Cargando…

A Comparative Analysis of the Fear of Falling Between Glaucoma and Age-Related Macular Degeneration Patients From a Developing Country

PURPOSE: Falls are very prevalent in the older population. Visually impaired elderly patients are prone to falls as the result of visual loss and ageing. The purpose of the study was to compare the fear of falling (FoF) between primary open angle glaucoma (POAG) and age-related macular degeneration...

Descripción completa

Detalles Bibliográficos
Autores principales: Urata, Carla N., Mazzoli, Livia S., Kasahara, Niro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Association for Research in Vision and Ophthalmology 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166891/
https://www.ncbi.nlm.nih.gov/pubmed/30280002
http://dx.doi.org/10.1167/tvst.7.5.17
_version_ 1783360102532644864
author Urata, Carla N.
Mazzoli, Livia S.
Kasahara, Niro
author_facet Urata, Carla N.
Mazzoli, Livia S.
Kasahara, Niro
author_sort Urata, Carla N.
collection PubMed
description PURPOSE: Falls are very prevalent in the older population. Visually impaired elderly patients are prone to falls as the result of visual loss and ageing. The purpose of the study was to compare the fear of falling (FoF) between primary open angle glaucoma (POAG) and age-related macular degeneration (ARMD) patients who live in a developing country. METHODS: This was a cross-sectional observational study. After a complete eye examination including measurement of best-corrected visual acuity, ophthalmoscopy, and automated visual field, all subjects completed the Fall Efficacy Scale International Brazil (FES-I-Brazil) questionnaire. RESULTS: The sample comprised 64 patients with POAG, 48 with ARMD, and 52 controls. All groups were matched for age, sex, comorbidity, and ethnic distribution. The FES-I score was 24.6 ± 8.7, 25.3 ± 6.3, and 24.2 ± 7.7 for glaucoma, ARMD, and controls, respectively (P = 0.894). A post hoc analysis comparing all subjects with advanced visual field defect (mean deviation [MD] < −12 dB) revealed a higher FES-I score in ARMD patients as compared to POAG ones (46.2 ± 16.8 and 24.0 ± 7.7 for ARMD and POAG, respectively, P < 0.001). CONCLUSION: In this cohort of elderly subjects with eye diseases, the FoF was similar among groups; however, ARMD patients with more compromised visual field had higher FoF as compared to POAG patients and controls. TRANSLATIONAL RELEVANCE: A high rate of fear of falling exists in ARMD patients with compromised visual field. This finding may be useful in developing multidimensional strategies to decrease fear of falling and improve quality of life in older persons living in a developing country.
format Online
Article
Text
id pubmed-6166891
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher The Association for Research in Vision and Ophthalmology
record_format MEDLINE/PubMed
spelling pubmed-61668912018-10-02 A Comparative Analysis of the Fear of Falling Between Glaucoma and Age-Related Macular Degeneration Patients From a Developing Country Urata, Carla N. Mazzoli, Livia S. Kasahara, Niro Transl Vis Sci Technol Articles PURPOSE: Falls are very prevalent in the older population. Visually impaired elderly patients are prone to falls as the result of visual loss and ageing. The purpose of the study was to compare the fear of falling (FoF) between primary open angle glaucoma (POAG) and age-related macular degeneration (ARMD) patients who live in a developing country. METHODS: This was a cross-sectional observational study. After a complete eye examination including measurement of best-corrected visual acuity, ophthalmoscopy, and automated visual field, all subjects completed the Fall Efficacy Scale International Brazil (FES-I-Brazil) questionnaire. RESULTS: The sample comprised 64 patients with POAG, 48 with ARMD, and 52 controls. All groups were matched for age, sex, comorbidity, and ethnic distribution. The FES-I score was 24.6 ± 8.7, 25.3 ± 6.3, and 24.2 ± 7.7 for glaucoma, ARMD, and controls, respectively (P = 0.894). A post hoc analysis comparing all subjects with advanced visual field defect (mean deviation [MD] < −12 dB) revealed a higher FES-I score in ARMD patients as compared to POAG ones (46.2 ± 16.8 and 24.0 ± 7.7 for ARMD and POAG, respectively, P < 0.001). CONCLUSION: In this cohort of elderly subjects with eye diseases, the FoF was similar among groups; however, ARMD patients with more compromised visual field had higher FoF as compared to POAG patients and controls. TRANSLATIONAL RELEVANCE: A high rate of fear of falling exists in ARMD patients with compromised visual field. This finding may be useful in developing multidimensional strategies to decrease fear of falling and improve quality of life in older persons living in a developing country. The Association for Research in Vision and Ophthalmology 2018-10-01 /pmc/articles/PMC6166891/ /pubmed/30280002 http://dx.doi.org/10.1167/tvst.7.5.17 Text en Copyright 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
spellingShingle Articles
Urata, Carla N.
Mazzoli, Livia S.
Kasahara, Niro
A Comparative Analysis of the Fear of Falling Between Glaucoma and Age-Related Macular Degeneration Patients From a Developing Country
title A Comparative Analysis of the Fear of Falling Between Glaucoma and Age-Related Macular Degeneration Patients From a Developing Country
title_full A Comparative Analysis of the Fear of Falling Between Glaucoma and Age-Related Macular Degeneration Patients From a Developing Country
title_fullStr A Comparative Analysis of the Fear of Falling Between Glaucoma and Age-Related Macular Degeneration Patients From a Developing Country
title_full_unstemmed A Comparative Analysis of the Fear of Falling Between Glaucoma and Age-Related Macular Degeneration Patients From a Developing Country
title_short A Comparative Analysis of the Fear of Falling Between Glaucoma and Age-Related Macular Degeneration Patients From a Developing Country
title_sort comparative analysis of the fear of falling between glaucoma and age-related macular degeneration patients from a developing country
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166891/
https://www.ncbi.nlm.nih.gov/pubmed/30280002
http://dx.doi.org/10.1167/tvst.7.5.17
work_keys_str_mv AT uratacarlan acomparativeanalysisofthefearoffallingbetweenglaucomaandagerelatedmaculardegenerationpatientsfromadevelopingcountry
AT mazzolilivias acomparativeanalysisofthefearoffallingbetweenglaucomaandagerelatedmaculardegenerationpatientsfromadevelopingcountry
AT kasaharaniro acomparativeanalysisofthefearoffallingbetweenglaucomaandagerelatedmaculardegenerationpatientsfromadevelopingcountry
AT uratacarlan comparativeanalysisofthefearoffallingbetweenglaucomaandagerelatedmaculardegenerationpatientsfromadevelopingcountry
AT mazzolilivias comparativeanalysisofthefearoffallingbetweenglaucomaandagerelatedmaculardegenerationpatientsfromadevelopingcountry
AT kasaharaniro comparativeanalysisofthefearoffallingbetweenglaucomaandagerelatedmaculardegenerationpatientsfromadevelopingcountry