ArticlePloS one2015
Investigating the Influence of Visual Function and Systemic Risk Factors on Falls and Injurious Falls in Glaucoma Using the Structural Equation Modeling.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Optometrists' practice of falls prevention care for community dwelling older adults: A mixed methods systematic review.BMC geriatrics · 2026Pooled it
- Rate of Falls, Fear of Falling, and Avoidance of Activities At-Risk for Falls in Older Adults With Glaucoma.American journal of ophthalmology · 2021Article
- Evaluation of Fear of Falling in Patients with Primary Open-Angle Glaucoma and the Importance of Inferior Visual Field Damage.Investigative ophthalmology & visual science · 2020Article
- What Is a Falls Risk Factor? Factors Associated with Falls per Time or per Step in Individuals with Glaucoma.Journal of the American Geriatrics Society · 2019Observational
- Factors associated with developing a fear of falling in subjects with primary open-angle glaucoma.BMC ophthalmology · 2018Article
- Factors associated with the occurrence of a fall in subjects with primary open-angle glaucoma.BMC ophthalmology · 2017Observational
- Gait Implications of Visual Field Damage from Glaucoma.Translational vision science & technology · 2017Article
- Quantifying Fall-Related Hazards in the Homes of Persons with Glaucoma.Ophthalmology · 2017Article
- Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate the relationship between visual function and the risks of falling and injurious falls in subjects with primary open angle glaucoma (POAG).
methodsQuestionnaires were conducted in 365 POAG patients to assess history of falls and falls with injury and general patient health. Structural equation modeling (SEM) was used to investigate the relationship between visual function, as measured by a patient's binocular integrated visual field and visual acuity (VA), general health and the risks of falling and injurious falls.
resultsAmong the 365 subjects, 55 subjects experienced falls in the past year. A significant difference was observed in worse-eye VA between the faller and non-faller groups (p = 0.03). SEM of fallers obtained a Root Mean Square Error of Approximation (RMSEA) of 0.035 and a Comparative Fit Index (CFI) of 0.99. The 95% confidence intervals (CI) of regression coefficients from this model suggested better VA and worse VA were significant risk factors for falling. Among the 55 fallers, 22 subjects experienced an associated injury. There was a significant difference in gender between the non-injurious and injurious faller groups (p = 0.002). SEM of injurious fallers obtained a RMSEA of 0.074 and a CFI of 0.97. In this SEM model, the 95% CI of regression coefficients suggested gender and average total deviation values in the lower peripheral visual field were significant risk factors for an injurious fall.
conclusionsThis study suggests that worse-eye and better-eye VAs are associated with falls. Furthermore, patients with inferior visual field loss and females were found to be at greater risk of injurious falls.
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