ArticleBMJ open2015
An assessment of driving fitness in patients with visual impairment to understand the elevated risk of motor vehicle accidents.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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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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Who cites it
20 citing papers in PubMed, 46 citations in OpenAlex.
- The association between self-checked visual field impairment and motor vehicle accidents among Japanese taxi drivers.Scientific reports · 2025Article
- Discrepancy and agreement between subjective symptoms and visual field impairment in glaucoma patients at a driving assessment clinic.Scientific reports · 2025Article
- Colour vision restrictions for driving: an evidence-based perspective on regulations in ASEAN countries compared to other countries.The Lancet regional health. Southeast Asia · 2023Review
- Influence of Vision on Drivers: A Pilot Study.International journal of environmental research and public health · 2021Article
- Incidence of ocular and systemic diseases affecting visual function among state bus drivers.Indian journal of ophthalmology · 2021Article
- Impact of binocular visual field loss on driving performance in glaucoma patients.International journal of ophthalmology · 2021Article
- A New System for Assessing Visual Disability Using a Digital Visor.Journal of clinical medicine · 2020Article
- The Impact of Visual Field Loss on Driving Skills: A Systematic Narrative Review.The British and Irish orthoptic journal · 2019Review
- Stage of visual field loss and age at diagnosis in 1988 patients with different glaucomas: implications for glaucoma screening and driving ability.International ophthalmology · 2018Article
- The effect of concentric constriction of the visual field to 10 and 15 degrees on simulated motor vehicle accidents.PloS one · 2018Article
- The role of specific visual subfields in collisions with oncoming cars during simulated driving in patients with advanced glaucoma.The British journal of ophthalmology · 2017Article
- Predicting Future Self-Reported Motor Vehicle Collisions in Subjects with Primary Open-Angle Glaucoma Using the Penalized Support Vector Machine Method.Translational vision science & technology · 2017Article
- Eye-Tracking as a Tool to Evaluate Functional Ability in Everyday Tasks in Glaucoma.Journal of ophthalmology · 2017Review
- Effect of Cognitive Demand on Functional Visual Field Performance in Senior Drivers with Glaucoma.Frontiers in aging neuroscience · 2017Article
- Effect of glaucoma on eye movement patterns and laboratory-based hazard detection ability.PloS one · 2017Article
- Medical review licensing outcomes in drivers with visual field loss in Victoria, Australia.Clinical & experimental optometry · 2016Article
- A view on glaucoma--are we seeing it clearly?Eye (London, England) · 2016Article
- Glaucoma and Driving: On-Road Driving Characteristics.PloS one · 2016Article
- Predicting Risk of Motor Vehicle Collisions in Patients with Glaucoma: A Longitudinal Study.PloS one · 2015Article
- Timing of Return to Driving After Volar Locking-Plate Fixation of Distal Radius Fractures Without Wrist Immobilization: A Prospective Driving Simulator Study.JB & JS open accessArticle
Corrections and comments
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Authors and funding
10 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the driving fitness of patients with glaucoma by identifying specific areas and degrees of visual field impairment that threaten safe driving.
designCase-control study. SETTING, AND
participantsThis prospective study included 36 patients with advanced glaucoma, defined as Humphrey field analyzer (HFA; 24-2 SITA standard program) measurements of mean deviation in both eyes of worse than -12 dB, and 36 age-matched and driving exposure time-matched normal subjects. All participants underwent testing in a novel driving simulator (DS) system. Participants were recruited between September 2010 and January 2012.
main outcome measuresThe number of collisions with simulated hazards and braking response time in 14 DS scenarios was recorded. Monocular HFA 24-2 test results from both eyes were merged to calculate the binocular integrated visual field (IVF). The position of the IVF subfields in which the collision-involved patients had lower sensitivity than the collision-uninvolved patients was compared with the track of the hazard. The cut-off value to predict an elevated risk of collisions was determined, as were its sensitivity and specificity, with the area under the receiver operating characteristic (AUROC) curve.
resultsPatients with advanced glaucoma were involved in a significantly higher number of collisions in the DS than the age-matched and driving exposure time-matched normal subjects (119 vs 40, respectively, p<0.0001), especially in four specific DS scenarios. In these four scenarios, IVF sensitivity was significantly lower in the collision-involved patients than in the collision-uninvolved patients in subfields on or near the track of the simulated hazard (p<0.05). The subfields with the largest AUROC curve had values ranging from 0.72 to 0.91 and were located in the paracentral visual field just below the horizontal.
conclusionsOur novel DS system effectively assessed visual impairment, showing that simulators may have future potential in educating patients.
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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.