology. 2019;126:856–65.
doi: 10.1016/j.ophtha.2018.09.039
Blumberg DM, Liebmann JM, Hirji SH, Hood DC. Diffuse macular damage in mild to moderate glaucoma is associated with decreased visual function scores under low luminance conditions. Am J Ophthalmol. 2019;208:415–20.
doi: 10.1016/j.ajo.2019.08.024
Chen XD, Gardner TW. Patient-reported outcomes reveal impairments not explained by psychophysical testing in patients with regressed PDR. Transl Vis Sci Technol. 2019;8:11.
doi: 10.1167/tvst.8.4.11
Finger RP, Fenwick E, Owsley C, Holz FG, Lamoureux EL. Visual functioning and quality of life under low luminance: evaluation of the German Low Luminance Questionnaire. Invest Ophthalmol Vis Sci. 2011;52:8241–9.
doi: 10.1167/iovs.11-7858
Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health. 2005;8:94–104.
doi: 10.1111/j.1524-4733.2005.04054.x
Camparini M, Cassinari P, Ferrigno L, Macaluso C. ETDRS-fast: implementing psychophysical adaptive methods to standardized visual acuity measurement with ETDRS charts. Invest Ophthalmol Vis Sci. 2001;42:1226–31.
pubmed: 11328731
Hood DC, Finkelstein MA. Visual sensitivity. In: Boff K, Kaufman L, Thomas JP, editors. Handbook of perception and human performance. New York: Wiley; 1986. p. 1–66.
Sunness JS, Rubin GS, Broman A, Applegate CA, Bressler NM, Hawkins BS. Low luminance visual dysfunction as a predictor of subsequent visual acuity loss from geographic atrophy in age-related macular degeneration. Ophthalmology. 2008;115:1480–8.
doi: 10.1016/j.ophtha.2008.03.009
Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.
doi: 10.1016/j.jclinepi.2006.03.012