Vision improvement and reduction in falls after expedited cataract surgery

Desapriya, Ediriweera B. R.; Subzwari, Sayed; Scime-Beltrano, Giulia; Samayawardhena, Lionel A.; Pike, Ian

doi:10.1016/j.jcrs.2009.07.032

Cited by 52 publications

(40 citation statements)

References 35 publications

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“…A total of 5 articles met the criteria for inclusion. The comparison of findings from the current study with the small number of existing studies [11][12][13][14][15] of falls and fractures following cataract surgery was limited by differences in sample size, study population, and study design. All existing studies examined the incidence of falls following cataract surgery as a primary outcome, with only 2 studies 11,12 examining fracture incidence as a secondary outcome.…”

Section: Comparison With Existing Studiesmentioning

confidence: 80%

“…9 Furthermore, cataracts have been found to be the most common cause of fracturerelated visual impairment, 10 with untreated cataract causing up to 49% of visual impairment in patients with femoral neck fractures related to decreased vision. 10 Despite the association of poor vision and cataracts with increased fall and fracture risk, only a limited number of studies [11][12][13][14][15] have examined the influence of cataract surgery on fall incidence in visually impaired adults, and only 2 of these studies 11,12 examined the incidence of fractures secondary to falls. These 2 studies examined the relationship of first and second eye cataract surgery with fall and fracture risk in the same population of women in the United Kingdom older than 70 years, with sample sizes of fewer than 350 pa-tients in each study.…”

mentioning

confidence: 99%

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Risk of Fractures Following Cataract Surgery in Medicare Beneficiaries

Tseng¹,

Yu²,

Lum³

et al. 2012

JAMA

171

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Section: Comparison With Existing Studiesmentioning

confidence: 80%

mentioning

confidence: 99%

Risk of Fractures Following Cataract Surgery in Medicare Beneficiaries

Tseng¹,

Yu²,

Lum³

et al. 2012

JAMA

171

View full text Add to dashboard Cite

“…It is not completely clear yet whether cataract surgery reduces this increased risk of falling (for a review, see Desapriya et al, 2010). Finally, glaucoma is associated with poorer selfreported mobility Friedman et al, 2007).…”

Section: Impact Of Sensory Changesmentioning

confidence: 99%

Review of safety and mobility issues among older pedestrians

Tournier

Dommès²,

Cavallo³

2016

Accident Analysis & Prevention

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a b s t r a c tAlthough old people make up an extremely vulnerable road-user group, older pedestrians' difficulties have been studied less extensively than those of older drivers, and more knowledge of this issue is still required. The present paper reviews current knowledge of older-adult problems with the main components of pedestrian activity, i.e., walking and obstacle negotiation, wayfinding, and road crossing. Compared to younger ones, old pedestrians exhibit declining walking skills, with a walking speed decrease, less stable balance, less efficient wayfinding strategies, and a greater number of unsafe road crossing behaviors. These difficulties are linked to age-related changes in sensorial, cognitive, physical, and self-perception abilities. It is now known that visual impairment, physical frailty, and attention deficits have a major negative impact on older pedestrians' safety and mobility, whereas the roles of self-evaluation and self-regulation are still poorly understood. All these elements must be taken into consideration, not only in developing effective safety interventions targeting older pedestrians, but also in designing roads and cars. Recent initiatives are presented here and some recommendations are proposed.

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“…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. Therefore, gait speed is a useful health index to evaluate the systemic effects of cataract surgery, 32 and we previously developed an estimation of remaining years of life based on gait speed in cataract patients.…”

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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Vision improvement and reduction in falls after expedited cataract surgery

Abstract: No author has a financial or proprietary interest in any material or method mentioned.

Cited by 52 publications

References 35 publications

Risk of Fractures Following Cataract Surgery in Medicare Beneficiaries

Risk of Fractures Following Cataract Surgery in Medicare Beneficiaries

Review of safety and mobility issues among older pedestrians

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

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