{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T07:55:05Z","timestamp":1769759705415,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T00:00:00Z","timestamp":1571961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To investigate the impact of the type of the intraocular lenses (<jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>s) in first\u2010eye cataract surgery in elderly people on the risk of hospitalisation due to falls and injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was conducted using the Australian Government Department Veterans\u2019 Affairs claims data. All people aged 65\u00a0years and above who had first cataract surgery between January 2007 and July 2017 were identified. Two cohorts were established depending on the type of <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>\u2014monofocal and multifocal. The risk of injuries and falls requiring hospitalisation in the first 3\u00a0months post the surgery was assessed using Cox proportional hazard models with age at entry as primary time scale and adjusting for gender, comorbidities and prior history of falls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 45\u00a0728 people across the two cohorts with the majority receiving monofocal lenses (97%), followed by multifocal lenses (3%) at the time of first cataract surgery. The risk of injury and falls was lower (but not significant) in the multifocal cohort compared to monofocal cohort (adjusted hazard ratio (<jats:styled-content style=\"fixed-case\">aHR<\/jats:styled-content>) 0.56, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.26\u20131.17). The risk was also lower (but not significant) when stratifying by age group at the time of the surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Regardless of age, multifocal lenses did not appear to be associated with the higher risk of serious injuries and falls after first\u2010eye cataract surgery compared to monofocal lenses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.14286","type":"journal-article","created":{"date-parts":[[2019,10,26]],"date-time":"2019-10-26T06:18:21Z","timestamp":1572070701000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Risk of falls and injuries requiring hospitalisation after first\u2010eye cataract surgery in elderly Australians"],"prefix":"10.1111","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7493-7387","authenticated-orcid":false,"given":"Svetla","family":"Gadzhanova","sequence":"first","affiliation":[{"name":"Quality Use of Medicines and Pharmacy Research Centre University of South Australia Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne","family":"Gillam","sequence":"additional","affiliation":[{"name":"Quality Use of Medicines and Pharmacy Research Centre University of South Australia Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Roughead","sequence":"additional","affiliation":[{"name":"Quality Use of Medicines and Pharmacy Research Centre University of South Australia Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,10,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2017.03.005"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40662-017-0077-7"},{"key":"e_1_2_6_4_1","unstructured":"Australian Government Department of Veterans\u2019 Affairs. Treatment population statistics December 2017. Canberra: DVA 2017.https:\/\/www.dva.gov.au\/sites\/default\/files\/files\/about%20dva\/stat\/TPopDec2017.pdf\u201d. (2016). \u201cThe Prostheses List. Australian Government Department of Health.\u201d Retrieved 11th January 2016 fromhttp:\/\/www.health.gov.au\/internet\/main\/publishing.nsf\/Content\/health-privatehealth-prostheseslist.htm."},{"key":"e_1_2_6_5_1","unstructured":"Australian Institute of Health and Welfare (AIHW).Procedures data cubes. 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