Visual and refractive associations with falls after first-eye cataract surgery.

Palagyi, A; Morlet, N; McCluskey, P; White, A; Meuleners, L; Ng, JQ; Lamoureux, E; Pesudovs, K; Stapleton, F; Ivers, RQ; Rogers, K; Keay, L

Visual and refractive associations with falls after first-eye cataract surgery.

Palagyi, A Morlet, N McCluskey, P White, A Meuleners, L Ng, JQ Lamoureux, E Pesudovs, K Stapleton, F Ivers, RQ Rogers, K

Keay, L

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Publisher:: Lippincott, Williams & Wilkins
Publication Type:: Journal Article
Citation:: Journal of Cataract and Refractive Surgery, 2017, 43, (10), pp. 1313-1321
Issue Date:: 2017-10

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Field	Value	Language
dc.contributor.author	Palagyi, A
dc.contributor.author	Morlet, N
dc.contributor.author	McCluskey, P
dc.contributor.author	White, A
dc.contributor.author	Meuleners, L
dc.contributor.author	Ng, JQ
dc.contributor.author	Lamoureux, E
dc.contributor.author	Pesudovs, K
dc.contributor.author	Stapleton, F
dc.contributor.author	Ivers, RQ
dc.contributor.author	Rogers, K https://orcid.org/0000-0001-5497-4298
dc.contributor.author	Keay, L
dc.date.accessioned	2022-08-23T00:22:50Z
dc.date.available	2017-07-11
dc.date.available	2022-08-23T00:22:50Z
dc.date.issued	2017-10
dc.identifier.citation	Journal of Cataract and Refractive Surgery, 2017, 43, (10), pp. 1313-1321
dc.identifier.issn	0886-3350
dc.identifier.issn	1873-4502
dc.identifier.uri	http://hdl.handle.net/10453/160705
dc.description.abstract	PURPOSE: To clarify the effect of first-eye cataract surgery on the incidence of falls and identify components of visual function associated with fall risk. SETTING: Eight public hospital eye clinics in Sydney, Melbourne, and Perth, Australia. DESIGN: Prospective cohort study. METHODS: The study recruited patients who had bilateral cataract, were aged 65 years or older, and were on public hospital cataract surgery waiting lists. Comprehensive assessments of vision, physical function, and exercise activity were performed before and after first-eye cataract surgery. Falls were reported prospectively for up to 2 years and associations with falls were assessed using generalized linear mixed models. RESULTS: Of the 329 patients recruited, 196 (66.6%) completed first-eye surgery within the study period. First-eye cataract surgery reduced incident falls by 33% (adjusted incidence rate ratio 0.67; 95% confidence interval [CI], 0.49-0.92; P = .01). Poorer dominant-eye visual acuity was associated with falls during the study timeline (incidence rate ratio, 2.20; 95% CI, 1.02-4.74; P = .04). Patients with larger than a spherical equivalent of ±0.75 diopter change in the spectacle lens (operated eye) had a 2-fold greater incidence of falls in the period after first-eye cataract surgery than those with less or no change in lens power (incidence rate ratio, 2.17; 95% CI, 1.23-3.85; P = .008). CONCLUSIONS: First-eye cataract surgery significantly reduced incident falls. Major changes in the dioptric power of spectacle correction of the operated eye after surgery increased the fall risk. Cautious postoperative refractive management is important to maximize the benefit of cataract surgery as a fall-prevention measure.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Lippincott, Williams & Wilkins
dc.relation.ispartof	Journal of Cataract and Refractive Surgery
dc.relation.isbasedon	10.1016/j.jcrs.2017.07.029
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1113 Opthalmology and Optometry
dc.subject.classification	Ophthalmology & Optometry
dc.subject.mesh	Accidental Falls
dc.subject.mesh	Cataract Extraction
dc.subject.mesh	Humans
dc.subject.mesh	Incidence
dc.subject.mesh	Postoperative Period
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Risk Factors
dc.subject.mesh	Visual Acuity
dc.subject.mesh	Accidental Falls
dc.subject.mesh	Cataract Extraction
dc.subject.mesh	Humans
dc.subject.mesh	Incidence
dc.subject.mesh	Postoperative Period
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Risk Factors
dc.subject.mesh	Visual Acuity
dc.subject.mesh	Humans
dc.subject.mesh	Cataract Extraction
dc.subject.mesh	Postoperative Period
dc.subject.mesh	Incidence
dc.subject.mesh	Risk Factors
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Accidental Falls
dc.subject.mesh	Visual Acuity
dc.title	Visual and refractive associations with falls after first-eye cataract surgery.
dc.type	Journal Article
utslib.citation.volume	43
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1113 Opthalmology and Optometry
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-08-23T00:22:49Z
pubs.issue	10
pubs.publication-status	Published
pubs.volume	43
utslib.citation.issue	10

Abstract:

PURPOSE: To clarify the effect of first-eye cataract surgery on the incidence of falls and identify components of visual function associated with fall risk. SETTING: Eight public hospital eye clinics in Sydney, Melbourne, and Perth, Australia. DESIGN: Prospective cohort study. METHODS: The study recruited patients who had bilateral cataract, were aged 65 years or older, and were on public hospital cataract surgery waiting lists. Comprehensive assessments of vision, physical function, and exercise activity were performed before and after first-eye cataract surgery. Falls were reported prospectively for up to 2 years and associations with falls were assessed using generalized linear mixed models. RESULTS: Of the 329 patients recruited, 196 (66.6%) completed first-eye surgery within the study period. First-eye cataract surgery reduced incident falls by 33% (adjusted incidence rate ratio 0.67; 95% confidence interval [CI], 0.49-0.92; P = .01). Poorer dominant-eye visual acuity was associated with falls during the study timeline (incidence rate ratio, 2.20; 95% CI, 1.02-4.74; P = .04). Patients with larger than a spherical equivalent of ±0.75 diopter change in the spectacle lens (operated eye) had a 2-fold greater incidence of falls in the period after first-eye cataract surgery than those with less or no change in lens power (incidence rate ratio, 2.17; 95% CI, 1.23-3.85; P = .008). CONCLUSIONS: First-eye cataract surgery significantly reduced incident falls. Major changes in the dioptric power of spectacle correction of the operated eye after surgery increased the fall risk. Cautious postoperative refractive management is important to maximize the benefit of cataract surgery as a fall-prevention measure.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/160705