Falls and health status in elderly women following second eye cataract surgery: a randomised controlled trial
| Autor: | Tahir Masud, Richard M. Gregson, Alexander J E Foss, Rowan H. Harwood, Francis Osborn, Anwar Zaman |
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| Rok vydání: | 2006 |
| Předmět: |
Aging
medicine.medical_specialty Pediatrics Visual acuity Randomization genetic structures Health Status medicine.medical_treatment Visual Acuity Cataract Extraction Rate ratio Cataract law.invention Cataracts Randomized controlled trial Risk Factors law medicine Humans Aged Retrospective Studies business.industry Retrospective cohort study General Medicine Cataract surgery medicine.disease eye diseases Surgery Treatment Outcome Falling (accident) Accidental Falls Female Geriatrics and Gerontology medicine.symptom business Follow-Up Studies |
| Zdroj: | Age and Ageing. 35:66-71 |
| ISSN: | 1468-2834 0002-0729 |
| DOI: | 10.1093/ageing/afj005 |
| Popis: | Objective first eye cataract surgery reduces the risk of falling. Most cataracts in elderly people are bilateral. Some binocular functions (e.g. stereopsis) are associated with falls. We aimed to determine if second eye cataract surgery reduces the risk of falling and to measure associated health gain. Study design and setting we randomised 239 women over 70, who had been referred to a hospital ophthalmology department, with one unoperated cataract, to expedited (approximately 4 weeks) or routine (12 months wait) surgery. Falls were ascertained by diary, with follow-up every 3 months for 12 months. We measured health status after 6 months. Results visual function (especially stereopsis) improved in the operated group. Over 12 months follow-up, 48 (40%) operated participants fell at least once, 22 (18%) fell more than once. Forty-one (34%) unoperated participants fell at least once, 22 (18%) fell more than once. Rate of falling was reduced by 32% in the operated group, but this was not statistically significant (rate ratio 0.68, 95% CI 0.39, 1.19, P = 0.18). Confidence, visual disability and handicap all improved in the operated compared with the control group. Conclusion second eye cataract surgery improves visual disability and general health status. The effect on rate of falling remains uncertain. |
| Databáze: | OpenAIRE |
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