The Association Between Visual Field Defect Severity and Fear of Falling in Primary Open-Angle Glaucoma

Yuki, Kenya; Tanabe, Soichi; Kouyama, Keisuke; Fukagawa, Kazumi; Uchino, Makoto; Shimoyama, Masaru; Ozeki, Naoki; Shiba, Daisuke; Ozawa, Yoko; Abe, Takayuki; Tsubota, Kazuo

doi:10.1167/iovs.13-12079

Cited by 25 publications

(26 citation statements)

References 34 publications

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“…In our multivariable models, we found that FoF was independently associated with being female, white, Medicaid eligible, and having a higher BMI or more medical comorbidities. Prior investigations in older adults with and without VI also detected these associations and reported comparable effect sizes . The association between BMI and FoF in this study suggests that individuals with a higher BMI are more likely to fear falling even when they are no more likely to fall.…”

Section: Discussionsupporting

confidence: 82%

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Prevalence of Falls and Fall‐Related Outcomes in Older Adults with Self‐Reported Vision Impairment

Ehrlich

Hassan

Stagg

2018

J American Geriatrics Society

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Objectives To determine the prevalence of falls, fear of falling (FoF), and activity limitation due to FoF in a nationally representative study of older adults with self‐reported vision impairment (VI). Design Cross‐sectional analysis of panel survey data. Setting National Health and Aging Trends Study, a nationally representative survey administered annually from 2011 to 2016 to U.S. Medicare beneficiaries aged 65 and older. Participants Respondents (N=11,558) who contributed 36,229 participant observations. Measurements We performed logistic regression to calculate the unadjusted and adjusted prevalence of self‐reported history of more than 1 fall in the past year, any fall in the past month, FoF, and activity limitation due to FoF in participants with and without self‐reported VI. Results The weighted proportion of participants reporting VI was 8.6% (95% confidence interval (CI)=8.0–9.2%). The unadjusted prevalence of more than 1 fall in the past year was 27.6% (95% CI=25.5–29.7%) in participants with self‐reported VI and 13.2% (95% CI=12.7–13.7%) in those without self‐reported VI. In respondents with self‐reported VI, the prevalence of FoF was 48.3% (95% CI=46.1–50.6%) and of FoF limiting activity was 50.8% (95%CI 47.3–54.2%), and in those without self‐reported VI, the prevalence of FoF was 26.7% (95% CI=25.9–27.5%) and of FoF limiting activity was 33.9% (95% CI=32.4–35.4%). The prevalence of all fall and fall‐related outcomes remained significantly higher among those with self‐reported VI after adjusting for sociodemographics and potential confounders. Conclusion The prevalence of falls, FoF, and activity limitation due to FoF is high in older adults with self‐reported VI. This is the first study to provide nationally representative data on the prevalence of fall‐related outcomes in older Americans with self‐reported VI. These findings demonstrate the need to treat avoidable VI and to develop interventions to prevent falls and fall‐related outcomes in this population. J Am Geriatr Soc 67:239–245, 2019.

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Section: Discussionsupporting

confidence: 82%

“…Other studies have also found an association between VI and FoF. [38][39][40] A Japanese clinic-based study found that 23% to 25% of individuals with moderate to severe glaucoma reported FoF (vs 12% of controls and individuals with mild glaucoma). In our study, nearly half of older adults with self-reported VI endorsed FoF.…”

Section: Discussionmentioning

confidence: 97%

Prevalence of Falls and Fall‐Related Outcomes in Older Adults with Self‐Reported Vision Impairment

Ehrlich

Hassan

Stagg

2018

J American Geriatrics Society

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“…43,44 Interestingly many patients, even with moderate visual field loss, have a fear of falling and there is good evidence that patients limit their own mobility. [45][46][47] Glaucoma undoubtedly impacts on an individual when visual field loss causes the removal of a driving licence, and several studies have shown that certain glaucomatous visual field defects are not compatible with safe driving. 48,49 Interestingly, it has been demonstrated that UK patients perceive this particular potential outcome of their disease to be as serious to them as the long-term risk of blindness.…”

Section: Aspects Of Visual Disability In Glaucomamentioning

confidence: 99%

A view on glaucoma—are we seeing it clearly?

Crabb

2015

Eye

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Successful clinical management of glaucoma should not simply be about control of intraocular pressure, but must equate to correct decisions about intensifying treatment when patients are at risk of developing 'visual disability'. Yet little is known about what visual field defects, at different stages of glaucoma, specifically affect patients' abilities to perform everyday visual tasks. One way to do this is to measure patient performance in tasks in a lab setting. Another way is to ask patients themselves. The latter can be revealing and demystify views about how patients perceive the world. This short commentary highlights some of the current research in this area.

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“…Visual function and physical stature are closely related, 21 and visual recovery contributes to mortality and physical performance. Cataract surgery is recognized to both reduce the risk of falls, a serious injury in older adults, [22][23][24][25][26][27][28][29] and improve driving safety 30,31 probably due to the remarkable improvement in visual recognition after surgery.…”

Section: Introductionmentioning

confidence: 99%

Rejuvenation Effects of Cataract Surgery with Ultraviolet Blocking Intra-Ocular Lens on Circadian Rhythm and Gait Speed

Ayaki

Negishi

Tsubota

2014

Rejuvenation Research

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Background: Previously, we reported improvements in sleep quality and gait speed after implantation of a yellow-colored, blue light-blocking intra-ocular lens (IOL). This study evaluated systemic health parameters for 7 months after cataract surgery with implantation of a clear, ultraviolet (UV)-blocking IOL. Methods: A total of consecutive 71 patients (average age 74.1 years) underwent cataract surgery with the implantation of a clear, UV-blocking IOL. Participants were evaluated using the Pittsburgh Sleep Quality Index (PSQI) and the National Eye Institute Visual Function Questionnaire (VFQ-25) before and at 2 and 7 months after surgery. Four-meter gait speed was also determined. The metabolic parameters of serum glycated hemoglobin (HbA1c), triglycerides (TGs), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C) were tested. Results: The pre-operative and post-operative (2 and 7 months after surgery) results were 66.4 -16.5, 79.5 -12.6, and 81.0 -13.0 for VFQ-25 score, 5.7 -3.5, 5.1 -3.1, and 4.8 -2.9 for PSQI, and 0.90 -0.22, 0.91 -0.22, and 0.92 -0.22 meters/sec for gait speed. Significant improvements following surgery were noted in the VFQ-25 score for all cases and in the PSQI for poor sleepers (preoperative PSQI > 5.5) (P < 0.05, paired t-test). The gait speed and metabolic parameters showed no significant changes. Conclusions: Cataract surgery with implantation of an UV-blocking clear IOL has the potential for improving circadian rhythm and systemic health parameters.

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The Association Between Visual Field Defect Severity and Fear of Falling in Primary Open-Angle Glaucoma

Abstract: Among patients with POAG, the severity of visual field defects is associated with fear of falling. (http://www.umin.ac.jp/ctr/index.htm number, UMIN000005574.).

Cited by 25 publications

References 34 publications

Prevalence of Falls and Fall‐Related Outcomes in Older Adults with Self‐Reported Vision Impairment

Prevalence of Falls and Fall‐Related Outcomes in Older Adults with Self‐Reported Vision Impairment

A view on glaucoma—are we seeing it clearly?

Rejuvenation Effects of Cataract Surgery with Ultraviolet Blocking Intra-Ocular Lens on Circadian Rhythm and Gait Speed

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