{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T09:51:03Z","timestamp":1782121863820,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["842005004"],"award-info":[{"award-number":["842005004"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010378","name":"Stichting Wetenschappelijk Onderzoek Oogziekenhuis","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010378","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the vision\u2010related quality of life (VRQoL) in glaucoma patients over 5\u2009years after primary Baerveldt glaucoma implant (BGI) or trabeculectomy (TE) using a secondary analysis of a randomized clinical trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were randomized to undergo TE or receive a BGI. Preoperative and annual postoperative evaluations included testing of visual acuity (VA), visual field (VF) and VRQoL. Active intraocular pressure\u2010lowering medications were documented at each visit. VRQoL was assessed using the National Eye Institute 39\u2010item Visual Function Questionnaire (NEI VFQ\u201039), and responses were analysed using Rasch modelling. A linear mixed model was applied, with random intercept (patient level) and fixed effects for sex, age, VA, VF mean deviation (MD) and number of intraocular pressure\u2010lowering medications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 119 patients (60 TE; 59 BGI). VRQoL significantly declined after both surgeries (visual functioning scale: TE\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22124.59, 95% CI: \u22127.63 to \u22121.54,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003; BGI\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22124.13, 95% CI: \u22126.83 to \u22121.43,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003; socioemotional scale: TE\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22126.16, 95% CI: \u221210.30 to \u22122.03,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003; BGI\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22124.35, 95% CI: \u22127.33 to \u22121.37,\n                      <jats:italic>p\u2009=<\/jats:italic>\n                      \u20090.004). However, no significant difference in VRQoL was found between TE and BGI postoperatively. Diplopia following BGI implantation was reported in 28.6% at 1\u2009year and 26.5% at 5\u2009years, and it was not associated with a significant change in VRQoL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although VRQoL significantly declined after both TE and BGI, no significant difference was observed between the two surgeries over 5\u2009years. These findings indicate broadly comparable patient\u2010reported outcomes between both procedures; however, VRQoL assessment was limited by power and instrument sensitivity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aos.70176","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T09:22:04Z","timestamp":1782120124000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Vision\u2010related quality of life following trabeculectomy versus Baerveldt glaucoma implant: Five\u2010year results from a randomized clinical trial"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6457-2373","authenticated-orcid":false,"given":"Ionela","family":"Popescu\u2010Giovanitsas","sequence":"first","affiliation":[{"name":"Rotterdam Ophthalmic Institute Rotterdam Eye Hospital  Rotterdam the Netherlands"},{"name":"Department of Ophthalmology Erasmus Medical Center  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarinne E.","family":"Woudstra\u2010de Jong","sequence":"additional","affiliation":[{"name":"Rotterdam Ophthalmic Institute Rotterdam Eye Hospital  Rotterdam the Netherlands"},{"name":"Department of Psychiatry, Section Medical Psychology and Psychotherapy Erasmus Medical Center  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes R.","family":"Vingerling","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Erasmus Medical Center  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter W. T.","family":"de Waard","sequence":"additional","affiliation":[{"name":"Department of Glaucoma Rotterdam Eye Hospital  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter W. M.","family":"Bonnemaijer","sequence":"additional","affiliation":[{"name":"Department of Glaucoma Rotterdam Eye Hospital  Rotterdam the Netherlands"},{"name":"Department of Epidemiology Erasmus Medical Center  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"1804","DOI":"10.1016\/j.ophtha.2007.06.047","article-title":"Visual acuity as an outcome measure in clinical trials of retinal diseases","volume":"114","author":"Beck R.W.","year":"2007","journal-title":"Ophthalmology"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.ophtha.2014.09.030","article-title":"Glaucoma and associated visual acuity and field loss significantly affect glaucoma\u2010specific psychosocial functioning","volume":"122","author":"Chan 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