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dc.contributor.authorArmstrong, Deborah*
dc.contributor.authorCharlesworth, Emily*
dc.contributor.authorAlderson, Alison J.*
dc.contributor.authorElliott, David B.*
dc.date.accessioned2016-07-27T12:02:13Z
dc.date.available2016-07-27T12:02:13Z
dc.date.issued2016-07
dc.identifier.citationArmstrong D, Charlesworth E, Alderson AJ and Elliott DB (2016) Is there a link between dizziness and vision? A systematic review. Ophthalmic and Physiological Optics. 36(4): 477-486.en_US
dc.identifier.urihttp://hdl.handle.net/10454/8710
dc.descriptionYesen_US
dc.description.abstractPurpose: The aim of this study was to systematically review the literature to investigate the link (if any) between vision and dizziness. Methods: Medline, CINAHL, AMED, Web of Science and The Cochrane Library were searched with keywords chosen to find articles which investigated the causes of dizziness and considered vision as a possible trigger. Citation chaining of all included papers was performed in addition to the hand searching of all reference lists. Unpublished literature was identified using www.opengrey.eu. The review considered studies involving adults which link, measure or attempt to improve any aspect of vision in relation to dizziness. Results: Nine thousand six hundred and eighty one possible references were found, and the abstracts were screened independently by two reviewers to determine if they should be included in the study. Thirteen papers were found which investigated whether dizziness was linked to an assessment of vision. Visual impairment measures were crude and typically self-report, or Snellen visual acuity with little or no measurement details. Five studies found an independent link between dizziness and vision, five found a weak association (typically finding a link when univariate analyses were used, but not when multivariate analyses were used), and three found no association. Studies finding a strong link were usually cross-sectional with a large study population whereas those finding a weak association had relatively small numbers of participants. Studies which did not find an association used a broad definition of dizziness that included the term light-headedness, an unreliable Rosenbaum near visual acuity chart or an unusual categorisation of visual acuity. Conclusions: This review suggests that dizziness (although likely not ‘light-headedness’) is linked with poor vision although further studies using more appropriate measures of vision are recommended.en_US
dc.description.sponsorshipDeborah Armstrong was funded by a College of Optometrists Research Scholarship and Emily Charlesworth by a College of Optometrists summer studentship.en_US
dc.language.isoenen_US
dc.rights© 2016 The Authors Ophthalmic and Physiological Optics published by John Wiley & Sons Ltd on behalf of College of Optometrists. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en_US
dc.subjectDizziness; Systematic review; Vision; Visual impairmenten_US
dc.titleIs there a link between dizziness and vision? A systematic reviewen_US
dc.status.refereedYesen_US
dc.date.Accepted2016-03-03
dc.date.application2016-06-02
dc.typeArticleen_US
dc.type.versionpublished version paperen_US
dc.identifier.doihttps://doi.org/10.1111/opo.12299
refterms.dateFOA2018-07-25T12:24:52Z


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