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

McGwin, Gerald; Xie, Aiyuan; Mays, Andrew; Joiner, Wade; DeCarlo, Dawn K.; Hall, Tyler Andrew; Owsley, Cynthia

doi:10.17077/drivingassessment.1151

Cited by 27 publications

(42 citation statements)

References 7 publications

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“…This is in contrast to other studies that have reported elevated rates for those with such impairments (Haymes, LeBlanc, Nicolela, Chiasson & Chauhan, 2007; McGwin, Xie, Mays, Joiner, DeCarlo, Hall & Owsley, 2005; Rubin et al, 2007). In the case of Rubin et al (Rubin et al, 2007) as with Johnson and Keltner (1983), the association was specific to those with binocular field loss.…”

Section: Visual Function and Drivingcontrasting

confidence: 99%

“…In the case of Rubin et al (Rubin et al, 2007) as with Johnson and Keltner (1983), the association was specific to those with binocular field loss. McGwin et al (2005) observed that the association was stronger when considering the extent of impairment in the worse eye. Haymes et al (2007) observed that among glaucoma patients, those with visual field impairment in the worse eye had a nearly five-fold increase in motor vehicle collisions though this association was not statistically significant.…”

Section: Visual Function and Drivingmentioning

confidence: 93%

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Vision and driving

2010

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Driving is the primary means of personal travel in many countries and is relies heavily on vision for its successful execution. Research over the past few decades has addressed the role of vision in driver safety (motor vehicle collision involvement) and in driver performance (both on-road and using interactive simulators in the laboratory). Here we critically review what is currently known about the role of various aspects of visual function in driving. We also discuss translational research issues on vision screening for licensure and re-licensure and rehabilitation of visually impaired persons who want to drive.

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Section: Visual Function and Drivingcontrasting

confidence: 99%

Section: Visual Function and Drivingmentioning

confidence: 93%

Vision and driving

2010

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“…Studies have also shown that glaucoma and/or more advanced VF damage increases the risk of motor vehicle crashes, which reinforces the notion that those with glaucoma may feel (and be) less safe drivers 7,31-33. In one study, worse eye MD was more correlated with crash frequency than better-eye MD, suggesting that unilateral glaucoma may be sufficient to increase accident rates 7. Finally, several papers have provided plausible mechanisms for driving impairment using driving simulators or on-road driving tests.…”

Section: Discussionsupporting

confidence: 64%

“…While some studies suggested that unilateral VF loss is sufficient to cause difficulty driving,29 previous analyses from SEE found that bilateral, but not unilateral, glaucoma was associated with reported difficulty driving at night 4. Studies have also shown that glaucoma and/or more advanced VF damage increases the risk of motor vehicle crashes, which reinforces the notion that those with glaucoma may feel (and be) less safe drivers 7,31-33. In one study, worse eye MD was more correlated with crash frequency than better-eye MD, suggesting that unilateral glaucoma may be sufficient to increase accident rates 7.…”

Section: Discussionmentioning

confidence: 63%

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Driving Cessation and Driving Limitation in GlaucomaThe Salisbury Eye Evaluation Project

et al. 2009

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Objective-To determine if glaucoma is associated with driving limitation or cessation.Design-Cross-sectional analysis within a longitudinal, population-based cohort study.Participants and Controls-One thousand one-hundred and thirty-five ever-drivers between the ages of 73 and 93 years including 70 subjects with unilateral glaucoma and 68 subjects with bilateral glaucoma.Methods-All subjects reported their driving habits during each of 4 study rounds. During the fourth and final study round, subjects were systematically assessed for the presence of glaucoma.Main Outcome Measures-Self-reported driving cessation or driving limitation, including cessation of night driving, driving less than 3,000 miles annually, or cessation of driving in unfamiliar areas.Results-Fifteen percent of subjects without glaucoma were no longer driving at the end of the cohort study compared to 21% of unilateral glaucoma subjects (p=0.2) and 41% of bilateral glaucoma subjects (p<0.001). Multivariable regression analysis showed that bilateral (odds ratio [OR]=2.6, p=0.002), but not unilateral (OR=1.5, p=0.3), glaucoma subjects were more likely to no longer be driving when compared to subjects without glaucoma. The odds that bilateral glaucoma subjects were no longer driving doubled for every 5 dB of visual field (VF) worsening in the better-eye (p<0.001). Driving cessation within the previous 2 years was analyzed using separate multiple regression models, and both bilateral (OR=3.6, p=0.004) and unilateral (OR=2.4, p=0.06) glaucoma subjects were more likely to stop driving over this period when compared to subjects without glaucoma. Driving cessation associated with bilateral glaucoma was present in 0.82% of the population, or 1 in every 122 individuals.Multivariable ordinal logistic regression models demonstrated driving limitations were not more frequently found amongst subjects with glaucoma than subjects without glaucoma. However, bilateral glaucoma subjects did attribute more driving limitations to difficulties with their vision than subjects without glaucoma (OR=2.2, p=0.02).

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Association Between Undetected 10-2 Visual Field Damage and Vision-Related Quality of Life in Patients With Glaucoma

et al. 2017

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IMPORTANCE Recent evidence supports the presence of macular damage (within 8°of the central field) to retinal ganglion cells and associated central visual field (VF) defects in glaucoma, even in early stages. Despite this, to our knowledge, the association of 10-2 VF damage with vision-related quality of life (QOL) has not been well studied.OBJECTIVE To determine the association between QOL and visual function as measured by 24-2 and 10-2 VFs in patients with primary open-angle glaucoma and to test the hypothesis that patients with vision-related QOL disproportionate to their 24-2 VF status may exhibit 10-2 damage overlooked by the 24-2 test. DESIGN, SETTING, AND PARTICIPANTSIn this cross-sectional analysis of observational cohort study data taken from a tertiary care specialty practice, 113 patients with glaucoma with the entire range of 24-2 VF damage completed the National Eye Institute Visual Function Questionnaire (NEI VFQ-25).

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

Cited by 27 publications

References 7 publications

Vision and driving

Vision and driving

Driving Cessation and Driving Limitation in GlaucomaThe Salisbury Eye Evaluation Project

Association Between Undetected 10-2 Visual Field Damage and Vision-Related Quality of Life in Patients With Glaucoma

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