Magas - Relationship Between Vision and Fall Risk- Aging eye.pdf

1、Relationship Between Vision and Fall RiskEmily Magas,ODFalls:Overview One in four adults over 65 years old falls each year About 500,000 in Ohio in 2020Falls are the leading cause of fatal and non-fatal injury in this group 1650 deaths in Ohio in 202137%of those falls required medical intervention o

2、r activity restrictionLead to a number of negative consequences Financial,emotional,injuryCDCFalls:Eye Examination Case History Clinical Examination Visual Acuity Contrast Sensitivity Ocular Health Visual Field Management&Intervention PrescribingFalls:Eye Examination Case History Clinical Examinatio

3、n Visual Acuity Contrast Sensitivity Ocular Health Visual Field Management&Intervention PrescribingCase History Risk factors can be identified with review of systems Age Sensory loss(hearing,balance)Cognitive impairment Polypharmacy Arthritis,COPD,Diabetes,Vasculopathy Female sex Four or more risk f

4、actors increase falls risk to 78%Spectacle correction Specifically,with multifocal spectacle correction and issues with stairs or curbs Modifying case history to asking elderly patients about history of falls Identifying if glasses were worn during the fallVaishya R,et al.2020.SpringerChen,J.et al.2

5、025.Wiley.STEADI:Stopping Elderly Accident,Deaths&Injuries CDC initiative 3 question screening survey to assess fall risk Have you fallen in the past year?Do you feel unsteady when standing or walking?Do you worry about falling?If“yes”to any question,patient should be evaluated for fall risk assessm

6、entwww.cdc.gov/steadi/index.htmlFalls:Eye Examination Case History Clinical Examination Visual Acuity Contrast Sensitivity Visual Field Ocular Health Management&Intervention PrescribingVisual Acuity Measurement of ability to distinguish fine details at high contrast and optimal lighting Tested at al