Risk of Falls, Injurious Falls, and Other Injuries Resulting from Visual Impairment among Older Adults with Age-Related Macular Degeneration

Wood, Joanne M.; Lacherez, Philippe F.; Black, Alex A.; Cole, Michael H.; Boon, Mei Ying; Kerr, Graham

doi:10.1167/iovs.10-6644

Cited by 155 publications

(128 citation statements)

References 43 publications

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“…The odds ratios for two or more falls in the past year for patients with poor vision were 2.02 (95% CI, 1.13-3.63) for current binocular acuity and 1.85 (95% CI, 1.10-3.12) for visual sensitivity [52]. Wood et al found that 74% of patients with AMD reported sustaining a fall or non-fallrelated injury (e.g., lacerations or collisions with an object), while 30% of patients reported more than one fall [54].…”

Section: Fallsmentioning

confidence: 99%

“…Reduced contrast sensitivity has been shown to be the strongest predictor of falls and other injuries in patients with AMD [54] Melillo et al developed a classification tree to help ophthalmologists and optometrists identify patients at high-risk of falling within 1 year [57]. Once high-risk patients have been identified, healthcare professionals should refer patients to rehabilitation specialists for guidance on interventions and modifiable risk factors such as exercise [58,59], video game technology [59,60], appropriate footwear, floor coverings, and hip protectors [61] to reduce the incidence of falls and the risk of injury.…”

Section: Fallsmentioning

confidence: 99%

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The Implantable Miniature Telescope and Quality of Life Improvements in Patients with End-Stage Age-Related Macular Degeneration

Primo¹

2017

J Community Med Health Educ

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Age-related macular degeneration (AMD) is a progressive, degenerative eye disease that leads to central vision loss in people older than 60. End-stage AMD, for which there is no cure, is the leading cause of blindness in highincome countries. Often underappreciated by physicians, AMD is an important public health problem as patients can experience significant emotional distress, reduced cognitive function and a decrease in quality of life from depression, isolation, reduced mobility, and independence. These patients are more likely to suffer from falls and injuries, which may result in serious, life-threatening complications and significant medical costs. There are no medical interventions that can halt the visual outcome of end-stage AMD; patients can only make the best of the vision they have left through low-vision rehabilitation and external devices and tools. In 2010, the U.S. Food and Drug Administration approved the implantable miniature telescope (IMT; VisionCare Ophthalmic Technologies, Saratoga, CA) prosthesis for severely visually impaired patients with bilateral end-stage AMD. Patients with no other treatment options may have improved quality of life after implantation due to visual gains, increased mobility and independence, and improved overall function.

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Section: Fallsmentioning

confidence: 99%

Section: Fallsmentioning

confidence: 99%

The Implantable Miniature Telescope and Quality of Life Improvements in Patients with End-Stage Age-Related Macular Degeneration

Primo¹

2017

J Community Med Health Educ

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“…Fear in this group was also related to an inability to detect the correct buttons to push, as pushing the wrong button may lead to fire or accidents. In addition, Wood et al (2011) revealed that there is a positive relationship between home accidents and visual impairment in older people.…”

Section: Literature Review 21 Home Hazards Accidents and Fallsmentioning

confidence: 99%

Effects of Housing Conditions and Environmental Factors on Accidents and Modification Intention of the Vision Impaired

Lee

Yoo

2015

Journal of Asian Architecture and Building Engineering

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The purpose of this study is to investigate (1) whether housing conditions and environmental factors influence the occurrence of accidents, and (2) the level of intention to make modifications to housing for people who are visually impaired. Results from 148 questionnaires collected in Korea show a significant difference in the occurrence of accidents between those in the high environmental demand group (HED) and those in the low environmental demand group (LED), revealing that visually impaired people living in more difficult housing environments are likely to have more falls than people living in housing without as many obstructions. For the elderly, housing conditions have a greater influence on the probability of accidents. For respondents with low vision, housing conditions appeared to be a more significant factor than for people with no vision. People with good health and under LED rated their life satisfaction higher and modification intention lower than people under HED and with a bad health condition.

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“…Age-related hearing impairment is correlated with Alzheimer disease, and reduced hearing can contribute to falls and fractures [18], greater dependence on others, and loneliness [19][20][21]. For those who have ailments and chronic diseases, hearing impairments constitute an additional negative factor to the other problems and perhaps an unnecessary burden, which may lead to the later part of life being more troublesome than necessary [11,22].…”

Section: Introductionmentioning

confidence: 99%

Hearing Impairment in Old Age

Haanes¹

2017

Advances in Clinical Audiology

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BackgroundAge related hearing impairment is a risk factor for functional decline, reduced social participation and accidents. AimsTo obtain knowledge about the characteristics of age related hearing impairments and to help elderly optimize their hearing function. Design and methodStudy 1; Baseline description of data on hearing impairments. Study 2; ROC curve to compare self-assessments with a gold standard test. Study 3; RCT to test whether removal of earwax, and referral to a specialist can improve functional hearing. ResultsMore than 90% had hearing impairments. Mean PTAV was 40,4 dB. Self-assessment of hearing function with a single global question correlated only weakly with the PTAV measurements. Comparison yielded 18 false negatives, indicating many reported their hearing as good when the standardized test indicated that it was not. ConclusionElderly people live with hearing impairments not suiciently atended to. Asking about their hearing with a single global question will not provide accurate information. It is necessary to use standardized tests in addition. When asking more detailed questions about communication abilities, the elderly reported having diiculties. Many elderly could not be expected to do all the self-care activities necessary to improve their functional hearing. Close monitoring and assistance is recommended.

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Risk of Falls, Injurious Falls, and Other Injuries Resulting from Visual Impairment among Older Adults with Age-Related Macular Degeneration

Cited by 155 publications

References 43 publications

The Implantable Miniature Telescope and Quality of Life Improvements in Patients with End-Stage Age-Related Macular Degeneration

The Implantable Miniature Telescope and Quality of Life Improvements in Patients with End-Stage Age-Related Macular Degeneration

Effects of Housing Conditions and Environmental Factors on Accidents and Modification Intention of the Vision Impaired

Hearing Impairment in Old Age

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