ArticleOphthalmology2014
Driving habits in older patients with central vision loss.
Article in Ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Pooled it
- How does age-related macular degeneration affect real-world visual ability and quality of life? A systematic review.BMJ open · 2016Pooled it
- Visual Impairment and Driving in Older Adults: A Narrative Review.Current treatment options in neurology · 2026Review
- Self-perceived far vision quality and night driving difficulties are not related to night myopia or visual acuity.PloS one · 2026Article
- Driving status, avoidance, and visual impairment among older adults in the United States.Journal of transport & health · 2025Article
- Development and Validation of a Novel Night-Time Hazard Visibility Test.Translational vision science & technology · 2024Article
- Clinical efficacy of a head-mounted device for central vision loss.Scientific reports · 2024Article
- Driving Difficulties and Preferences of Advanced Driver Assistance Systems by Older Drivers With Central Vision Loss.Translational vision science & technology · 2023Article
- Twenty-Year Follow-Up of Cataract Surgery in Car-Drivers: Associations Between Subjective Visual Difficulties and Objective Visual Function.Clinical ophthalmology (Auckland, N.Z.) · 2023Article
- Understanding the relationship between eye disease and driving in very old Australian women: a longitudinal thematic evaluation.BMC ophthalmology · 2022Article
- Speed management across road environments of varying complexities and self-regulation behaviors in drivers with cataract.Scientific reports · 2022Article
- Use and Perceptions of Advanced Driver Assistance Systems by Older Drivers With and Without Age-Related Macular Degeneration.Translational vision science & technology · 2022Article
- Longitudinal changes in daily patterns of objectively measured physical activity after falls in older adults with varying degrees of glaucoma.EClinicalMedicine · 2021Article
- Importance and Severity Dependence of Physical Activity by GPS-Tracked Location in Glaucoma Patients.American journal of ophthalmology · 2021Article
- Characterizing Longitudinal Changes in Physical Activity and Fear of Falling after Falls in Glaucoma.Journal of the American Geriatrics Society · 2021Article
- Patterns of Daily Physical Activity across the Spectrum of Visual Field Damage in Glaucoma Patients.Ophthalmology · 2021Article
- Age-Related Diseases and Driving Safety.Geriatrics (Basel, Switzerland) · 2020Review
- The Mind Cannot Go Blind: Effects of Central Vision Loss on Judging One's Crossing Time.Optometry and vision science : official publication of the American Academy of Optometry · 2020Article
- Measuring dynamic levels of self-perceived anxiety and concern during simulated mobility tasks in people with non-neovascular age-related macular degeneration.The British journal of ophthalmology · 2020Article
- Effects of Age-Related Macular Degeneration on Driving Performance.Investigative ophthalmology & visual science · 2018Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo determine if central visual loss is associated with driving cessation, driving restriction, or other-driver preference.
designCross-sectional study.
participantsSixty-four subjects with bilateral visual loss (<20/32 in better eye) or severe unilateral visual loss (<20/200) from age-related macular degeneration (AMD) and 58 normally sighted controls between 60 and 80 years of age.
methodsParticipants self-reported driving habits. Other-driver preference was defined as preferring that another drive when there is more than 1 driver in the car. Subjects reporting 2 or more driving limitations were considered to have restricted their driving.
main outcome measuresSelf-reported driving cessation, other-driver preference, and driving restriction.
resultsAge-related macular degeneration subjects were older (74.7 vs. 69.7 years), had worse visual acuity (VA; mean better-eye VA, 0.43 vs. 0.08 logarithm of minimum angle of resolution [logMAR]) and contrast sensitivity (CS; 1.4 vs. 1.9 log units of CS [logCS]), and were more likely to be white when compared with controls (P<0.001 for all). Drivers with AMD-related vision loss were more likely to avoid driving over longer distances, beyond 1 hour, at night, and in unfamiliar conditions (P < 0.05 for all). In multivariate models, driving cessation was associated with worse better-eye VA (odds ratio [OR], 1.5 per 1-line decrement in VA; P<0.001) and worse binocular CS (OR, 1.36 per 0.1 logCS increment; P = 0.005); however, AMD group status was not associated with driving cessation (OR, 1.9; P = 0.35). Factors predicting driving restriction were AMD (OR, 9.0; P = 0.004), worse vision (OR, 2.5 per line of VA loss; P<0.001), lower CS (OR, 2.2 per 0.1-logCS increment; P<0.001), and female gender (OR, 27.9; P = 0.002). Other-driver preference was more common with worse vision (OR, 1.6 per 0.1-logMAR increment; P = 0.003), female gender (OR, 4.5; P = 0.02), and being married (OR, 3.8; P = 0.04).
conclusionsMost patients with AMD-related central vision loss continue to drive, but demonstrate significant driving restrictions, especially with more severe VA and CS loss. Future work should determine which driving adaptations the visually impaired best balance safety and independence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.