ArticleAmerican journal of ophthalmology2021
Rate of Falls, Fear of Falling, and Avoidance of Activities At-Risk for Falls in Older Adults With Glaucoma.
Article in American journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Global burden of fall and associated factors among individual with low vision: A systematic-review and meta-analysis.PloS one · 2024Pooled it
- Effectiveness of an improved fall risk assessment form combined with obstacle physical activity testing in preventing falls in older adults hospitalized patients.Frontiers in public health · 2025Trial
- Evaluation of Functional Impacts of Vision Impairment: Progress, Challenges and Future Directions.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Review
- Article
- Fear of progression and associated factors in glaucoma patients: a latent profile analysis.BMC psychology · 2026Article
- Recall by polygenic risk score in two biobanks supports a genomic approach for glaucoma detection.Research square · 2025Article
- The Impact of Vision Impairment on Self-Reported Falls Among Older US Adults: Cross-Sectional and Longitudinal Study.JMIR aging · 2025Article
- Physical activity six months after a severe fall - moderating factors in older individuals.BMC geriatrics · 2025Article
- Evaluation of Visual, Refractive, and Functional Outcomes after Implantation of an Extended Depth of Focus Intraocular Lens in Patients with Stable and Mild Glaucoma.Ophthalmology and therapy · 2025Article
- The relationship between a simulated glaucoma impairment and postural threat on quiet stance.Virtual reality · 2025Article
- Sensory reweighting for postural stability in individuals with low vision and blindness: balance adaptation and muscle co-contraction.Frontiers in physiology · 2025Article
- The association between anserine bursa pain and fall susceptibility: a prospective analysis of the osteoarthritis initiative.Frontiers in aging · 2025Article
- Risk of Falls and Fractures in Individuals With Cataract, Age-Related Macular Degeneration, or Glaucoma.JAMA ophthalmology · 2024Article
- Visual Predictors of Postural Sway in Older Adults.Translational vision science & technology · 2022Article
- Blepharoptosis as a Modifiable Risk Factor for Falls and Fractures in Adults: A Large-Scale Retrospective Study.Ophthalmic plastic and reconstructive surgeryArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
purposeTo determine the relationship between glaucoma severity and rate of falls, fear of falling, and avoidance of activities at-risk for falls.
designCross-sectional study.
methodsPatients with glaucoma (n = 138) 55 to 90 years of age with mild (n = 61), moderate (n = 54), or advanced (n = 23) glaucoma in the better eye based on the Glaucoma Staging System and age-matched control subjects (n = 50) were recruited from the Eye Clinics at Washington University, St. Louis, MO. Participants completed questionnaires regarding falls, the fear of falling, and the avoidance of activities at-risk for falls.
resultsOf the glaucoma participants, 36% reported ≥1 fall in the previous 12 months compared with 20% of control subjects (adjusted odds ratio [OR] 2.7 [95% confidence interval {CI} 1.18-6.17]; P = .018). Compared with control subjects, the mild glaucoma group trended toward a higher fall risk (adjusted OR 2.43 [95% CI 0.97-6.08]; P = .059) and the advanced group had the highest fall risk (adjusted OR 7.97 [95% CI 2.44-26.07]; P = .001). A greater risk of a high fear of falling and high avoidance of at-risk activities occurred at the moderate stage of glaucoma compared with control subjects (adjusted OR 4.66 [95% CI 1.24-17.49]; P = .023 and adjusted OR 4.49 [95% CI 1.34-15.05]; P = .015, respectively).
conclusionsPatient education, interventions, and appropriate referrals to minimize falls should be considered in older adults with early glaucoma and continue with advancing disease. Minimizing a patient's fall risk may decrease their fear of falling and avoidance of at-risk activities. Reducing falls, the fear of falling, and the avoidance of at-risk activities may lower morbidity and mortality and improve emotional and social well-being of patients with glaucoma. Am J Ophthalmol 2021;221:•••-•••. © 2021 Elsevier Inc. All rights reserved.
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