Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-m9kch Total loading time: 0 Render date: 2024-05-01T09:01:18.830Z Has data issue: false hasContentIssue false

21 - Fall Prevention Interventions for People with Visual Impairment

from Part II - Strategies for Prevention

Published online by Cambridge University Press:  04 November 2021

Stephen R. Lord
Affiliation:
Neuroscience Research Australia, Sydney
Catherine Sherrington
Affiliation:
Sydney Medical School
Vasi Naganathan
Affiliation:
Concord Hospital
Get access

Summary

As indicated in Chapter 4, there is good evidence that important visual functions including poor contrast sensitivity, deficient depth perception, and visual field loss increase the risk of falls and fall-related fractures in older people. Some visual impairments are amenable to intervention by surgery or refractive correction, and accordingly several randomized controlled trials have investigated visual interventions as a fall prevention strategy. This chapter provides summaries of these trial findings as well as a complementary study that evaluated the roles of exercise and home safety programmes for older people with visual impairment.

Type
Chapter
Information
Falls in Older People
Risk Factors, Strategies for Prevention and Implications for Practice
, pp. 341 - 347
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Harwood, RH, Foss, JE, Osborn, F et al. Falls and health status in elderly women following first eye cataract surgery: a randomised controlled trial. Brit J Ophthalmol. 2005;89:53–9.CrossRefGoogle ScholarPubMed
Foss, AJE, Harwood, RH, Osborn, F et al. Falls and health status in elderly women following second eye cataract surgery: a randomised controlled trial. Age Ageing. 2006;35:6671.CrossRefGoogle ScholarPubMed
Tseng, VL, Yu, F, Lum, F et al. Risk of fractures following cataract surgery in Medicare beneficiaries. J Am Med Assoc. 2012;308:493501.CrossRefGoogle ScholarPubMed
Müller, A, Keeffe, JE, Taylor, HR. Changes in eye care utilization following an eye health promotion campaign. Clin Exp Optom. 2007;35:305–9.Google ScholarPubMed
Puent, BD, Klein, BE, Klein, R et al. Factors related to vision care in an older adult cohort. Optom Vis Sci. 2005;82:612–16.Google Scholar
Day, L, Fildes, B, Gordon, I et al. Randomised factorial trial of falls prevention among older people living in their own homes. Br Med J. 2002;325:128–31.CrossRefGoogle ScholarPubMed
Cumming, RG, Ivers, R, Clemson, L et al. Improving vision to prevent falls in frail older people: a randomized trial. J Am Geriatr Soc. 2007;55:175–81.CrossRefGoogle ScholarPubMed
Elliott, DB, Chapman, GJ. Adaptive gait changes due to spectacle magnification and dioptric blur in older people. Invest Ophth Vis Sci. 2010;51:718–22.Google Scholar
Elliott, DB. The Glenn, A. Fry Award Lecture 2013: blurred vision, spectacle correction, and falls in older adults. Optom Vis Sci. 2014;91:593601.Google Scholar
Lord, SR, Dayhew, J, Sc, BA et al. Multifocal glasses impair edge‐contrast sensitivity and depth perception and increase the risk of falls in older people. J Am Geriatr Soc. 2002;50:1760–6.CrossRefGoogle ScholarPubMed
Johnson, L, Buckley, JG, Harley, C et al. Use of single‐vision eyeglasses improves stepping precision and safety when elderly habitual multifocal wearers negotiate a raised surface. J Am Geriatr Soc. 2008;56:178–80.CrossRefGoogle ScholarPubMed
Johnson, L, Buckley, JG, Scally, AJ et al. Multifocal spectacles increase variability in toe clearance and risk of tripping in the elderly. Invest Ophth Vis Sci. 2007;48:1466–71.Google ScholarPubMed
Menant, JC, St. George, RJ, Sandery, B et al. Older people contact more obstacles when wearing multifocal glasses and performing a secondary visual task. J Am Geriatr Soc. 2009;57:1833–8.Google Scholar
Connell, BR, Wolf, SL, Group, AF. Environmental and behavioral circumstances associated with falls at home among healthy elderly individuals. Arch Phys Med Rehab. 1997;78:179–86.CrossRefGoogle Scholar
Davies, J, Kemp, G, Stevens, G et al. Bifocal/varifocal spectacles, lighting and missed-step accidents. Saf Sci. 2001;38:211–26.CrossRefGoogle Scholar
Haran, MJ, Cameron, ID, Ivers, RQ et al. Effect on falls of providing single lens distance vision glasses to multifocal glasses wearers: VISIBLE randomised controlled trial. Br Med J. 2010;340:c2265.CrossRefGoogle ScholarPubMed
Haran, MJ, Lord, SR, Cameron, ID et al. Preventing falls in older multifocal glasses wearers by providing single-lens distance glasses: the protocol for the VISIBLE randomised controlled trial. BMC Geriatr. 2009;9:10.Google Scholar
Campbell, AJ, Robertson, MC, La Grow, SJ et al. Randomised controlled trial of prevention of falls in people aged >= 75 with severe visual impairment: the VIP trial. Br Med J. 2005;331:817.Google Scholar
La Grow, S, Robertson, MC, Campbell, AJ et al. Reducing hazard related falls in people 75 years and older with significant visual impairment: how did a successful program work? Inj Prev. 2006;12:296301.Google Scholar
Dillon, L, Clemson, L, Ramulu, P et al. A systematic review and meta-analysis of exercise-based falls prevention strategies in adults aged 50+ years with visual impairment. Ophthalmic Physiol Opt. 2018;38:456–67.Google Scholar
Keay, L, Dillon, L, Clemson, L et al. PrevenTing Falls in a high-risk, vision-impaired population through specialist ORientation and Mobility services: protocol for the PlaTFORM randomised trial. Inj Prev. 2018;24:459–66.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×