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DOI: https://doi.org/10.29296/25877305-2022-12-14

Associate Professor I. Lev, Candidate of Medical Sciences; T. Gurko
Tambov Branch, Acad. S.N. Fyodorov National Medical Research Center "Intersectoral Research and Technical Complex “Eye Microsurgery”", Ministry
of Health of Russia

Visual deficiency significantly limits the functional activity of patients and acts as a significant risk factor for falls syndrome, one of the leading geriatric syndromes, which is not given enough attention in patients with diabetic retinopathy and primary angle–closure glaucoma. Objective. Substantiation of the main preventive measures of falls syndrome in geriatric practice among patients with visual deficits. Subjects and methods. A copy of information from official medical documentation and a survey of patients and their relatives on the number of falls for the calendar year were carried out. The main and control groups were formed, in which the frequency of falls syndrome was studied. The main group included patients suffering from diabetic retinopathy and primary angle-closure glaucoma in the number of 236 people. The control consisted of 204 patients with general somatic pathology (ischemic heart disease, arterial hypertension et al) who do not have the above-mentioned ophthalmological diseases now in the anamnesis. Patients of both groups were assessed for visual acuity without correction and with correction, peripheral and central vision assessment according to standard methods. Results. It was found that the incidence of the syndrome of falls 4 or more times over the past calendar year among patients suffering from diabetic retinopathy and primary angle-closure glaucoma is 45,6±3,2 cases per 100 examined and is significantly higher than in the control group – 18,7±2,7 cases per 100 examined (p

falls syndrome
visual deficit

  1. Donoghue O.A., Cronon H., Savva G.M. et al. Effects of fear of falling and activity restriction on normal and dual task walking in community dwelling older adults. Gait Posture. 2013; 38 (1): 120–4. DOI: 10.1016/j.gaitpost.2012.10.023
  2. Williams J.S., Kowal P., Hestekin H. et al. Prevalence, risk factors and disability associated with fall-related injury in older adults in low- and middle-incomecountries: results from the WHO Study on global AGEing and adult health (SAGE). BMC Med. 2015; 13: 147. DOI: 10.1186/s12916-015-0390-8
  3. Dai W., Tham Y.C., Chee M.L. Falls and Recurrent Falls among Adults in A Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study. Sci Rep. 2018; 8 (1): 7575. DOI: 10.1038/s41598-018-25894-8
  4. Fabrikantov O.L., Agarkov N.M.., Lev IV. et al. Allostatic load as a method of objectification of age-related viability of patients with ophthalmopathology. Research Results in Biomedicine. 2021; 7 (3): 451–60 (in Russ.). DOI: 10.18413/2658-6533-20217-4-0-10
  5. Tkacheva O.N. Falls in elderly and senile patients. Clinical recommendations. М., 2020 (in Russ.).
  6. Patino C.M., McKean-Cowdin R., Azen S.P. et al. Central and peripheral visual impairment and the risk of falls and falls with injury. Ophthalmology. 2010; 117 (2): 199–206. DOI: 10.1016/j.ophtha.2009.06.063
  7. Freeman E.E., Broman A.T., Turano K.A. et al. Motion-detection threshold and measures of balance in older adults: the SEE Project. Invest Ophthalmol Vis Sci. 2008; 49 (12): 5257–63. DOI: 10.1167/iovs.07-1106
  8. Coleman A.L., Stone K., Ewing S.K. et al. Higher risk of multiple falls among elderly women who lose visual acuity. Ophthalmology. 2004; 111 (5): 857–62. DOI: 10.1016/j.ophtha.2003.09.033
  9. Gillespie L.D., Robertson M.C., Gillespie W.J. et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2009; 15 (2): CD007146. DOI: 10.1002/14651858.CD007146.pub2
  10. Safonova Yu.A., Zotkin E.G., Toroptsova N.V. Diagnosis for risk for falls and their prevention: draft clinical guidelines by the association of rheumatologists of Russia and the Russian osteoporosis association. Rheumatology Science and Practice. 2020; 58 (2): 133–9 (in Russ.). DOI: 10.14412/1995-4484-2020-133-139
  11. WHO. Falls. (Accessed 19.04.2022). URL: https://www.who.int/news-room/fact-sheets/detail/falls
  12. Dhaliwal R., Aloia J.F. Effect of Vitamin D on Falls and Physical Performance. Endocrinol Metab Clin North Am. 2017; 46 (4): 919–33. DOI: 10.1016/j.ecl.2017.07.004