Hip Fractures and Visual Impairment: Is There a Cause–Consequence Mechanism?

Testa, Gianluca; Salvo, S; Boscaglia, Silvia; Montemagno, Marco; Longo, Antonio; Russo, Andrea; Sessa, Giuseppe; Pavone, Vito

doi:10.3390/jcm11143926

Cited by 4 publications

(2 citation statements)

References 25 publications

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“…However, most of these studies only assessed a limited aspect of the global visual functioning, that it to say visual acuity. Other studies showed a lack of association between fracture risk and visual impairment when only visual acuity was evaluated ( 79 ).…”

Section: Discussionmentioning

confidence: 99%

Beyond vision:Cataract and health status in old age, a narrative review

Mencucci

Stefanini²,

Favuzza³

et al. 2023

Front. Med.

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Cataract is a leading cause of visual impairment in old age. Lens opacification is notoriously associated with several geriatric conditions, including frailty, fall risk, depression and cognitive impairment. The association is largely attributable to visual impairment, while other mechanisms, associated with extraocular comorbidity and lifestyle, might partly explain this correlation. Available literature suggests that cataract surgery may be effective in decreasing fall risk, improving depressive symptoms and limiting the risk of cognitive impairment and dementia incidence, although intervention studies on these outcomes are still limited. In this review we also emphasize the need to move from the concept of visual acuity to functional vision, especially in the context of the geriatric patient. Research is needed regarding the effect on the cited outcomes of different cataract treatment strategies, such as systematic bilateral versus monolateral surgery and use of different intraocular lenses.

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Section: Discussionmentioning

confidence: 99%

Beyond vision:Cataract and health status in old age, a narrative review

Mencucci

Stefanini²,

Favuzza³

et al. 2023

Front. Med.

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“…The causal association between uncorrected visual impairment, mental and behavioral changes, and elevated mortality rates is still subject to uncertainty. In fact, there is a dearth of circumstantial data supporting the advantages of using refractive lenses [ 18 , 19 , 20 , 21 , 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Screening for Patients with Visual Acuity Loss in Primary Health Care: A Cross Sectional Study in a Deprived Hungarian Population

Wasnik,

Győri-Dani,

Vincze

et al. 2023

Healthcare

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Screening for visual acuity loss (VAL) is not applied systematically because of uncertain recommendations based on observations from affordable countries. Our study aimed to evaluate the effectiveness of primary health care-based screening. A cross-sectional investigation was carried out among adults who did not wear glasses and did not visit an ophthalmologist in a year (N = 2070). The risk factor role of sociodemographic factors and the cardiometabolic status for hidden VAL was determined by multivariable linear regression models. The prevalence of unknown VAL of at least 0.5 was 3.7% and 9.1% in adults and in the above-65 population. Female sex (b = 1.27, 95% CI: 0.35; 2.18), age (b = 0.15, 0.12; 0.19), and Roma ethnicity (b = 2.60, 95% CI: 1.22; 3.97) were significant risk factors. Higher than primary school (bsecondaryschoolwithoutgraduation = −2.06, 95% CI: −3.64; −0.47; and bsecondaryschoolwithgraduation = −2.08, 95% CI: −3.65; −0.51), employment (b = −1.33, 95% CI: −2.25; 0.40), and properly treated diabetes mellitus (b = −2.84, 95% CI: −5.08; −0.60) were protective factors. Above 65 years, female sex (b = 3.85, 95% CI: 0.50; 7.20), age (b = 0.39, 95% CI: 0.10; 0.67), Roma ethnicity (b = 24.79, 95% CI: 13.83; 35.76), and untreated diabetes (b = 7.30, 95% CI: 1.29; 13.31) were associated with VAL. Considering the huge differences between the health care and the population’s social status of the recommendation-establishing countries and Hungary which represent non-high-income countries, the uncertain recommendation of VAL screening should not discourage general practitioners from organizing population-based screening for VAL in non-affordable populations.

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