Quality of Vision Questionnaire

Step 1 of 11

9%

People in every day life often experience varying types of visual abberration.

These symptoms may be so common that an individual does not recognise it as abnormal and they may have had this all their life. Often in the early stages after eye surgery whether that is cataract surgery or laser surgery or after multifocal IOLs a variety of visual sensations are much more common.

Within this visual assessment exercise you will be presented with 10 different types of visual phenomena or visual challenges. You will be asked to indicate whether you are affected by anything similar and how often and whether it causes you a lot of problems.

There are currently many different types of glasses and contact lenses, lasers and intraocular lenses being used. All of these refract light and affect the eye in slightly different ways- for this reason it is important to try to gain an understanding of the differences in visual aberrations which may occur due to different treatments and at different times after first using them or after being operated upon.

This questionnaire will be used for research purposes.

By completing this you agree to the results being used in an anonymised fashion for research purposes.

None of your personal information will be passed onto 3rd parties.
Do you agree to these terms?*
- I agree
- I disagree
Click here to return to the home page.

Name*
FirstLast
Date of birth*
DD
MM
YYYY
Gender*
- Male
- Female
Do you wear glasses or contacts?*
Type of surgery*
Date of surgery - left eye
DD
MM
YYYY
Date of surgery - right eye
DD
MM
YYYY