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Background: <p>Cataract is a leading cause of reversible visual impairment in older adults and is strongly associated with reducedquality of life and increased depressive symptoms. Although cataract surgery restores visual function, its psychological impact—particularly on depression and hopelessness—remains insufficiently explored.</p> Methods: <p>This prospective observational study included 71 patients undergoing standard phacoemulsification with intraocular lensimplantation. Visual function, depression, and hopelessness were assessed preoperatively and at 4 and 12 weeks postoperativelyusing the NEI VFQ-25, Beck Depression Inventory (BDI), and Beck Hopelessness Scale (BHS). Subgroup analyses were conductedfor gender, marital status, employment, socioeconomic status, and education level. Statistical analyses included paired-sample tests,repeated-measures ANOVA or Friedman tests, and Cohen’s d effect size calculations.</p> Results: <p>Best-corrected visual acuity improved significantly from 0.61 to 0.10 logMAR. NEI VFQ-25 subscales—particularly generalvision, near and distance activities, colour vision, peripheral vision, and mental health—showed marked postoperative improvement(all p 0.001; large effect sizes). Mean BDI scores decreased from 18.56 ± 5.5 to 14.14 ± 4.7, shifting from “moderate” to “mild”depression by week 12. BHS scores declined from 12.79 ± 2.1 to 10.42 ± 2.2 (both p 0.001), indicating significant but more limitedimprovement in hopelessness. Subgroup analyses revealed greater psychological recovery in males, married individuals, activelyworking participants, and those with higher socioeconomic status.</p> Conclusion: <p>Cataract surgery substantially improves both visual function and psychological well-being. Enhancements in visual acuityand NEI VFQ-25 scores parallel significant reductions in depressive symptoms and modest, yet meaningful, declines inhopelessness. Sociodemographic factors influence recovery patterns, underscoring the importance of individualized patientcounselling. Cataract surgery should be recognised not only as a visual rehabilitation procedure but also as a valuable interventionsupporting emotional and mental health in older adults.</p>

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Pre- and post-operative evaluation of psychological well-being and vision-specific quality of life in cataract patients

  • 期刊论文

  • 发表日期：

    2026年1月27日

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  • Tunahan Akyol,
  • Emine Seker Un,
  • Osman Parca,
  • Gizem Kavas Akyol

摘要

Background:

Cataract is a leading cause of reversible visual impairment in older adults and is strongly associated with reducedquality of life and increased depressive symptoms. Although cataract surgery restores visual function, its psychological impact—particularly on depression and hopelessness—remains insufficiently explored.

Methods:

This prospective observational study included 71 patients undergoing standard phacoemulsification with intraocular lensimplantation. Visual function, depression, and hopelessness were assessed preoperatively and at 4 and 12 weeks postoperativelyusing the NEI VFQ-25, Beck Depression Inventory (BDI), and Beck Hopelessness Scale (BHS). Subgroup analyses were conductedfor gender, marital status, employment, socioeconomic status, and education level. Statistical analyses included paired-sample tests,repeated-measures ANOVA or Friedman tests, and Cohen’s d effect size calculations.

Results:

Best-corrected visual acuity improved significantly from 0.61 to 0.10 logMAR. NEI VFQ-25 subscales—particularly generalvision, near and distance activities, colour vision, peripheral vision, and mental health—showed marked postoperative improvement(all p 0.001; large effect sizes). Mean BDI scores decreased from 18.56 ± 5.5 to 14.14 ± 4.7, shifting from “moderate” to “mild”depression by week 12. BHS scores declined from 12.79 ± 2.1 to 10.42 ± 2.2 (both p 0.001), indicating significant but more limitedimprovement in hopelessness. Subgroup analyses revealed greater psychological recovery in males, married individuals, activelyworking participants, and those with higher socioeconomic status.

Conclusion:

Cataract surgery substantially improves both visual function and psychological well-being. Enhancements in visual acuityand NEI VFQ-25 scores parallel significant reductions in depressive symptoms and modest, yet meaningful, declines inhopelessness. Sociodemographic factors influence recovery patterns, underscoring the importance of individualized patientcounselling. Cataract surgery should be recognised not only as a visual rehabilitation procedure but also as a valuable interventionsupporting emotional and mental health in older adults.