Guidelines should state that assessment of vision is important

EDITOR—A fall in an older person can have severe personal as well as healthcare implications. Feder et al have given important guidelines for the prevention of falls in people aged over 65.1 Their aim was to translate trial evidence into recommendations to reduce the rate of falls in people aged over 65.

The methods used to gather information did not seem to include any references to the patients' visual function. There have been several reports linking poor visual function with an increased risk of falls or fractures related to falls.2-4 A recent study by Ivers et al shows that decreased visual function is a risk factor for hip fractures.5

It would seem logical that people who do not see well are more likely to fall than those who do see well. It is unfortunate, then, that the guidelines given do not contain …