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Fear of falling and quality of life in elderly with cataract

INTRODUCTION: Fear of falling is defined as low self-efficacy or self-confidence in one's own balance to avoid falls. It causes limitations in physical and functional performance, balance and walking impairment, and has negative impact on quality of life. Many research works have identified visual impairment as one of the factors that contribute to falls and fear of falling. OBJECTIVES: Evaluate the association between fear of falling and visual function impairment and the related-vision quality of life in elderly patients with cataract. METHODS: Observational study conducted with 139 elderly patients with cataract (71.4±6.2 years). Vision-related quality of life was assessed through the Visual Function Questionnaire (VFQ). Interviews were made by means of the Falls Efficacy Scale International (FES-I Brazil) to evaluate the concern with falling. RESULTS: Elderly patient with fear of falling had higher averages in FES-I-Brazil than other elderly patients (p=0.000; Kruskal-Wallis). The greater the fear of falling, the worst were the visual function (VFQ) and the related-vision quality of life (p=0,003; Kruskal-Wallis). CONCLUSION: Elderly patients with cataract and fear of falling had less self-confidence in their balance to avoid falls and worst functional vision and related-vision quality of life.

Fear of Falling; Vision, Ocular; Quality of Life; Elderly


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