Déficit visuel chez les sujets âgés chuteurs

Tran, Thi Ha Chau; Nuoi, D. Nguyen Van; Baiz, H.; Baglin, G.; Leduc, Julien; Bulkaen, H.

doi:10.1016/j.jfo.2011.04.014

Cited by 7 publications

(3 citation statements)

References 26 publications

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“…Similar findings have been reported in other studies [2,3,6,8,9,12]. However, in a large prospective cohort study, Felson et al [2] found that moderately impaired vision was a nonsignificant risk factor for fracture.…”

Section: Discussionsupporting

confidence: 86%

“…Falls frequently result from an interaction of multiple and diverse risk factors and situations, some of which are often unrecognized. Especially, poor vision has long been evocated as a risk factor for falling if undiagnosed and untreated [2,3,4,5,6]. Visual impairment occurs increasingly frequently as people age and several studies have suggested that visual impairment contributes to falls in the elderly.…”

Section: Introductionmentioning

confidence: 99%

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Visual Impairment and Hip Fractures: A Case-Control Study in Elderly Patients

Loriaut

Boyer

et al. 2014

Ophthalmic Res

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Aims: To investigate the relationship between visual impairment and fall-related hip fracture and to determine the etiology of visual impairment in a population of elderly patients with hip fracture. Methods: A case-control study compared 96 patients diagnosed with hip fracture to a randomly selected control group of 103 patients without hip fracture. Inclusion criteria for the case group were as follows: patients aged 60 years and over with a hip fracture. Clinical assessment included visual acuity and ophthalmic examination. Results: Forty-three patients with hip fracture had a visual impairment compared to only 12 patients in the control group. Visual impairment was a significant risk factor for hip fracture (OR = 6.15; 95% CI 2.98-12.69). Twenty-seven hip fracture patients had an uncorrected refractive error compared to only 15 controls (OR = 2.78; 95% CI 0.92-8.35). There was no significant difference of dense cataract between both groups (OR = 2.28; 95% CI 0.75-6.93). Fourteen hip fracture patients had a macular degeneration compared to only 8 controls (OR = 5.63; 95% CI 1.57-20.18), and 10 patients had suspicion of glaucoma compared to only 5 controls (OR = 10.65; 95% CI 2.21-51.3). Conclusion: Visual impairment was significantly associated with an increased risk of hip fracture in elderly people. There are many etiologies that may contribute to hip fractures, most notably refractive error, cataract, macular degeneration and glaucoma.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Visual Impairment and Hip Fractures: A Case-Control Study in Elderly Patients

Loriaut

Boyer

et al. 2014

Ophthalmic Res

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“…Given that visual field loss is the primary vision component that increases the risk of falls and the importance of visual field deficits in the risk of falls due to its adverse effects on mobility and increased risk of bumping into obstacles or tripping with worsening visual field function [97], and the increased falls risk among those with macular degeneration with increasing age as a result of diminished vision, visual processing speed, and balance [98] as outlined in Table 2, the wide implementation of screening programs for identifying those elders who are clearly at risk for single and recurrent falls, as a result of one or more visual issues through well-organized and managed health screening centers is highly recommended [99]. In addition given that among those older adults with age-associated macular degeneration where increased visual impairment is significantly associated with an increased incidence of falls and other injuries, and reduced contrast sensitivity is significantly associated with both increased rates of falls and other injuries, while reduced visual acuity was only associated with increased fall rate [49], very careful assessments are desirable in efforts to optimize outcomes, while minimizing costs.…”

Section: Discussionmentioning

confidence: 99%

Falls Among the Elderly and Vision: A Narrative Review

Marks

2014

MEDJ

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Falls among older people are widespread, and can be catastrophic in terms of injury magnitude, quality of life impact, and increased mortality risk. Among a multitude of factors influencing falls risk rates among older people are deficits in vision, and/or their effects on locomotion, balance, and functional ability. This review discusses the above topic, offers insight into what can be done in this realm based on the current body of literature. Sources drawn from leading peer review articles published over the last 30 years using key words: falls, vision, injury, fracture were retrieved and are analyzed and discussed. On this basis, the importance of falls and their prevention, and future clinical and research directives are highlighted. Expected to increase in prevalence falls cause much undue distress and high personal, as well as societal costs. The research literature on vision and falls, despite having major implications, remains limited at best, at present.

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La perception des objets et des scènes naturelles dans la dégénérescence maculaire liée à l’âge

Tran

Boucart

2012

Journal Français d'Ophtalmologie

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Déficit visuel chez les sujets âgés chuteurs

Cited by 7 publications

References 26 publications

Visual Impairment and Hip Fractures: A Case-Control Study in Elderly Patients

Visual Impairment and Hip Fractures: A Case-Control Study in Elderly Patients

Falls Among the Elderly and Vision: A Narrative Review

La perception des objets et des scènes naturelles dans la dégénérescence maculaire liée à l’âge

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