The association between visual field defect severity and fear of falling in primary open-angle glaucoma

To determine if glaucomatous visual field defect severity is associated with fear of falling. This is a cross-sectional study. A total of 387 consecutive subjects with POAG were enrolled in this study along with 293-ocular disease-free control subjects, who were screened at the same institutions. We...

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Veröffentlicht in:Investigative ophthalmology & visual science 2013-11, Vol.54 (12), p.7739-7745
Hauptverfasser: Yuki, Kenya, Tanabe, Sachiko, Kouyama, Keisuke, Fukagawa, Kazumi, Uchino, Miki, Shimoyama, Masaru, Ozeki, Naoki, Shiba, Daisuke, Ozawa, Yoko, Abe, Takayuki, Tsubota, Kazuo
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container_issue 12
container_start_page 7739
container_title Investigative ophthalmology & visual science
container_volume 54
creator Yuki, Kenya
Tanabe, Sachiko
Kouyama, Keisuke
Fukagawa, Kazumi
Uchino, Miki
Shimoyama, Masaru
Ozeki, Naoki
Shiba, Daisuke
Ozawa, Yoko
Abe, Takayuki
Tsubota, Kazuo
description To determine if glaucomatous visual field defect severity is associated with fear of falling. This is a cross-sectional study. A total of 387 consecutive subjects with POAG were enrolled in this study along with 293-ocular disease-free control subjects, who were screened at the same institutions. We defined mild POAG as MD of -6 dB or better, moderate POAG as MD of -6 to -12 dB, and severe POAG as MD of -12 dB or worse in the better eye. All participants were requested to answer a questionnaire on fear of falling. Associations between POAG severity and the prevalence of fear of falling were evaluated with the Cochran-Armitage trend test. Multivariable factors including age-adjusted odds ratios (ORs) for the prevalence of fear of falling and 95% confidence intervals (CIs) were evaluated with logistic regression models. The prevalence of fear of falling was 35/293 (11.9%) in the control group, 38/313 (12.1%) in the mild POAG group, 12/48 (25.0%) in the moderate POAG group, and 6/26 (23.1%) in the severe POAG group, and the trend was statistically significant (P = 0.028 Cochran-Armitage trend test). The adjusted ORs for prevalence in the mild, moderate, and severe POAG groups compared with that in the control group were 1.44 (95% CI: 0.83-2.51), 2.33 (95% CI: 1.00-5.44), and 4.06 (95% CI: 1.39-11.90), respectively. Among patients with POAG, the severity of visual field defects is associated with fear of falling. (http://www.umin.ac.jp/ctr/index.htm number, UMIN000005574.).
doi_str_mv 10.1167/iovs.13-12079
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This is a cross-sectional study. A total of 387 consecutive subjects with POAG were enrolled in this study along with 293-ocular disease-free control subjects, who were screened at the same institutions. We defined mild POAG as MD of -6 dB or better, moderate POAG as MD of -6 to -12 dB, and severe POAG as MD of -12 dB or worse in the better eye. All participants were requested to answer a questionnaire on fear of falling. Associations between POAG severity and the prevalence of fear of falling were evaluated with the Cochran-Armitage trend test. Multivariable factors including age-adjusted odds ratios (ORs) for the prevalence of fear of falling and 95% confidence intervals (CIs) were evaluated with logistic regression models. The prevalence of fear of falling was 35/293 (11.9%) in the control group, 38/313 (12.1%) in the mild POAG group, 12/48 (25.0%) in the moderate POAG group, and 6/26 (23.1%) in the severe POAG group, and the trend was statistically significant (P = 0.028 Cochran-Armitage trend test). The adjusted ORs for prevalence in the mild, moderate, and severe POAG groups compared with that in the control group were 1.44 (95% CI: 0.83-2.51), 2.33 (95% CI: 1.00-5.44), and 4.06 (95% CI: 1.39-11.90), respectively. Among patients with POAG, the severity of visual field defects is associated with fear of falling. 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This is a cross-sectional study. A total of 387 consecutive subjects with POAG were enrolled in this study along with 293-ocular disease-free control subjects, who were screened at the same institutions. We defined mild POAG as MD of -6 dB or better, moderate POAG as MD of -6 to -12 dB, and severe POAG as MD of -12 dB or worse in the better eye. All participants were requested to answer a questionnaire on fear of falling. Associations between POAG severity and the prevalence of fear of falling were evaluated with the Cochran-Armitage trend test. Multivariable factors including age-adjusted odds ratios (ORs) for the prevalence of fear of falling and 95% confidence intervals (CIs) were evaluated with logistic regression models. The prevalence of fear of falling was 35/293 (11.9%) in the control group, 38/313 (12.1%) in the mild POAG group, 12/48 (25.0%) in the moderate POAG group, and 6/26 (23.1%) in the severe POAG group, and the trend was statistically significant (P = 0.028 Cochran-Armitage trend test). The adjusted ORs for prevalence in the mild, moderate, and severe POAG groups compared with that in the control group were 1.44 (95% CI: 0.83-2.51), 2.33 (95% CI: 1.00-5.44), and 4.06 (95% CI: 1.39-11.90), respectively. Among patients with POAG, the severity of visual field defects is associated with fear of falling. 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The prevalence of fear of falling was 35/293 (11.9%) in the control group, 38/313 (12.1%) in the mild POAG group, 12/48 (25.0%) in the moderate POAG group, and 6/26 (23.1%) in the severe POAG group, and the trend was statistically significant (P = 0.028 Cochran-Armitage trend test). The adjusted ORs for prevalence in the mild, moderate, and severe POAG groups compared with that in the control group were 1.44 (95% CI: 0.83-2.51), 2.33 (95% CI: 1.00-5.44), and 4.06 (95% CI: 1.39-11.90), respectively. Among patients with POAG, the severity of visual field defects is associated with fear of falling. (http://www.umin.ac.jp/ctr/index.htm number, UMIN000005574.).</abstract><cop>United States</cop><pmid>24150761</pmid><doi>10.1167/iovs.13-12079</doi><tpages>7</tpages></addata></record>
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subjects Accidental Falls - statistics & numerical data
Adult
Aged
Aged, 80 and over
Cross-Sectional Studies
Fear
Female
Glaucoma, Open-Angle - complications
Glaucoma, Open-Angle - physiopathology
Glaucoma, Open-Angle - psychology
Humans
Intraocular Pressure
Japan - epidemiology
Male
Middle Aged
Prevalence
Quality of Life
Retrospective Studies
Scotoma - diagnosis
Scotoma - etiology
Scotoma - psychology
Severity of Illness Index
Surveys and Questionnaires
Visual Field Tests
Visual Fields
title The association between visual field defect severity and fear of falling in primary open-angle glaucoma
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