May 06, 2020
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Age, sex among factors associated with glaucoma patients’ fear of falling

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Older age, female sex, inferior peripheral visual field damage and preserved inferior central visual field sensitivity in patients with glaucoma were associated with an increased fear of falling, according to findings published in Investigative Ophthalmology & Visual Science.

Kenya Yuki, of the department of ophthalmology at Keio University School of Medicine, Japan, and colleagues sought to evaluate fear of falling using the Fall Efficacy Scale-International (FES-I) in patients with glaucoma, while investigating its association with glaucomatous visual field loss.

“Fear of falling is psychologically damaging and is related to lower [quality of life],” Yuki and colleagues wrote. “It can lead to decreased physical functioning, reduced activities in daily living, increased depressive symptoms, impaired balance and low mobility.”

The researchers examined data of 273 patients with primary open-angle glaucoma (average age, 64.2 years; 160 men). FES-I score and its relationships with several variables including age, sex, BMI, better and worst best corrected visual acuity, total deviation in four visual field areas, history of diabetes and number of previous falls were examined.

Univariate analysis showed total FES-I score increased with age and in women, while other variables showed no significant association with total FES-I score.

Age (coefficient, 0.23, standard error, .04; P < .001) and sex (coefficient, 1.79 for women; SE, 0.84; P = .034) were included in the optimal model for total FES-I score. Mean TD in the inferior central area (coefficient, 0.92, SE, 0.22; P < .001) and mean TD in the inferior peripheral area (coefficient, –0.86, SE, 0.21; P < .001) were also included in the model. – by Earl Holland Jr.

Disclosures: The authors report no relevant financial disclosures.