How Cataract Surgery Reduces Fall Risk in Older Adults
As we age, falls become a leading cause of injury among older adults, often resulting in significant health complications, reduced independence and subsequently, isolation. While various factors do contribute to falls, impaired vision particularly from cataracts, also plays a crucial role.
Understanding the Connection Between Cataracts and Falls
Falls are a major concern for people over the age of 65, with one in four experiencing at least one fall each year. Among those aged 70 and older, 8% require emergency care due to fall-related injuries, and nearly 12% of falls can be fatal [REF1].
One significant and often modifiable risk factor is poor vision. Visual impairment, including conditions such as cataracts, is common amongst older adults and has been strongly linked to a higher risk of falls. Equally, cataracts, characterised by the clouding of the eye’s natural lens, leads to diminished visual acuity, contrast sensitivity, and depth perception. These visual impairments can make it all the more challenging for patients to navigate environments safely, and therefore increasing the likelihood of trips and falls.
The Protective Role of Cataract Surgery
Cataract surgery is a procedure that is used to replace the clouded lens with a clear artificial one. But beyond clearer sight, research shows it also plays a crucial role in reducing the risk of falls.
A prospective study published in the British Journal of Ophthalmology found that 37% of patients experienced falls prior to cataract surgery, compared to just 7% afterwards which is a statistically significant reduction (p<0.001) [REF1].
This clear drop in falls highlights how cataract surgery can be a life-changing intervention, particularly for elderly adults. By restoring vision, the procedure not only enhances daily independence and quality of life but also greatly reduces the risk of injury caused by trips and falls.
Taking the Next Step
If you or a loved one are experiencing vision issues due to cataracts, it’s essential to consult with an eye care professional. Early intervention is key and cataract surgery can lead to significant improvements in vision and a marked decrease in your risk of falls.
At Centre for Sight, our experienced consultants are dedicated to providing comprehensive eye care tailored to your needs. Book a consultation today to explore how cataract surgery can help you regain clarity and confidence in your daily activities.
References
- Brannan, S., Dewar, C., Sen, J., Clarke, D., Marshall, T. and Murray, P.I., 2003. A prospective study of the rate of falls before and after cataract surgery. British Journal of Ophthalmology, 87(5), pp.560–562. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1771665/ [Accessed 14 Apr. 2025].
- NICE (2013a) Falls in older people: assessing risk and prevention. Clinical guideline 161. National Institute for Health and Care Excellence. http://www.nice.org.uk [Free Full-text]