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HomeminewsSimple Hazard Reduction Would Reduce Glaucoma Falls

Simple Hazard Reduction Would Reduce Glaucoma Falls

Simple measures like improving ambient lighting, installing grab rails, and eliminating hazardous rugs would reduce the incidence of falls among people with glaucoma, according to a new study published in Ophthalmology.

The study identified that the majority of people with advanced glaucoma do not adapt their home environment by removing hazards.

The study assessed the homes of 175 of 245 patients enrolled in the Falls in Glaucoma Study. Participants were aged 60 or over and receiving care for diagnosed or suspected glaucoma.

It evaluated 74 hazards in up to eight areas of the home (a total of 194 items) in the entry way, living room, dining room, kitchen, bedroom, bathroom, stairs, and hallway. Only those rooms used by the participant for one or more hours a day were included in the assessment. The mean number of items graded per home was 85.2 (SD = 13.2), and an average of 32.7 (38.3 per cent) were identified as hazards.1

The most hazards were found in the bathroom… with the stairs and entry ways also found to be particularly hazardous

Linear regression models were used to analyse the relationship between the observed hazard and visual field. Co-variants included age, sex, race and whether or not the patient lived alone.

Common items graded and assessed as being hazardous were low ambient lighting (100 per cent), an inadequate number of handrails (87 per cent), absence of a bathmat or non-skid strips in the bathtub/shower (86 per cent), absence of grab bars in the bathtub/shower (79 per cent) and hazardous rugs (unsecured or curled edges; 75 per cent).2 The most hazards were found in the bathroom (54.2 per cent of graded items were classified as hazardous) with the stairs and entry ways also found to be particularly hazardous.1

The authors noted that hazard frequency did not vary by severity of visual field impairment.

References
1. www.aaojournal.org/article/S0161-6420(16)32118-2/fulltext?rss=yes
2. www.fallsinglaucoma.org/wp-content/uploads/2016/06/
Fall-hazards-in-the-homes-of-individuals-with-glaucoma.pdf

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