Navigation Links
Cataract Surgery May Cut Risk of Hip Fracture
Date:7/31/2012

By Denise Mann
HealthDay Reporter

TUESDAY, July 31 (HealthDay News) -- Cataract surgery may help some senior citizens reduce their risk of fall-related hip fractures, a new study suggests.

A cataract is a clouding of the eye's lens; symptoms can include blurry vision, glare and poor night vision. As a result, people with cataracts may be more prone to falls.

In the new study, individuals aged 65 or older who had cataract surgery were less likely to sustain a hip fracture within a year of the procedure when compared with their peers who did not have the surgery. Researchers analyzed Medicare claims data, but they did not have access to information on falls.

Their findings appear in the Aug. 1 issue of the Journal of the American Medical Association.

Reduction in risk for hip fractures may help tip the scale in favor of cataract surgery, said study author Dr. Anne Coleman, professor of ophthalmology at the Jules Stein Eye Institute at the University of California, Los Angeles.

"Hip fracture is associated with decreased quality of life and increased risk of dying," Coleman said. "You are never too old or too ill to consider cataract surgery to improve vision [and] quality of life and decrease your risk of hip fracture."

During cataract surgery, the lens of the eye is removed and replaced with an artificial one.

"The risks are there, but they are very low," Coleman said. They may include inflammation, infection, bleeding and swelling. After surgery, patients "get to enjoy more of the visual world in terms of colors and contrasts, and they can recognize their friends."

The study included a 5 percent random sample of Medicare beneficiaries from 2002 to 2009 who had cataracts. Of the more than 1.1 million patients with cataracts, 36.9 percent had surgery during the study period.

Overall, 1.3 percent of this population sustained a hip fracture. Those who had cataract surgery were 16 percent less likely to sustain a hip fracture in the year after the surgery. This association was even more pronounced among people with severe cataracts, the study showed.

"This really does make complete sense and documents nicely what we have always said: Any improvement in vision that can be accomplished easily in an elderly patient would be expected to reduce the risk of falling and therefore of fractures -- especially hip fractures," said Dr. Ethel Siris, director of the Toni Stabile Osteoporosis Center at Columbia University Medical Center in New York City.

It is for these reasons that "we like to assure that homes are lighted properly, that night lights be used for nocturnal trips to the bathroom, that barriers that might cause trips or falls be eliminated or at least easily seen, that vision be corrected with corrective lenses," she said. "If cataracts are impacting vision and surgery is indicated, the results would likely reduce fall risk and therefore fracture risk."

The study did not have information on falls, Siris said.

"It does remain possible that people who opt for surgery are somewhat different from those who don't, and that in itself could explain the reduction in fractures," she said. For example, these patients may be more likely to have assistance in their daily lives and better quality lives with a lower risk of falls to begin with.

"Some people wait much too long for cataract surgery, and this puts the elderly at risk for a hip fracture or falling," said Dr. Mark Fromer, an ophthalmologist at Lenox Hill Hospital in New York City. "The better you see, the better you ambulate."

The time for surgery is when the cataract starts limiting what you can do.

"Elderly people are more fragile, so if they don't see a step or an elevation and trip, that could be a death sentence," Fromer said. "Cataract surgery takes less than 10 minutes and can dramatically alter a person's lifestyle."

The study only showed an association -- not a cause-and-effect relationship -- between cataract surgery and a reduced risk of fall-related hip fractures.

More information

Learn more about cataracts at the National Eye Institute.

SOURCES: Ethel Siris, M.D., Madeline Stabile Professor of Clinical Medicine, and director, Toni Stabile Osteoporosis Center, Columbia University Medical Center, New York City; Anne Coleman, M.D., Ph.D., Fran and Ray Stark Foundation Professor of Ophthalmology, Jules Stein Eye Institute, University of California, Los Angeles; Mark Fromer, M.D., ophthalmologist, Lenox Hill Hospital, New York City


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Simulation technology allows users to safely practice phacoemulsification cataract surgery
2. Esophageal Cancer Surgery Can Leave Lingering Health Problems, Study Says
3. Optimal care of bariatric surgery patients vital for long-term health and well-being
4. Codeine After Surgery Could Endanger Certain Kids: Study
5. Surgery Rates Rising for Non-Melanoma Skin Cancer: Study
6. Study examines medicare use for Mohs micrographic surgery and surgical excision for skin cancer
7. Weight-Loss Surgery Beat Drugs for Cutting Diabetes in Very Obese
8. Brain Surgery Might Ease Tough-to-Treat OCD
9. Men More Prone to Complications After Brain, Spine Surgery
10. Lower Risk for Bowel Obstruction With Less Invasive Surgery: Study
11. Brain surgery for epilepsy underutilized
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Cataract Surgery May Cut Risk of Hip Fracture
(Date:5/4/2016)... ... 2016 , ... Bayco Products has announced the introduction of ... in models NSP-9842XL and NSR-9844XL . , First previewed at SHOT Show ... included CR-123 batteries to produce up to 650 lumens in a variety of ...
(Date:5/4/2016)... ... May 04, 2016 , ... ... and elbows. Engineered with athletes in mind, OMNIFORCE offers high-performance, less bulk, ... circular knitting, common in the industry) produces premium flat-knit construction with “focused ...
(Date:5/4/2016)... ... 2016 , ... Mediware Information Systems, Inc . has ... helps blood and marrow transplant (BMT) programs meet compliance and accreditation standards while ... to enhance core application features. These enhancements are designed to help BMT programs ...
(Date:5/4/2016)... (PRWEB) , ... May 04, 2016 , ... Over 40 ... convened in the state capitol for the annual “Hike to Harrisburg” advocacy day. ... and The Winter Group, PATS lobby Group. The goal for the day was ...
(Date:5/4/2016)... PA (PRWEB) , ... May 04, 2016 , ... ... software provider, certified that their Vasont Universal Integrator (VUI) extension supports the latest ... the release of Adobe FrameMaker 2015 interlace the process of creating, editing and ...
Breaking Medicine News(10 mins):
(Date:5/3/2016)... , May 3, 2016  Specialty Silicone ... tool that shows how a cleanroom works. The ... discussions about science and technology. ... "As a technology company, SSF enthusiastically supports the ... help educators foster the next generation of innovators. ...
(Date:5/3/2016)... , May 3, 2016 ... Research Report provides a basic overview of the ... post which the surgical mesh report explores into ... Complete report on Surgical Mesh market ... and 98 tables and figures is available at ...
(Date:5/2/2016)... Leading Economies with Fastest Real GDP Annual Percentage Change, 2015  ... 7.3, , Source: IMF and TechSci Research   ... Brazil , Russia , India , ... the fastest GDP growth during the first decade of the 21 st ... Brazil and Russia , along with policy ...
Breaking Medicine Technology: