A prospective study of the rate of falls before and after cataract surgery

Brannan, S; Dewar, C; Sen, Jyotsna; Clarke, David R.; Marshall, T.; Murray, Philip I.

doi:10.1136/bjo.87.5.560

Cited by 74 publications

(63 citation statements)

References 23 publications

(16 reference statements)

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“…Only six of these fell in the 6 months after surgery, along with two who had not previously fallen. 33 We have no easy explanation for the difference between these results and ours.…”

Section: Discussioncontrasting

confidence: 67%

Falls and health status in elderly women following first eye cataract surgery: a randomised controlled trial

Harwood

Foss²,

Osborn³

et al. 2005

British Journal of Ophthalmology

331

281

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Background/aim: A third of elderly people fall each year. Poor vision is associated with increased risk of falls. The authors aimed to determine if first eye cataract surgery reduces the risk of falling, and to measure associated health gain. Methods: 306 women aged over 70, with cataract, were randomised to expedited (approximately 4 weeks) or routine (12 months wait) surgery. Falls were ascertained by diary, with follow up every 3 months. Health status was measured after 6 months. Results: Visual function improved in the operated group (corrected binocular acuity improved by 0.25 logMAR units; 8% had acuity worse than 6/12 compared with 37% of controls). Over 12 months of follow up, 76 (49%) operated participants fell at least once, and 28 (18%) fell more than once. 69 (45%) unoperated participants fell at least once, 38 (25%) fell more than once. Rate of falling was reduced by 34% in the operated group (rate ratio 0.66, 95% confidence interval 0.45 to 0.96, p = 0.03). Activity, anxiety, depression, confidence, visual disability, and handicap all improved in the operated group compared with the control group. Four participants in the operated group had fractures (3%), compared with 12 (8%) in the control group (p = 0.04). Conclusion: First eye cataract surgery reduces the rate of falling, and risk of fractures and improves visual function and general health status.

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“…Only six of these fell in the 6 months after surgery, along with two who had not previously fallen. 33 We have no easy explanation for the difference between these results and ours.…”

Section: Discussioncontrasting

confidence: 67%

Falls and health status in elderly women following first eye cataract surgery: a randomised controlled trial

Harwood

Foss²,

Osborn³

et al. 2005

British Journal of Ophthalmology

331

281

View full text Add to dashboard Cite

show abstract

“…As well as the decrease in selfconfidence, low self-esteem and fear of falling triggered after the falls are feelings that guide the elderly after the accident (28) . The fear of falling and the falls are common syndromes with potentially serious outcomes among the elderly (29) . Surgical treatment of cataract has a positive impact on the quality of vision, allowing patients and perform well their usual (30) and work (31) activities, and reducing the occurrence of falls, especially after surgery of the first eye (32,33) .…”

Section: Discussionmentioning

confidence: 99%

Falls and quality of life of people with cataracts

Menezes¹,

Vilaça²,

Menezes³

2016

Revista Brasileira De Oftalmologia

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RESUMOObjetivo: Investigar a associação entre quedas e qualidade de vida em idosos com catarata. Métodos: Tratou-se de estudo observacional com delineamento transversal, realizado no Distrito Federal, Brasil, com uma amostra de 38 idosos comunitários divididos em dois grupos: idosos caidores (n=18) e idosos não caidores (n=20). Avaliou-se por meio do instrumento National Eye Institute -Visual Function Questionnaire 25 (NEI-VFQ 25) a saúde geral dos indivíduos da amostra, assim como a qualidade de vida relacionada à saúde visual. A caracterização da amostra foi realizada por meio da análise descritiva a fim de avaliar a associação entre quedas e demais variáveis, utilizou-se o teste não paramétrico de Mann-Whitney (p<0,05). Resultados: A faixa etária ≥ 70 anos prevaleceu entre os participantes da pesquisa (63,16%). Dentre os idosos que fizeram parte deste estudo, 36 (94,74%) relataram ter algum problema para enxergar. Idosos caidores apresentaram escore geral mais baixo, quando comparados aos não caidores (p=0,0159), apresentaram também maior dificuldade em realizar atividades para perto (p=0,0299) e para longe (p=0,0104), pior saúde mental (p=0,0001) e nível mais elevado de dependência (p=0,0008). Conclusão: As quedas interferem negativamente na qualidade de vida de idosos com catarata, tornando as ações para prevenção de quedas e o tratamento e/ou correção do déficit visual importantes para evitar prejuízos futuros.

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“…It did also note other flaws of these studies: confounding variables were not adequately controlled for; both trials had insufficient power; and 10.7% of cases were lost to follow-up secondary to death, patient withdrawal from the study, and patients undergoing surgery outside the study. 15 Brannan et al 13 reported a statistically significant decrease in the rate of falls after cataract surgery when compared with the rate of falls preoperatively in 31 patients (OR, 0.08; 95% CI, 0.0092 to Ͼ0.32). Fall incidence was determined by patient diary recordings and telephone calls.…”

Section: ͻ001mentioning

confidence: 99%