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Visual acuity gain after cataract surgery improves the balance and gait parameters

Visual acuity gain after cataract surgery improves the balance and gait parameters. Sinan Emre 1 , Bekir Durmus 2 , Özlem Baysal 2 1 Celal Bayar University, School of Medicine, Department of Ophthalmology, Manisa, Turkey

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Visual acuity gain after cataract surgery improves the balance and gait parameters

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  1. VisualacuitygainaftercataractsurgeryimprovesthebalanceandgaitparametersVisualacuitygainaftercataractsurgeryimprovesthebalanceandgaitparameters Sinan Emre1, Bekir Durmus2, Özlem Baysal2 1 Celal Bayar University, School of Medicine, Department of Ophthalmology, Manisa, Turkey 2 Inonu University, School of Medicine, Department of Physical Medicine & Rehabilitation, Malatya, Turkey Authors have no financial interest

  2. Introduction • Postural disturbances in olders may lead falls, injuries, mortality • 5% of falls fractures • 10-15% of falls variety of injuries • Cognitive impairment, muscle weakness, postural hypotension, visual impairment, balance and gait abnormalities, foot problems, and medications may lead postural instability

  3. Introduction • Visual function is importantforpostural stability • Vision: timely information regarding the movements of body segments and position in relation to each other and the environment • Integration of the somatosensory, vestibular and visual systems inputs play an important role in maintenance of the balance

  4. Purpose • This study was to planned investigate the postural stability and mobility in cataract patients with various clinical tests • To assess the potential improvement of postural stability and mobility scores after uncomplicated cataract surgery

  5. Patients and Method • 17 patients, (12M/5F) • Mean age 66.29±9.87 years (50-80) • Uneventful Phaco for age-related cataract between May 2007-2008 • Patients were evaluated preoperatively and 1 month after surgery at Departments of Ophthalmology and Physical Medicine & Rehab • Ophthalmic evaluation: BCVA,Biomicroscopy, IOP, Ophthalmoscopy

  6. Patients and Method • At Physical Medicine&Rehabilitation: Dynamic postural stability assessed with BSS(Biodex) as antero-posterior stability index (APSI), medio-lateral stability index (MLSI) and overall stability index (OSI) • Gait Analysis: The gait velocity , step length, stride length, step width and cadence were evaluated • Time Up and Go test (TUG) was measured

  7. Patients and Method • Tinetti test; gait and balance were evaluated using Tinetti balance and gait test which is a standardized evaluation of mobility & stability • Functional Reach test (FR); Subjects were asked to extend their arm to 90o and reach forward as far as possible without losing their balance or taking a step

  8. RESULTS

  9. RESULTS No significant alteration for step length, stride lenght & walk base

  10. RESULTS: Correlation Analysis No significant correlation with APSI, step length, stride length, cadence, walk base, FR

  11. CONCLUSION • These results quantitatively documented that visual acuity gain after cataract surgery improves the gait and balance scores of patients with age-related cataract

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