Cargando…

The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study

OBJECTIVE: To compare fall incidence, and visual acuity and refractive status, before surgery and after first and second eye cataract surgery. DESIGN, SETTING: Prospective observational study in eight tertiary referral ophthalmology clinics in public hospitals in Sydney, Melbourne, and Perth. PARTIC...

Descripción completa

Detalles Bibliográficos
Autores principales: Keay, Lisa, Ho, Kam Chun, Rogers, Kris, McCluskey, Peter, White, Andrew JR, Morlet, Nigel, Ng, Jonathon Q, Lamoureux, Ecosse, Pesudovs, Konrad, Stapleton, Fiona J, Boufous, Soufiane, Huang‐Lung, Jessie, Palagyi, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546129/
https://www.ncbi.nlm.nih.gov/pubmed/35702892
http://dx.doi.org/10.5694/mja2.51611
_version_ 1784804973579599872
author Keay, Lisa
Ho, Kam Chun
Rogers, Kris
McCluskey, Peter
White, Andrew JR
Morlet, Nigel
Ng, Jonathon Q
Lamoureux, Ecosse
Pesudovs, Konrad
Stapleton, Fiona J
Boufous, Soufiane
Huang‐Lung, Jessie
Palagyi, Anna
author_facet Keay, Lisa
Ho, Kam Chun
Rogers, Kris
McCluskey, Peter
White, Andrew JR
Morlet, Nigel
Ng, Jonathon Q
Lamoureux, Ecosse
Pesudovs, Konrad
Stapleton, Fiona J
Boufous, Soufiane
Huang‐Lung, Jessie
Palagyi, Anna
author_sort Keay, Lisa
collection PubMed
description OBJECTIVE: To compare fall incidence, and visual acuity and refractive status, before surgery and after first and second eye cataract surgery. DESIGN, SETTING: Prospective observational study in eight tertiary referral ophthalmology clinics in public hospitals in Sydney, Melbourne, and Perth. PARTICIPANTS: People aged 65 years or more referred for bilateral age‐related cataract surgery during 2013–16, followed for maximum of 24 months after study entry or until six months after second eye surgery, whichever was shorter. MAIN OUTCOME MEASURES: Primary outcome: age‐ and sex‐adjusted incidence of falls. Secondary outcomes: visual acuity and refractive error. RESULTS: The mean age of the 409 included participants was 75.4 years (SD, 5.4 years); 220 were women (54%). Age‐ and sex‐adjusted fall incidence prior to surgery was 1.17 (95% CI, 0.95–1.43) per year, 0.81 (95% CI, 0.63–1.04) per year after first eye surgery, and 0.41 (95% CI, 0.29–0.57) per year after second eye surgery. For the 118 participants who underwent second eye surgery and participated in all follow‐up visits, age‐ and sex‐adjusted incidence before (0.80 [95% CI, 0.55–1.15] falls per year) and after first eye surgery (0.81 [95% CI, 0.57–1.15] falls per year) was similar, but was lower after second eye surgery (0.32 [95% CI 0.21–0.50] falls per year). Mean habitual binocular visual acuity (logMAR) was 0.32 (SD, 0.21) before surgery, 0.15 (SD, 0.17) after first eye surgery, and 0.07 (SD, 0.15) after second eye surgery. CONCLUSIONS: First eye surgery substantially improves vision in older people with cataract, but second eye surgery is required to minimise fall incidence. Timely cataract surgery for both eyes not only optimises vision in older people with cataract, but also reduces their risk of injury from falls.
format Online
Article
Text
id pubmed-9546129
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-95461292022-10-14 The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study Keay, Lisa Ho, Kam Chun Rogers, Kris McCluskey, Peter White, Andrew JR Morlet, Nigel Ng, Jonathon Q Lamoureux, Ecosse Pesudovs, Konrad Stapleton, Fiona J Boufous, Soufiane Huang‐Lung, Jessie Palagyi, Anna Med J Aust Research and Reviews OBJECTIVE: To compare fall incidence, and visual acuity and refractive status, before surgery and after first and second eye cataract surgery. DESIGN, SETTING: Prospective observational study in eight tertiary referral ophthalmology clinics in public hospitals in Sydney, Melbourne, and Perth. PARTICIPANTS: People aged 65 years or more referred for bilateral age‐related cataract surgery during 2013–16, followed for maximum of 24 months after study entry or until six months after second eye surgery, whichever was shorter. MAIN OUTCOME MEASURES: Primary outcome: age‐ and sex‐adjusted incidence of falls. Secondary outcomes: visual acuity and refractive error. RESULTS: The mean age of the 409 included participants was 75.4 years (SD, 5.4 years); 220 were women (54%). Age‐ and sex‐adjusted fall incidence prior to surgery was 1.17 (95% CI, 0.95–1.43) per year, 0.81 (95% CI, 0.63–1.04) per year after first eye surgery, and 0.41 (95% CI, 0.29–0.57) per year after second eye surgery. For the 118 participants who underwent second eye surgery and participated in all follow‐up visits, age‐ and sex‐adjusted incidence before (0.80 [95% CI, 0.55–1.15] falls per year) and after first eye surgery (0.81 [95% CI, 0.57–1.15] falls per year) was similar, but was lower after second eye surgery (0.32 [95% CI 0.21–0.50] falls per year). Mean habitual binocular visual acuity (logMAR) was 0.32 (SD, 0.21) before surgery, 0.15 (SD, 0.17) after first eye surgery, and 0.07 (SD, 0.15) after second eye surgery. CONCLUSIONS: First eye surgery substantially improves vision in older people with cataract, but second eye surgery is required to minimise fall incidence. Timely cataract surgery for both eyes not only optimises vision in older people with cataract, but also reduces their risk of injury from falls. John Wiley and Sons Inc. 2022-06-15 2022-07 /pmc/articles/PMC9546129/ /pubmed/35702892 http://dx.doi.org/10.5694/mja2.51611 Text en © 2022 The Authors. Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research and Reviews
Keay, Lisa
Ho, Kam Chun
Rogers, Kris
McCluskey, Peter
White, Andrew JR
Morlet, Nigel
Ng, Jonathon Q
Lamoureux, Ecosse
Pesudovs, Konrad
Stapleton, Fiona J
Boufous, Soufiane
Huang‐Lung, Jessie
Palagyi, Anna
The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study
title The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study
title_full The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study
title_fullStr The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study
title_full_unstemmed The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study
title_short The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study
title_sort incidence of falls after first and second eye cataract surgery: a longitudinal cohort study
topic Research and Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546129/
https://www.ncbi.nlm.nih.gov/pubmed/35702892
http://dx.doi.org/10.5694/mja2.51611
work_keys_str_mv AT keaylisa theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT hokamchun theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT rogerskris theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT mccluskeypeter theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT whiteandrewjr theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT morletnigel theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT ngjonathonq theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT lamoureuxecosse theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT pesudovskonrad theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT stapletonfionaj theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT boufoussoufiane theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT huanglungjessie theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT palagyianna theincidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT keaylisa incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT hokamchun incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT rogerskris incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT mccluskeypeter incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT whiteandrewjr incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT morletnigel incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT ngjonathonq incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT lamoureuxecosse incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT pesudovskonrad incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT stapletonfionaj incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT boufoussoufiane incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT huanglungjessie incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy
AT palagyianna incidenceoffallsafterfirstandsecondeyecataractsurgeryalongitudinalcohortstudy