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Journal of Ophthalmology
Volume 2016 (2016), Article ID 2707102, 10 pages
http://dx.doi.org/10.1155/2016/2707102
Research Article

Visual, Musculoskeletal, and Balance Complaints in AMD: A Follow-Up Study

1The Low Vision Centre, Region Örebro County, Örebro, Sweden
2University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
3School of Health and Medical Sciences, Örebro University, Örebro, Sweden
4Centre for Musculoskeletal Research, Department of Occupational and Public Health Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden

Received 7 July 2016; Accepted 25 September 2016

Academic Editor: Toshihide Kurihara

Copyright © 2016 Christina Zetterlund et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To investigate whether patients with age-related macular degeneration (AMD) run a potentially higher risk of developing visual, musculoskeletal, and balance complaints than age-matched controls with normal vision. Methods. Visual assessments, self-rated visual function, self-rated visual, musculoskeletal, and balance complaints, and perceived general health were obtained in 37 AMD patients and 18 controls, at baseline and after an average of 3.8 years later. Results. At follow-up both groups reported decreased visual acuity (VA) and visual function, but only AMD patients reported significantly increased visual, musculoskeletal, and balance complaints. Decreased VA, need for larger font size when reading, need for larger magnification, and decreased self-rated visual function were identified as risk markers for increased complaints in AMD patients. These complaints were also identified as risk markers for decreased health. For controls, decreased VA and self-reported visual function were associated with increased visual and balance complaints. Conclusions. Visual deterioration was a risk marker for increased visual, musculoskeletal, balance, and health complaints in AMD patients. Specifically, magnifying visual aids, such as CCTV, were a risk marker for increased complaints in AMD patients. This calls for early and coordinated actions to treat and prevent visual, musculoskeletal, balance, and health complaints in AMD patients.