Changes in falling risk depending on induced axis directions of astigmatism on static posture

[Purpose] To assess the changes in falling risk depending on the induced axis direction of astigmatism using cylindrical lenses in a static posture. [Subjects and Methods] Twenty subjects (10 males, 10 females; mean age, 23.4 ± 2.70 years) fully corrected by subjective refraction participated. To induce myopic simple astigmatism conditions, cylindrical lenses of +0.50, +1.00, +1.50, +2.00, +3.00, +4.00, and +5.00 D were used. The direction of astigmatic axes were induced under five conditions with increased cylindrical powers:, 180°, 90°, and 45° on both eyes; 180°/90° right/left eye, and 45°/135° right/left eye. Changes in the fall risk index were analyzed using the TETRAX biofeedback system. Measurements were performed for 32 seconds for each condition. [Results] The fall risk index increased significantly from C+4.00 D in 180°/90° right/left eye, C+3.00 D in 45°/135° right/left eye, and C+3.00 D in 45° on both eyes versus corrected emmetropia. Among the five axis conditions with the same cylindrical power lenses, the increase in the fall risk index was highest at 45° in both eyes. [Conclusion] Uncorrected oblique astigmatism may increase falling risk compared to with-the-rule and against-the-rule astigmatism. Clinical specialists should consider appropriate correction of astigmatism for preventing falls, especially for uncorrected oblique astigmatism.