Introduction. Sarcopenic obesity is considered to be the main factor contributing to disorders of the musculoskeletal system, such as dysfunction of muscle innervation and neuromuscular control. Ultimately, this affects the maintenance of posture, and performing functional actions that require strength to maintain balance and control posture becomes problematic. The aim of the study to study the relationship of sarcopenic obesity with postural disorders and falls syndrome in elderly patients with visual impairment. Materials and methods. The study included 415 patients with sarcopenic obesity and visual pathology who underwent inpatient treatment. The participation of the visual, somatosensory and vestibular systems in postural control was determined by the method of computer stabilometry. The prevalence of falls syndrome was determined by the ratio of the absolute number of cases of falls during the time period under review to the absolute number of elderly patients with sarcopenic obesity and primary open-angle glaucoma (POAG) or to the absolute number of elderly patients with sarcopenic obesity and cataracts per 100 examined. Results. The analysis of the participation of the somatosensory, visual and vestibular systems in providing postural control of patients 60-74 years old with falls syndrome in sarcopenic obesity and POAG according to the SOT test of computer stabilometry showed that the somatosensory system does not undergo statistically significant changes under the influence of POAG. The syndrome of falls was registered in 53,8±2,2 cases per 100 patients in the group with sarcopenic obesity and POAG. In the group with sarcopenic obesity and cataracts among the examined elderly patients, this geriatric syndrome was diagnosed in 24,4±1,9 cases per 100 patients. POAG significantly increases the risk of falls syndrome among the contingent of patients with sarcopenic obesity. Conclusion. A decrease in the participation of the somatosensory system in providing postural control does not affect this geriatric syndrome, which indicates the priority of the participation of the visual system in controlling postural balance and preventing the occurrence of falls syndrome in patients with sarcopenic obesity and visual deficits. Therefore, such patients, from the point of view of the prevention of falls syndrome, require closer and more dynamic supervision by gerontologists and geriatricians, ophthalmologists.