Vision screening of older drivers for preventing road traffic injuries and fatalities

Desapriya, Ediriweera B. R.; Harjee, Rahana; Brubacher, Jeffrey R.; Chan, Hock Chuan; Hewapathirane, D. Sesath; Subzwari, Sayed; Pike, Ian

doi:10.1002/14651858.cd006252.pub4

Cited by 55 publications

(34 citation statements)

References 49 publications

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“…Safe driving requires a complex set of skills drawn from three key domains: vision, cognition and motor 19. Cognition is perhaps the most difficult domain to assess, and screening tools such as the mini-mental status examination and the clinical dementia rating do not actually assess functions specific to driving ability 1.…”

Section: Driver Testing Requirements and Licensing Proceduresmentioning

confidence: 99%

“…In fact, older drivers who drive long distances are thought to be safer than other age groups 19. Rural centres have a lower car and pedestrian density and less traffic complexity3; thus, it is likely that rural drivers with early dementia have a reduced risk of motor vehicle collisions relative to their urban counterparts.…”

Section: Living In Rural Areas and Risk Of Driversmentioning

confidence: 99%

See 1 more Smart Citation

Inequity in health: older rural driving and dementia

et al. 2015

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Section: Driver Testing Requirements and Licensing Proceduresmentioning

confidence: 99%

Section: Living In Rural Areas and Risk Of Driversmentioning

confidence: 99%

Inequity in health: older rural driving and dementia

et al. 2015

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“…visual acuity and visual field) [15]. declines not being included in standards for driving capability, contrast sensitivity and glare sensitivity, has been shown higher than others being included (visual acuity and visual field) Many countries require vision tests for older drivers at driver's license renewal, but fail to implement validated vision tests that can predict driving performance or to present the effects of these tests in terms of decreased accidents [16]. Thorslund and Strand suggest that available and broadly used tests of visual acuity should be combined with other tests [1].…”

Section: Introductionmentioning

confidence: 99%

Attitudes among older drivers towards medical assessment at renewal of driving license in Sweden

Thorslund

Strand

Willstrand

2017

Eur. Transp. Res. Rev.

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Purpose The aim was to examine attitudes among older adults in Sweden as regards a possible legislation for medical assessment at license renewal depending on their health status (vision and hearing) and gender. Methods A questionnaire study measuring attitudes towards medical assessments at license renewal and an examination of vision, hearing, and cognitive abilities was conducted by the Swedish National Road and Transport Research Institute. 109 participants older than 60 years participated in the study (58 women, 51 men). They were categorized into four groups according to their health status: (1) without any visual or hearing impairment, (2) visual impairment, (3) hearing impairment, and (4) visual and hearing impairment. All data collection was performed in a driving assessment situation. Results The answers showed positive attitudes towards recurring vision test (94% positive) and recurring medical assessments (93% positive). A majority wanted to include tests of visual acuity, contrast vision, and visual field. The most common choice was a starting point of 70 years and an interval of 2-3 years. Gender effects showing that woman were more positive towards some assessment and shorter time intervals between them was revealed. No significant effect of hearing or vision decline was found. Better results on cognitive tests was associated with positive attitudes towards medical testing. Conclusions The participants were positive towards medical assessments at license renewal, indicating that there is an acceptance in the population for such legislation. Even short intervals such as every two or three years were accepted.

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“…It has been reported that visual screening in older drivers is important for preventing traffic accidents. 1,2 Aging is accompanied by a higher incidence of sight-reducing conditions such as senile cataract, age-related macular degeneration (AMD) and diabetic retinopathy. 3,4,5 Diabetic retinopathy in particular progresses with disease duration and requires close follow-up.…”

Section: Introductionmentioning

confidence: 99%

Necessity of Periodic Ophthalmological Examinations in Binocular B Class Driving Licence Holders Over 50 Years of Age

Kurt

Öktem

Acer

et al. 2016

tjo

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Objective:To determine whether binocular B class driving licence (BBCDL) holders over 50 years old are in compliance with the BBCDL criteria for visual acuity, to determine the age-based prevalence of ophthalmological disorders reducing visual acuity in this group, and to investigate whether periodic ophthalmological examinations are needed in licence holders over 50 years of age.Materials and Methods:This prospective study enrolled 451 adults over 50 years old having a BBCDL. The study subjects were categorized into 3 age groups as group 1 (51-60 years), group 2 (61-70 years), and group 3 (over 71 years).Results:The mean age of the subjects was 60.02±7.27 years; 338 (74.9%) were male and 113 (25.1%) were female. The BBCDL criteria were met by 353 (78.3%) subjects whereas 98 (21.7%) subjects did not meet them. Eighty-four (85.7%) of 98 patients not meeting BBCDL criteria still drove. The mean age of the subjects meeting BBCDL criteria (58.82±6.77 years) was significantly lower than the subjects not meeting them (64.34±7.40 years) (p<0.001). The most common pathologies in the individuals still driving despite not meeting BBCDL criteria were senile cataract (38.5%) and diabetic retinopathy (23.1%) in group 1, senile cataract (55.3%) and diabetic retinopathy (14.9%) in group 2, and senile cataract (63.6%) and senile macular degeneration+senile cataract (18.2%) in group 3.Conclusion:More than a fifth of individuals over 50 years old did not meet the BBCDL criteria, due predominantly to senile cataract, and the majority of these individuals continue to drive. Therefore, we believe that individuals over 50 years old who have a BBCDL should undergo periodic ophthalmological examinations.

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Vision screening of older drivers for preventing road traffic injuries and fatalities

Cited by 55 publications

References 49 publications

Inequity in health: older rural driving and dementia

Inequity in health: older rural driving and dementia

Attitudes among older drivers towards medical assessment at renewal of driving license in Sweden

Necessity of Periodic Ophthalmological Examinations in Binocular B Class Driving Licence Holders Over 50 Years of Age

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