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© 1991 Oxford University Press

research-article

Visual Acuity and Contrast Sensitivity in Relation to Falls in an Elderly Population

STEPHEN R. LORD, RUSSELL D. CLARK and I. W. WEBSTER

School of Community Medicine, University of NSW PO Box 1, Kensington, N.S.W. 2033, Australia
Geriatric Services, St Vincent's Hospital

Visual acuity and contrast sensitivity were measured in 95 residents of a hostel for the aged (mean age = 83 years) using a dual-contrast letter chart and the Melbourne Edge Test (MET). Vision (as measured by visual acuity, the MET, low-contrast visual acuity, and difference between high- and low-contrast acuity) decreased significantly with age and all four measures were significantly correlated. Subjects with a clinical eye disorder had poorer vision than those without a disorder although the differences were not significant. Visual acuity and contrast sensitivity were not associated with body sway when subjects were standing on a firm base. However, when the subjects were placed in a situation which provided reduced support (standing on a compliant surface), body sway was associated with poor visual acuity and contrast sensitivity. There was also a difference in contrast sensitivity between those who fell one or more times in a year of follow-up and those who did not fall. It appears that reduced vision may be a predisposing factor to postural imbalance and falls in elderly persons.

Received August 9, 1990; Revision received August 9, 1990.
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