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

Keay, L; Ho, KC; Rogers, K; McCluskey, P; White, AJ; Morlet, N; Ng, JQ; Lamoureux, E; Pesudovs, K; Stapleton, FJ; Boufous, S; Huang-Lung, J; Palagyi, A

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

Keay, L Ho, KC Rogers, K

McCluskey, P White, AJ Morlet, N Ng, JQ Lamoureux, E Pesudovs, K Stapleton, FJ Boufous, S Huang-Lung, J Palagyi, A

Permalink

Publisher:: Australasian Medical Publishing Company
Publication Type:: Journal Article
Citation:: Medical Journal of Australia, 2022, 217, (2), pp. 94-99
Issue Date:: 2022-07-18

Closed Access

	Filename	Description	Size
	Medical Journal of Australia - 2022 - Keay - The incidence of falls after first and second eye cataract surgery a.pdf		340.68 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Keay, L
dc.contributor.author	Ho, KC
dc.contributor.author	Rogers, K https://orcid.org/0000-0001-5497-4298
dc.contributor.author	McCluskey, P
dc.contributor.author	White, AJ
dc.contributor.author	Morlet, N
dc.contributor.author	Ng, JQ
dc.contributor.author	Lamoureux, E
dc.contributor.author	Pesudovs, K
dc.contributor.author	Stapleton, FJ
dc.contributor.author	Boufous, S
dc.contributor.author	Huang-Lung, J
dc.contributor.author	Palagyi, A
dc.date.accessioned	2022-10-14T02:46:02Z
dc.date.available	2022-03-31
dc.date.available	2022-10-14T02:46:02Z
dc.date.issued	2022-07-18
dc.identifier.citation	Medical Journal of Australia, 2022, 217, (2), pp. 94-99
dc.identifier.issn	0025-729X
dc.identifier.issn	1326-5377
dc.identifier.uri	http://hdl.handle.net/10453/162591
dc.description.abstract	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.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Australasian Medical Publishing Company
dc.relation.ispartof	Medical Journal of Australia
dc.relation.isbasedon	10.5694/mja2.51611
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	General & Internal Medicine
dc.subject.mesh	Accidental Falls
dc.subject.mesh	Aged
dc.subject.mesh	Cataract
dc.subject.mesh	Cataract Extraction
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Incidence
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Male
dc.subject.mesh	Accidental Falls
dc.subject.mesh	Aged
dc.subject.mesh	Cataract
dc.subject.mesh	Cataract Extraction
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Incidence
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Male
dc.subject.mesh	Humans
dc.subject.mesh	Cataract
dc.subject.mesh	Cataract Extraction
dc.subject.mesh	Incidence
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Accidental Falls
dc.subject.mesh	Aged
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.title	The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study.
dc.type	Journal Article
utslib.citation.volume	217
utslib.location.activity	Australia
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-10-14T02:46:00Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	217
utslib.citation.issue	2

Abstract:

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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/162591