Evaluation of color vision related quality of life changes due to cataract surgery

Zane Jansone-Langina; Zane Jansone-Langina; Maris Ozolinsh; Maris Ozolinsh

doi:10.1364/JOSAA.477090

Journal of the Optical Society of America A
Vol. 40,
Issue 3,
pp. A139-A148
(2023)
•https://doi.org/10.1364/JOSAA.477090

Evaluation of color vision related quality of life changes due to cataract surgery

Zane Jansone-Langina and Maris Ozolinsh

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Zane Jansone-Langina and Maris Ozolinsh, "Evaluation of color vision related quality of life changes due to cataract surgery," J. Opt. Soc. Am. A 40, A139-A148 (2023)

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- Clinical Applications
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The topics in this list come from the Optics and Photonics Topics applied to this article.

About this Article
History
- Original Manuscript: September 30, 2022
- Revised Manuscript: January 15, 2023
- Manuscript Accepted: January 21, 2023
- Published: February 15, 2023
Virtual Issues
JOSA A Feature Issue: Color Vision 2023 (2023)

Abstract

Questionnaires have been used as research tools to provide a standardized approach to assess quality of life at various time periods and populations. However, literature shows only a few articles about self-reported color vision changes. Our aim was to evaluate the subjective patient feelings before and after cataract surgery and compare the results with a color vision test result. Our method was as follows: 80 cataract patients filled out a modified color vision questionnaire and performed the Farnsworth–Munsell 100 Hue Color Vision Test (FM100) before, two weeks, and six months after cataract surgery. We analyzed the correlations between these two types of results, which reveal that FM100 hue performance and subjective perception improved after surgery. Additionally, subjective patient questionnaire scores correlate well with the FM100 test results before and two weeks after the cataract surgery, but this effect decreased with longer follow-up times. We conclude that subjective color vision changes can only be noticed at longer periods after the cataract surgery. Health care professionals can use this questionnaire to better understand the subjective feelings of patients and monitor their color vision sensitivity changes.

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No.	Color Vision Related Questions
1.	I tend to confuse colors
2.	The color names that I use disagree with those that other people use
3.	I have difficulty distinguishing between colors
4.	I feel that colors appear different than before
5.	The colors appear bluer than before
6.	It is hard for me to distinguish whether the food is ready depending on its color
7.	I feel that the colors appear yellower
8.	I feel that the colors have changed their brightness

Before	1.	2.	3.	4.	5.	6.	7.	8.
Normal	$1.4 \pm 0.6$	$1.1 \pm 0.3$	$1.8 \pm 0.7$	$1.2 \pm 0.6$	$1.0 \pm 0.2$	$1.3 \pm 0.5$	$1.3 \pm 0.6$	$1.2 \pm 0.5$
Unspecific	$2.6 \pm 0.5$	$1.6 \pm 0.5$	$1.8 \pm 0.8$	$1.2 \pm 0.4$	$1.2 \pm 0.4$	$1.6 \pm 0.5$	$1.8 \pm 0.8$	$2.2 \pm 1.6$
Tritan	$2.7 \pm 0.7$	$1.4 \pm 0.5$	$2.6 \pm 0.3$	$1.2 \pm 0.4$	$1.2 \pm 0.4$	$1.4 \pm 0.7$	$1.3 \pm 0.5$	$1.2 \pm 0.4$
Protan/Deutan	$1.6 \pm 0.7$	$1.7 \pm 0.6$	$2.0 \pm 0.8$	$1.4 \pm 0.5$	$1.3 \pm 0.7$	$2.1 \pm 0.9$	$1.3 \pm 0.5$	$1.3 \pm 0.4$
All ( $n = 80$ )	$2.8 \pm 0.8$	$1.4 \pm 0.3$	$2.2 \pm 0.5$	$1.2 \pm 0.3$	$1.1 \pm 0.1$	$1.5 \pm 0.5$	$1.5 \pm 0.5$	$1.5 \pm 0.5$
2 weeks	1.	2.	3.	4.	5.	6.	7.	8.
Normal	$1.4 \pm 0.6$	$1.2 \pm 0.6$	$1.3 \pm 0.7$	$2.7 \pm 0.9$	$2.9 \pm 0.9$	$1.4 \pm 0.6$	$1.1 \pm 0.3$	$2.9 \pm 0.9$
Unspecific	$2.0 \pm 1.0$	$1.8 \pm 0.8$	$1.8 \pm 0.8$	$3.2 \pm 0.8$	$3.2 \pm 0.4$	$1.4 \pm 0.5$	$1.2 \pm 0.4$	$3.2 \pm 1.5$
Tritan	$1.8 \pm 0.9$	$1.2 \pm 0.5$	$1.5 \pm 0.6$	$2.8 \pm 0.8$	$2.6 \pm 1.2$	$1.5 \pm 0.7$	$1.1 \pm 0.3$	$1.4 \pm 0.9$
Protan/Deutan	$1.4 \pm 0.8$	$1.5 \pm 0.7$	$2.1 \pm 0.9$	$2.0 \pm 1.4$	$1.8 \pm 0.8$	$1.3 \pm 0.5$	$3.1 \pm 0.9$	$1.6 \pm 0.7$
All ( $n = 80$ )	$1.6 \pm 0.6$	$1.3 \pm 0.4$	$1.4 \pm 0.4$	$2.7 \pm 1.4$	$2.4 \pm 1.1$	$1.4 \pm 0.4$	$1.6 \pm 0.6$	$1.5 \pm 0.6$
6 months	1.	2.	3.	4.	5.	6.	7.	8.
Normal	$1.2 \pm 0.5$	$1.1 \pm 0.4$	$1.3 \pm 0.7$	$2.4 \pm 0.5$	$1.3 \pm 0.5$	$1.3 \pm 0.4$	$1.1 \pm 0.2$	$2.5 \pm 1.0$
Unspecific	$1.2 \pm 0.4$	$1.4 \pm 0.5$	$1.8 \pm 0.8$	$2.2 \pm 0.4$	$1.4 \pm 0.5$	$1.4 \pm 0.5$	$1.0 \pm 0.1$	$3.0 \pm 1.2$
Tritan	$1.2 \pm 0.4$	$1.2 \pm 0.5$	$1.4 \pm 0.5$	$2.6 \pm 0.8$	$1.4 \pm 0.6$	$1.4 \pm 0.6$	$1.0 \pm 0.2$	$2.2 \pm 0.9$
Protan/Deutan	$1.6 \pm 0.6$	$1.3 \pm 0.6$	$1.5 \pm 0.7$	$2.9 \pm 0.8$	$1.1 \pm 0.3$	$1.8 \pm 0.7$	$1.1 \pm 0.3$	$3.1 \pm 1.2$
All ( $n = 80$ )	$1.2 \pm 0.2$	$1.2 \pm 0.2$	$1.4 \pm 0.2$	$2.1 \pm 0.7$	$1.3 \pm 0.3$	$1.3 \pm 0.3$	$1.2 \pm 0.2$	$1.2 \pm 0.2$

Before	1.	2.	3.	4.	5.	6.	7.	8.
Normal ( $n = 39$ )	0.65	0.64	0.68	0.64	0.22	0.43	0.71	0.47
Unspecific ( $n = 6$ )	0.61	0.94	0.94	−0.61	0.41	0.33	0.13	0.41
Tritan ( $n = 25$ )	0.64	0.70	0.54	0.28	0.28	0.04	0.03	0.37
Protan/Deutan ( $n = 10$ )	0.14	−0.18	0.76	0.54	0.40	0.63	0.57	0.32
All ( $n = 80$ )	0.58	0.59	0.76	0.60	0.43	0.61	0.50	0.43
2 weeks	1.	2.	3.	4.	5.	6.	7.	8.
Normal ( $n = 39$ )	0.64	0.62	0.58	0.55	0.50	0.49	0.21	0.23
Unspecific ( $n = 6$ )	0.73	0.18	0.75	0.89	0.80	0.21	0.53	−0.07
Tritan ( $n = 25$ )	0.39	0.001	0.15	0.36	0.13	0.72	0.29	−0.14
Protan/Deutan ( $n = 10$ )	0.54	−0.26	0.82	0.70	0.72	0.34	0.60	−0.45
All ( $n = 80$ )	0.60	0.77	0.72	0.79	0.67	0.44	0.39	0.20
6 months	1.	2.	3.	4.	5.	6.	7.	8.
Normal ( $n = 39$ )	0.73	−0.09	0.54	0.25	0.30	0.32	−0.06	0.38
Unspecific ( $n = 6$ )	0.61	0.78	0.38	−0.25	−0.67	0.20	NA	−0.37
Tritan ( $n = 25$ )	0.72	0.19	0.21	0.59	−0.07	0.68	0.12	0.19
Protan/Deutan ( $n = 10$ )	0.57	0.02	0.77	0.65	0.88	0.34	−0.43	−0.81
All ( $n = 80$ )	0.68	0.67	0.66	0.52	0.23	0.01	0.01	0.14

No.	Color Vision Related Questions
1.	I tend to confuse colors
2.	The color names that I use disagree with those that other people use
3.	I have difficulty distinguishing between colors
4.	I feel that colors appear different than before
5.	The colors appear bluer than before
6.	It is hard for me to distinguish whether the food is ready depending on its color
7.	I feel that the colors appear yellower
8.	I feel that the colors have changed their brightness

Before	1.	2.	3.	4.	5.	6.	7.	8.
Normal	$1.4 \pm 0.6$	$1.1 \pm 0.3$	$1.8 \pm 0.7$	$1.2 \pm 0.6$	$1.0 \pm 0.2$	$1.3 \pm 0.5$	$1.3 \pm 0.6$	$1.2 \pm 0.5$
Unspecific	$2.6 \pm 0.5$	$1.6 \pm 0.5$	$1.8 \pm 0.8$	$1.2 \pm 0.4$	$1.2 \pm 0.4$	$1.6 \pm 0.5$	$1.8 \pm 0.8$	$2.2 \pm 1.6$
Tritan	$2.7 \pm 0.7$	$1.4 \pm 0.5$	$2.6 \pm 0.3$	$1.2 \pm 0.4$	$1.2 \pm 0.4$	$1.4 \pm 0.7$	$1.3 \pm 0.5$	$1.2 \pm 0.4$
Protan/Deutan	$1.6 \pm 0.7$	$1.7 \pm 0.6$	$2.0 \pm 0.8$	$1.4 \pm 0.5$	$1.3 \pm 0.7$	$2.1 \pm 0.9$	$1.3 \pm 0.5$	$1.3 \pm 0.4$
All ( $n = 80$ )	$2.8 \pm 0.8$	$1.4 \pm 0.3$	$2.2 \pm 0.5$	$1.2 \pm 0.3$	$1.1 \pm 0.1$	$1.5 \pm 0.5$	$1.5 \pm 0.5$	$1.5 \pm 0.5$
2 weeks	1.	2.	3.	4.	5.	6.	7.	8.
Normal	$1.4 \pm 0.6$	$1.2 \pm 0.6$	$1.3 \pm 0.7$	$2.7 \pm 0.9$	$2.9 \pm 0.9$	$1.4 \pm 0.6$	$1.1 \pm 0.3$	$2.9 \pm 0.9$
Unspecific	$2.0 \pm 1.0$	$1.8 \pm 0.8$	$1.8 \pm 0.8$	$3.2 \pm 0.8$	$3.2 \pm 0.4$	$1.4 \pm 0.5$	$1.2 \pm 0.4$	$3.2 \pm 1.5$
Tritan	$1.8 \pm 0.9$	$1.2 \pm 0.5$	$1.5 \pm 0.6$	$2.8 \pm 0.8$	$2.6 \pm 1.2$	$1.5 \pm 0.7$	$1.1 \pm 0.3$	$1.4 \pm 0.9$
Protan/Deutan	$1.4 \pm 0.8$	$1.5 \pm 0.7$	$2.1 \pm 0.9$	$2.0 \pm 1.4$	$1.8 \pm 0.8$	$1.3 \pm 0.5$	$3.1 \pm 0.9$	$1.6 \pm 0.7$
All ( $n = 80$ )	$1.6 \pm 0.6$	$1.3 \pm 0.4$	$1.4 \pm 0.4$	$2.7 \pm 1.4$	$2.4 \pm 1.1$	$1.4 \pm 0.4$	$1.6 \pm 0.6$	$1.5 \pm 0.6$
6 months	1.	2.	3.	4.	5.	6.	7.	8.
Normal	$1.2 \pm 0.5$	$1.1 \pm 0.4$	$1.3 \pm 0.7$	$2.4 \pm 0.5$	$1.3 \pm 0.5$	$1.3 \pm 0.4$	$1.1 \pm 0.2$	$2.5 \pm 1.0$
Unspecific	$1.2 \pm 0.4$	$1.4 \pm 0.5$	$1.8 \pm 0.8$	$2.2 \pm 0.4$	$1.4 \pm 0.5$	$1.4 \pm 0.5$	$1.0 \pm 0.1$	$3.0 \pm 1.2$
Tritan	$1.2 \pm 0.4$	$1.2 \pm 0.5$	$1.4 \pm 0.5$	$2.6 \pm 0.8$	$1.4 \pm 0.6$	$1.4 \pm 0.6$	$1.0 \pm 0.2$	$2.2 \pm 0.9$
Protan/Deutan	$1.6 \pm 0.6$	$1.3 \pm 0.6$	$1.5 \pm 0.7$	$2.9 \pm 0.8$	$1.1 \pm 0.3$	$1.8 \pm 0.7$	$1.1 \pm 0.3$	$3.1 \pm 1.2$
All ( $n = 80$ )	$1.2 \pm 0.2$	$1.2 \pm 0.2$	$1.4 \pm 0.2$	$2.1 \pm 0.7$	$1.3 \pm 0.3$	$1.3 \pm 0.3$	$1.2 \pm 0.2$	$1.2 \pm 0.2$

Abstract

Data availability

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Tables (3)

Journal of the Optical Society of America A