Vision and falls in older people: risk factors and intervention strategies

Clin Geriatr Med. 2010 Nov;26(4):569-81. doi: 10.1016/j.cger.2010.06.002.


Poor vision impairs balance and increases the risk of falls and fractures in older people. Multifocal glasses can add to this risk by impairing contrast sensitivity, depth perception, and ability to negotiate obstacles. Vision assessment and provision of new spectacles may not reduce, and may even increase, the risk of falls. Restriction of the use of multifocal glasses may reduce falls in active older people. Other effective fall prevention strategies include maximizing vision through cataract surgery and occupational therapy interventions in visually impaired older people.

MeSH terms

  • Accidental Falls / prevention & control*
  • Aged
  • Aging*
  • Depth Perception
  • Eyeglasses*
  • Fractures, Bone
  • Humans
  • Postural Balance
  • Posture
  • Risk Assessment
  • Risk Factors
  • Vision Disorders* / diagnosis
  • Vision Disorders* / therapy
  • Vision, Ocular / physiology*
  • Visual Acuity