June 2013
Volume 54, Issue 15
Free
ARVO Annual Meeting Abstract  |   June 2013
Fear of falling in age-related macular degeneration
Author Affiliations & Notes
  • Sabyasachi Sengupta
    Wilmer Eye Institute, Baltimore, MD
  • Suzanne van Landingham
    Wilmer Eye Institute, Baltimore, MD
  • Robert Massof
    Wilmer Eye Institute, Baltimore, MD
  • Emilie Chan
    Wilmer Eye Institute, Baltimore, MD
  • David Friedman
    Wilmer Eye Institute, Baltimore, MD
  • Pradeep Ramulu
    Wilmer Eye Institute, Baltimore, MD
  • Footnotes
    Commercial Relationships Sabyasachi Sengupta, None; Suzanne van Landingham, None; Robert Massof, None; Emilie Chan, None; David Friedman, Alcon (C), Bausch & Lomb (C), Merck (C), QLT, Inc (C), Allergan (C), Nidek (C); Pradeep Ramulu, Tissue Banks International (C)
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2013, Vol.54, 5332. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Sabyasachi Sengupta, Suzanne van Landingham, Robert Massof, Emilie Chan, David Friedman, Pradeep Ramulu; Fear of falling in age-related macular degeneration. Invest. Ophthalmol. Vis. Sci. 2013;54(15):5332.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose: To determine if age-related macular degeneration (AMD) and AMD-related vision loss are associated with fear of falling.

Methods: Sixty-five AMD subjects and 60 controls completed a validated fear of falling questionnaire. Responses were Rasch analyzed. Scores were expressed in logit units, with lower scores demonstrating lesser ability, and greater fear of falling.

Results: In multivariable models controlling for gender, body habitus, strength, and comorbid illness, AMD subjects reported greater fear of falling as compared to controls (β=-0.77 logits, 95% CI=-1.5 to -0.002, p=0.045). Greater fear of falling was observed in subjects with worse visual acuity (VA) (β=-0.15 logits/1 line decrement, 95% CI=-0.28 to -0.03, p=0.02) and contrast sensitivity (CS) (β=-0.20 logits/0.1 log unit decrement, 95% CI=-0.31 to -0.09, p=0.001). Greater fear of falling was also associated with higher BMI, weaker grip, and more comorbid illnesses (p<0.05 for all.)

Conclusions: AMD and AMD-related vision loss are associated with greater fear of falling in the elderly. Development, validation, and implementation of methods to address falls and fear of falling for individuals with vision loss from AMD is an important goal for future work.

Keywords: 412 age-related macular degeneration • 753 vision and action  
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×