Postural Stability Changes in the Elderly with Cataract Simulation and Refractive Blur

Anand, Vijay K.; Buckley, John; Scally, Andy J.; Elliott, David B.

doi:10.1167/iovs.03-0455

Cited by 84 publications

(84 citation statements)

References 32 publications

(69 reference statements)

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“…It has been shown that cataract may cause substantial defects in mobility and orientation, even with a good visual acuity, under low luminance conditions [13,14]. Furthermore, Schwartz et al [15] found that cataract surgery significantly improved postural stability and was cost effective with regard to the high cost of treating fall-related injuries in the elderly.…”

Section: Discussionmentioning

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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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: Discussionmentioning

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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“…8 A systematic review found that patients who wait more than 6 months for cataract surgery had an increased rate of falls. 9 Furthermore, cataracts have been found to be the most common cause of fracturerelated visual impairment, 10 with untreated cataract causing up to 49% of visual impairment in patients with femoral neck fractures related to decreased vision.…”

mentioning

confidence: 99%

Risk of Fractures Following Cataract Surgery in Medicare Beneficiaries

Tseng¹,

Yu²,

Lum³

et al. 2012

JAMA

168

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“…12 However, age-related changes in the visual system result in a decline of visual acuity, contrast sensitivity, depth perception, visual field, and adaptation. 13 Visual impairment, measured as well as self-reported, is strongly associated with the risk of falling among older persons, 14 and this relationship is stronger for falls in outdoor environments.…”

Section: Visionmentioning

confidence: 99%

Drawing on Related Knowledge to Advance Multiple Sclerosis Falls-Prevention Research

Ploughman¹,

Deshpande²,

Latimer-Cheung³

et al. 2014

International Journal of MS Care

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There is much to be learned from falls-related research outside the field of multiple sclerosis (MS), as well as from work within the MS field but not specific to falls or falls prevention. This article describes three examples of such bodies of work that have potential to broaden approaches to falls-prevention research: 1) sensory components of postural control among older adults, 2) lessons learned from physical activity promotion among people with spinal cord injury (SCI), and 3) aging among people with MS. Age-related deterioration in visual, vestibular, and somatosensory systems or in sensory integration can adversely affect postural control and can contribute to falls in older people. Sensory-specific interventions designed for improving balance in older people could be adapted for preventing falls in individuals with MS. Spinal Cord Injury (SCI) Action Canada's strategy for disseminating physical activity promotion interventions for adults with SCI has been successful and widely accepted by community partners. Many of the peer-based interventions developed by SCI Action Canada are potentially relevant and could be adapted to the MS population for both physical activity promotion and falls prevention. Considering that older people with MS constitute a growing proportion of the MS population and over 70% of older people with MS report moderate to extreme balance problems, falls prevention should be one of the key components, particularly for MS management in older or more disabled groups. Overall, given people's different ages, symptoms, strengths, and barriers, a tailored MS falls-prevention intervention that includes peer/caregiver support is critical. Int J MS Care. 2014;16:163-170.

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Postural Stability Changes in the Elderly with Cataract Simulation and Refractive Blur

Cited by 84 publications

References 32 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

Risk of Fractures Following Cataract Surgery in Medicare Beneficiaries

Drawing on Related Knowledge to Advance Multiple Sclerosis Falls-Prevention Research

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