Quality-of-Life and Psychosocial Aspects in Patients with Ocular Toxoplasmosis: A Clinical Study in a Tertiary Care Hospital in Brazil

• Published in: Ocular immunology and inflammation 2020-05, Vol.28 (4), p.679-687
• Main Authors: Canamary, Aristofanes Mendonça, Monteiro, Isabela Ribeiro, Machado Silva, Monique Kling Mangeon, Regatieri, Caio Vinícius Saito, Silva, Luci Meire Pereira, Casaroli-Marano, Ricardo P., Muccioli, Cristina
• Format: Article
• Language: English
• Subjects: Adult; anxiety; Anxiety Disorders - epidemiology; Anxiety Disorders - etiology; Anxiety Disorders - psychology; Brazil - epidemiology; Cross-Sectional Studies; depression; Female; Health Status; Humans; Incidence; Male; posterior uveitis; Quality of Life; Surveys and Questionnaires; Tertiary Care Centers - statistics & numerical data; Toxoplasmosis; Toxoplasmosis, Ocular - complications; Toxoplasmosis, Ocular - epidemiology; Toxoplasmosis, Ocular - psychology; Visual Acuity
• ISSN: 0927-3948; 1744-5078
• DOI: 10.1080/09273948.2019.1612453

To evaluate quality of life in patients with uveitis-related to toxoplasmosis and its correlation with demographic, ocular involvement and psychosocial aspects.Methods: Data were collected through standardized interviews using a form to collect clinical and demographic data, in addition forms such as HADS, SF-12, NEI-VFQ-25 for health-related quality of life and anxiety and depression symptoms.Results: 81 patients were included with a mean age of 41.5 ± 14.5 years, females (50.6%) They were divided into three categories of best corrected visual acuity in the better seeing eye: normal (0-0.4 logMAR, 60 participants), low vision (0.48-0.9 logMAR, 9 participants) and blindness (>1 logMAR, 12 participants). The mean of VFQ-25 score was 75.5 ± 19.5 and the mean of SF-12 physical and mental components scores were 48.5 ± 7.4 and 52.4 ± 10.6 for health-related quality of life (HRQol). Anxiety symptoms were most prevalente than depression and were found in 38% of the subjects.Conclusions: Slightly more than a quarter of the sample presented impaired vision. It is associated with worsening of the quality of life since it affects mostly mental and related to the vision domains. This affects familiar, social and in addition, labor relations, since the majority of the subjects are in the economically active age group.