The Association between Primary Open-Angle Glaucoma and Motor Vehicle Collisions

Tanabe, Soichi; Yuki, Kenya; Ozeki, Naoki; Shiba, Daisuke; Abe, Takayuki; Kouyama, Keisuke; Tsubota, Kazuo

doi:10.1167/iovs.10-6264

Cited by 57 publications

(49 citation statements)

References 32 publications

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“…Glaucoma negatively effects driving performance (Crabb et al, 2013;Tanabe, 2011;Kwon, 2016;Owsley et al, 1998;Haymes, 2008). The links between reports of visual experience (Crabb et al, 2013;Hoste, 2003) and physiological effects of optic neuropathy and visual field loss are unclear.…”

Section: Discussionmentioning

confidence: 99%

A New Method for Estimating Effects of Visual Field Loss in a Panoramic Driving Environment

Anderson

Ghate

Kedar

et al. 2017

Proceedings of the 9th International Driving Symposium on Human Factors in Driver Assessment, Training, and Vehicle Design: Dri

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Summary: Glaucoma is a key cause of peripheral visual field loss and increases risk of a vehicle crash. Patients may be unaware of their visual loss and of hazards in the driving panorama. Standard clinical automated perimetry, the "gold standard" for monitoring glaucoma progression, lacks external validity to evaluate functional effect of visual field loss in driving environments. We developed and piloted a new technique to study the effects of glaucoma in a panoramic (290 forward FOV) simulated driving environment. Preliminary results in 11 drivers (7 with glaucoma and 4 with suspected glaucoma): (1) demonstrate the relationship between standard clinical perimetry and driving simulator visual fields, (2) replicate clinical evidence of glaucoma-related peripheral visual field loss, and (3) show added visual field loss due to visual occlusion by in-cab geometry.

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Section: Discussionmentioning

confidence: 99%

A New Method for Estimating Effects of Visual Field Loss in a Panoramic Driving Environment

Anderson

Ghate

Kedar

et al. 2017

Proceedings of the 9th International Driving Symposium on Human Factors in Driver Assessment, Training, and Vehicle Design: Dri

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“…In two studies Szlyk et al 12,13 compared drivers with and without glaucoma with respect to simulator and self-reported MVCs and reported in one instance no difference 13 and a higher frequency of both events in the other. 14 Observational studies have also yielded inconsistent findings with some studies reporting no association 15,16 between glaucoma and MVC occurrence and others reporting a positive association 17-19 In one study, glaucoma was protective for MVCs, 20 which might imply that glaucomatous drivers exercise greater cautiousness when behind the wheel. In a subsequent report we demonstrated that glaucomatous drivers with moderate to severe visual field impairment in the worse eye had an increased risk for MVC involvement and at-fault MVCs compared to glaucomatous drivers with no defect.…”

Section: Introductionmentioning

confidence: 99%

“…24,25 However, it is also important to bear in mind that the methodology used in previous studies was wide ranging including, for example, both police- 16-18,20,21 and self-reported MVCs, 12,13,15,19 as well as clinically confirmed and self-reported glaucoma. 17 Additionally, disagreement among prior studies may stem from some studies not accounting for driving exposure when assessing crash risk 22 and limited sample sizes.…”

Section: Introductionmentioning

confidence: 99%

Binocular Visual Field Impairment in Glaucoma and At-Fault Motor Vehicle Collisions

McGwin

Huisingh

Jain

et al. 2015

Journal of Glaucoma

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Purpose To evaluate the association between binocular visual field defects in drivers with glaucoma and risk of motor vehicle collision (MVC) involvement. Methods A retrospective cohort study was conducted on 438 drivers with glaucoma aged ≥ 55 years old using data from 1994 through 2000. Demographic, clinical, and driving characteristics were obtained from chart abstractions and patient survey. Binocular field measures were generated by combining data from the monocular (central 24° radius) fields whereby the binocular field measure was defined as the more sensitive point at each monocular field location. Measures included threshold (TH), total deviation (TD), and pattern deviation (PD); severe impairment in these measures was defined as falling into the worst quartile. MVC data was obtained from police records. Rate ratios (RR) and 95% confidence intervals (CI) were calculated. Results Drivers with severely impaired PD measures were twice as likely to have an at-fault MVC compared to those not severely impaired (RR 2.13, 95% CI 1.21-3.75); those with severely impaired TH (RR 1.49, 95% CI 0.81-2.74) and TD (RR 1.50, 95% CI 0.82-2.74) also had an increased rate of at-fault MVCs, although these were not significant. When the binocular central visual field was stratified into 9 regions, drivers with impaired TH, TD, or PD had similarly elevated MVC rates in all regions compared to those not severely impaired, though not all reached statistical significance. Conclusions Based on clinical measures of visual field routinely used in the management of glaucoma, drivers with glaucoma with severe PD field defects in the binocular field have a higher rate of at-fault MVC compared to those with less impaired or unimpaired binocular visual fields.

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“…17 A history of glaucoma in males was also a significant predictor of increased crash risk in older drivers. 51 Tanabe et al 30 found that self-reported motor vehicle collisions were significantly higher in drivers with severe primary openangle glaucoma and extensive visual field impairment. This is consistent with previous research by Haymes et al, 17 where glaucoma patients were 5 times more likely to be involved in a motor vehicle collision and 10 times more likely to be fault.…”

Section: Glaucoma and Crash Riskmentioning

confidence: 99%

“…In addition, many previous studies did not adjust for comorbidities, had small sample sizes 53 or used self-reported information. 30 …”

Section: Glaucoma and Crash Riskmentioning

confidence: 99%

Through the Looking Glass

Blane

2016

Journal of Glaucoma

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There is little literature available that investigates glaucoma and its relationship with driving. The few studies that have been conducted are varied in methodology and the results available are highly inconsistent. With an ageing population and heavy reliance on driving for personal mobility, further research into measuring the impact of glaucoma and driving is crucial to ensure a sustained quality of life for the elderly. The potential for future research is discussed.

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The Association between Primary Open-Angle Glaucoma and Motor Vehicle Collisions

Abstract: Advanced POAG with marked visual field defects may be a risk factor for MVCs.

Cited by 57 publications

References 32 publications

A New Method for Estimating Effects of Visual Field Loss in a Panoramic Driving Environment

A New Method for Estimating Effects of Visual Field Loss in a Panoramic Driving Environment

Binocular Visual Field Impairment in Glaucoma and At-Fault Motor Vehicle Collisions

Through the Looking Glass

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