Is Glaucoma Associated with Motor Vehicle Collision Involvement and Driving Avoidance?

McGwin, Gerald; Mays, Andrew; Joiner, Wade; DeCarlo, Dawn K.; McNeal, Sandre F.; Owsley, Cynthia

doi:10.1167/iovs.04-0524

Cited by 107 publications

(84 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…By comparison, in an on-road study of drivers with more restricted peripheral fields than the range in this study (mean 84° ± 35°compared to 123° ± 20° here), only 43% passed a test of practical fitness to drive (Coeckelbergh et al, 2002). As previously reported for drivers with a diagnosis of glaucoma (McGwin et al, 2004), drivers in the current study appeared to be aware of their visual limitations and self-regulated their driving accordingly; those with more restricted fields drove to fewer places (Figure 1c). …”

Section: Discussionsupporting

confidence: 47%

Assessing Driving Performance with Moderate Visual Field Loss

Bowers

Peli

Elgin

et al. 2005

Driving Assessment 2005 : Proceedings of the 3rd International Driving Symposium on Human Factors in Driver Assessment, Trainin

Self Cite

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 47%

Assessing Driving Performance with Moderate Visual Field Loss

Bowers

Peli

Elgin

et al. 2005

Driving Assessment 2005 : Proceedings of the 3rd International Driving Symposium on Human Factors in Driver Assessment, Trainin

Self Cite

View full text Add to dashboard Cite

“…Reasons for failing to complete the survey include death of the study subject, failure to contact the study subject following multiple attempts and refusal to participate. To prevent the exclusion of these subjects from the analysis, multiple imputation was used to create values for the missing observations using a Markov Chain Monte Carlo (MCMC) method (Rubin & Schenker, 1991;Schafer, 1997;Allison, 2001) as described previously (McGwin, et al, 2004). This method was appropriate because the pattern of missing data tended to be monotone (i.e., for a given subject, groups of variables were missing information).…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies had design features that lead one to question the validity of the conclusions including the reliance on a diagnosis definition based on self-report of glaucoma (Hu et al, 1998;Johnson & Keltner, 1983;, failure to take driving exposure into account when assessing crash risk (Hu et al, 1998), and only a small number of glaucoma cases in the study sample (Hu et al, 1998;. Recently we reported a cohort study that overcame these methodological problems finding that adults aged ≥ 55 years with a diagnosis of glaucoma drive at least as safely as older persons without glaucoma (McGwin et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Visual Field Defects and the Risk of Motor Vehicle Collisions Among Patients with Glaucoma

McGwin

Xie

Mays

et al. 2005

Driving Assessment 2005 : Proceedings of the 3rd International Driving Symposium on Human Factors in Driver Assessment, Trainin

Self Cite

View full text Add to dashboard Cite

Summary:This study sought to evaluate the association between visual field defects in the central 24° field and motor vehicle collisions (MVC) among patients with glaucoma. A case-control study was conducted on glaucoma patients aged 55 and older being treated at three university-affiliated eye care practices. Cases were patients who sustained a police-reported motor vehicle collision (MVC); controls were those who did not experience a MVC. For each patient, an Advanced Glaucoma Intervention Study (AGIS) score was calculated on automated visual fields collected with the 24-2 or 30-2 programs. Additionally, demographic, behavioral, driving and clinical characteristics were obtained via chart abstractions and a patient telephone survey. With respect to the better eye AGIS score (defined according to AGIS score), compared to patients with no visual field defect, those with severe defects (scores 12-20) had an increased risk of MVC (odds ratio [OR] 3.2, 95% confidence interval [CI] 0.9-10.4), although this association was not statistically significant (p=0.0576). Moderate (6-11) or minor field defects (1-5) in the better eye were not associated with the risk of crash involvement. For the worse eye, patients with moderate and severe field defects were at significantly increased risk of a MVC (OR 3.6, respectively) compared to those with no defects. Minor field defects in the worse eye did not increase MVC risk (OR 1.3, 95% CI 0.5-3.4). Glaucoma patients with moderate or severe visual field impairment in the central 24° radius field in the worse functioning eye are at increased risk for involvement in a vehicle crash.

show abstract

“…18,19 Advantages of this cohort are that it is not only large but is approximately 2/3 African American.…”

mentioning

confidence: 99%

Visual Field Defects and Vision-specific Health-related Quality of Life in African Americans and Whites With Glaucoma

Ringsdorf

McGwin²,

Owsley

2006

Journal of Glaucoma

Self Cite

View full text Add to dashboard Cite

Scores on most subscales of the NEI VFQ-25 and the 2 subscales of the GSS are highly similar in African Americans and Whites of non-Hispanic origin who have been diagnosed with glaucoma. In addition, for both African Americans and Whites, the VFQ subscales for the most part demonstrated good construct validity with respect to the extent of visual field impairment. Results imply that the NEI VFQ-25 and the GSS are appropriate instruments for studying the personal burden of glaucoma in studies whose samples involve both African American and White adults.

show abstract

Is Glaucoma Associated with Motor Vehicle Collision Involvement and Driving Avoidance?

Abstract: Older persons with glaucoma drive at least as safely as, if not more safely than, older persons without glaucoma.

Cited by 107 publications

References 29 publications

Assessing Driving Performance with Moderate Visual Field Loss

Assessing Driving Performance with Moderate Visual Field Loss

Visual Field Defects and the Risk of Motor Vehicle Collisions Among Patients with Glaucoma

Visual Field Defects and Vision-specific Health-related Quality of Life in African Americans and Whites With Glaucoma

Contact Info

Product

Resources

About