{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T08:58:10Z","timestamp":1776416290579,"version":"3.51.2"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":75,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Vision loss is a significant risk factor for falls. Given the associated morbidity and mortality, proactive risk-reduction strategies are warranted. This evaluation aimed to assess the feasibility and potential clinical value of bedside visual screening in an orthogeriatric rehabilitation setting and to estimate the proportion of previously unrecognized visual deficits among older inpatients admitted following a fall.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Design and Methods<\/jats:title>\n                    <jats:p>In this prospective, single-center feasibility evaluation, 21 patients aged \u226565 years admitted post-falls were assessed. Eligible participants scored &amp;gt;6 on the Abbreviated Mental Test Score. Bedside assessments included unaided vision, visual acuity (VA), low-contrast VA, and visual fields using Logarithm of the Minimum Angle of Resolution (LogMAR) charts and the Melbourne Rapid Fields web-based platform. Ocular history and participant feedback on the screening experience were also collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Unaided vision or habitual VA worse than 0.3 LogMAR (&amp;lt;6\/12 Snellen equivalent) in at least one eye was observed in 67% of participants; 88% showed impaired low-contrast VA. Only 33% had been examined by a primary care optometrist in the year preceding admission. A proportion of deficits were potentially modifiable. Screening was well tolerated, with participants reporting a good understanding of the procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Implications<\/jats:title>\n                    <jats:p>Bedside visual screening by trained non-ophthalmic specialists is feasible and potentially clinically informative in the orthogeriatric setting. The high proportion of undetected visual deficits suggests missed opportunities for falls prevention. Routine standardized visual assessments may enable timely referrals, improve visual outcomes, and reduce falls-related morbidity in older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geroni\/igag022","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T13:05:02Z","timestamp":1773234302000},"source":"Crossref","is-referenced-by-count":0,"title":["Visual screening in an orthogeriatric rehabilitation setting: a feasibility evaluation"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3076-4629","authenticated-orcid":false,"given":"Martin Chi Kit","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine, Trafford General Hospital , Manchester,","place":["United Kingdom"]},{"name":"Department of Optometry, Manchester Royal Eye Hospital , Manchester,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siraj","family":"Farid","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Trafford General Hospital , Manchester,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5045-1956","authenticated-orcid":false,"given":"Jay","family":"Chillala","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Trafford General Hospital , Manchester,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5437-2553","authenticated-orcid":false,"given":"Robert A","family":"Harper","sequence":"additional","affiliation":[{"name":"Department of Optometry, Manchester Royal Eye Hospital , Manchester,","place":["United Kingdom"]},{"name":"Faculty of Biology, Medicine and Health, University of Manchester , Manchester,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"2026041703572721200_igag022-B1","doi-asserted-by":"publisher","first-page":"1275","DOI":"10.1097\/OPX.0b013e31822f4d6a","article-title":"Inferior field loss increases rate of falls in older adults with glaucoma","volume":"88","author":"Black","year":"2011","journal-title":"Optometry and Vision Science"},{"key":"2026041703572721200_igag022-B2","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/S0079-6123(08)01101-1","article-title":"Epidemiology of primary glaucoma: Prevalence, incidence, and blinding effects","volume":"173","author":"Cedrone","year":"2008","journal-title":"Progress in Brain Research"},{"key":"2026041703572721200_igag022-B3","author":"College of Optometrists & British Geriatrics Society","year":"2020"},{"key":"2026041703572721200_igag022-B4","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1111\/j.1475-1313.2005.00307.x","article-title":"Optometric and ophthalmic contact in elderly hip fracture patients with visual impairment","volume":"25","author":"Cox","year":"2005","journal-title":"Ophthalmic and Physiological Optics"},{"key":"2026041703572721200_igag022-B5","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1136\/bjo.2003.019927","article-title":"Causes of visual impairment in people aged 75 years and older in Britain: An add-on study to the MRC trial of assessment and management of older people in the community","volume":"88","author":"Evans","year":"2004","journal-title":"British Journal of Ophthalmology"},{"key":"2026041703572721200_igag022-B6","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1080\/08164622.2024.2448239","article-title":"Low-luminance visual acuity and low-luminance deficit: Optimising measurement and analysis","volume":"109","author":"Forte","year":"2026","journal-title":"Clinical and Experimental Optometry"},{"key":"2026041703572721200_igag022-B7","doi-asserted-by":"publisher","first-page":"4445","DOI":"10.1167\/iovs.07-0326","article-title":"Visual field loss increases the risk of falls in older adults: The Salisbury eye evaluation","volume":"48","author":"Freeman","year":"2007","journal-title":"Investigative Ophthalmology & Visual Science"},{"key":"2026041703572721200_igag022-B8","volume-title":"Excellent perimetry","author":"Heijl","year":"2021","edition":"5th"},{"key":"2026041703572721200_igag022-B9","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1093\/ageing\/1.4.233","article-title":"Evaluation of a mental test score for assessment of mental impairment in the elderly","volume":"1","author":"Hodkinson","year":"1972","journal-title":"Age and Ageing"},{"key":"2026041703572721200_igag022-B10","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1159\/000213695","article-title":"Prevalence of low vision in elderly patients admitted to an acute geriatric unit in Liverpool: Elderly people who fall are more likely to have low vision","volume":"41","author":"Jack","year":"1995","journal-title":"Gerontology"},{"key":"2026041703572721200_igag022-B11","author":"The King\u2019s Fund","year":"2024"},{"key":"2026041703572721200_igag022-B12","doi-asserted-by":"publisher","first-page":"8384509","DOI":"10.1155\/2020\/8384509","article-title":"Comparison of perimetric outcomes from Melbourne Rapid Fields tablet perimeter software and Humphrey Field Analyzer in glaucoma patients","volume":"2020","author":"Kumar","year":"2020","journal-title":"Journal of Ophthalmology"},{"key":"2026041703572721200_igag022-B13","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1186\/s12877-022-02784-3","article-title":"Visual risk factors for falls in older adults: A case-control study","volume":"22","author":"Mehta","year":"2022","journal-title":"BMC Geriatrics"},{"key":"2026041703572721200_igag022-B14","doi-asserted-by":"publisher","first-page":"2751","DOI":"10.1038\/s41433-024-03115-z","article-title":"Confidence of emergency department doctors in managing ophthalmic emergencies: A systematic review","volume":"38","author":"Mendall","year":"2024","journal-title":"Eye"},{"key":"2026041703572721200_igag022-B15","author":"NHS Health Research Authority","year":"2024"},{"key":"2026041703572721200_igag022-B16","doi-asserted-by":"publisher","DOI":"10.1787\/8f9e3f98-en","volume-title":"Health at a glance 2025: OECD indicators","author":"OECD","year":"2025"},{"key":"2026041703572721200_igag022-B17","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.ajo.2018.03.009","article-title":"Six-month longitudinal comparison of a portable tablet perimeter with the Humphrey Field Analyzer","volume":"190","author":"Prea","year":"2018","journal-title":"American Journal of Ophthalmology"},{"key":"2026041703572721200_igag022-B18","author":"Primary Eyecare","year":"2024"},{"key":"2026041703572721200_igag022-B19","doi-asserted-by":"publisher","first-page":"1352","DOI":"10.1016\/j.ophtha.2012.01.037","article-title":"Fear of falling and visual field loss from glaucoma","volume":"119","author":"Ramulu","year":"2012","journal-title":"Ophthalmology"},{"key":"2026041703572721200_igag022-B20","doi-asserted-by":"publisher","first-page":"2317","DOI":"10.1016\/j.visres.2004.04.018","article-title":"Low contrast vision function predicts subsequent acuity loss in an aged population: The SKI study","volume":"44","author":"Schneck","year":"2004","journal-title":"Vision Research"},{"key":"2026041703572721200_igag022-B21","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1001\/jamaophthalmol.2023.5858","article-title":"Risk of falls and fractures in individuals with cataract, age-related macular degeneration, or glaucoma","volume":"142","author":"Tsang","year":"2024","journal-title":"JAMA Ophthalmology"},{"key":"2026041703572721200_igag022-B22","author":"University of Manchester","year":"2024"},{"key":"2026041703572721200_igag022-B23","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1016\/j.ajo.2011.06.004","article-title":"An assessment of the health and economic burdens of glaucoma","volume":"152","author":"Varma","year":"2011","journal-title":"American Journal of Ophthalmology"},{"key":"2026041703572721200_igag022-B24","author":"World Health Organization","year":"2019"}],"container-title":["Innovation in Aging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/innovateage\/advance-article-pdf\/doi\/10.1093\/geroni\/igag022\/67373468\/igag022.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/innovateage\/article\/doi\/10.1093\/geroni\/igag022\/8525332","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/innovateage\/article\/doi\/10.1093\/geroni\/igag022\/8525332","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T07:59:07Z","timestamp":1776412747000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/innovateage\/article\/doi\/10.1093\/geroni\/igag022\/8525332"}},"subtitle":[],"editor":[{"given":"Michelle","family":"Putnam","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,4,8]]}},"URL":"https:\/\/doi.org\/10.1093\/geroni\/igag022","relation":{},"ISSN":["2399-5300"],"issn-type":[{"value":"2399-5300","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026]]},"published":{"date-parts":[[2026]]},"article-number":"igag022"}}