ArticleOphthalmology2016
Association between Glaucoma and At-fault Motor Vehicle Collision Involvement among Older Drivers: A Population-based Study.
Article in Ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis 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.
The trial behind it
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
50 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Evaluation of Functional Impacts of Vision Impairment: Progress, Challenges and Future Directions.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Review
- Impact of contrast sensitivity on driving behaviors in individuals with moderate-to-severe glaucoma.Indian journal of ophthalmology · 2026Observational
- Introducing Christine A. Curcio and Cynthia Owsley, the 2025 Recipients of the Proctor Medal.Investigative ophthalmology & visual science · 2026Article
- Assessment of paracentral stereopsis using a new method with the binocular open perimeter in patients with glaucoma.Japanese journal of ophthalmology · 2026Article
- Mortality and suicide risk in glaucoma patients with or without vision impairment: a nationwide cohort study.Scientific reports · 2025Article
- The association between self-checked visual field impairment and motor vehicle accidents among Japanese taxi drivers.Scientific reports · 2025Article
- Age-Related Changes in Mesopic Reading Vision Across Adulthood.Investigative ophthalmology & visual science · 2025Article
- Impact of Meditation on Improving Quality of Life Among Glaucoma Patients: A Study Protocol.Patient related outcome measures · 2025Article
- Factors Influencing Traffic Accidents Among the Elderly in Northern Iran: A Qualitative Content Analysis.Bulletin of emergency and trauma · 2025Article
- Impact of Glaucomatous Ganglion Cell Damage on Central Visual Function.Annual review of vision science · 2024Review
- One-Vote Veto: Semi-Supervised Learning for Low-Shot Glaucoma Diagnosis.IEEE transactions on medical imaging · 2023Article
- Quality of life in glaucoma.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023Review
- Approaching rehabilitation in patients with advanced glaucoma.Eye (London, England) · 2023Review
- Despite Impaired Binocular Function, Binocular Disparity Integration Across the Visual Field Is Spared in Normal Aging and Glaucoma.Investigative ophthalmology & visual science · 2023Article
- Predictive Value of the Esterman Visual Field Test on the Outcome of the On-Road Driving Test.Translational vision science & technology · 2022Article
- Advancing the Sustainable Development Goals through improving eye health: a scoping review.The Lancet. Planetary health · 2022Article
- Identifying the Retinal Layers Linked to Human Contrast Sensitivity Via Deep Learning.Investigative ophthalmology & visual science · 2022Article
- Self-Perception and the Relation to Actual Driving Abilities for Individuals With Visual Field Loss.Frontiers in human neuroscience · 2022Article
- Opportunities and Limitations of a Gaze-Contingent Display to Simulate Visual Field Loss in Driving Simulator Studies.Frontiers in neuroergonomics · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo examine the association between glaucoma and motor vehicle collision (MVC) involvement among older drivers, including the role of visual field impairment that may underlie any association found.
designA retrospective, population-based study.
participantsA sample of 2000 licensed drivers aged ≥70 years who reside in north central Alabama.
methodsAt-fault MVC involvement over the 5 years before enrollment was obtained from state records. Three aspects of visual function were measured: habitual binocular distance visual acuity, binocular contrast sensitivity (CS), and the binocular driving visual field constructed from combining the monocular visual fields of each eye. Poisson regression was used to calculate crude and adjusted rate ratios (RRs) and 95% confidence intervals (CIs). MAIN OUTCOMES MEASURES: At-fault MVC involvement over the 5 years before enrollment.
resultsDrivers with glaucoma (n = 206) had a 1.65 times higher MVC rate (95% CI, 1.20-2.28; P = 0.002) compared with those without glaucoma after adjusting for age, and mental status. Among those with glaucoma, drivers with severe visual field loss had higher MVC rates (RR, 2.11; 95% CI, 1.09-4.09; P = 0.027), whereas no association was found among those with impaired visual acuity and CS. When the visual field was subdivided into 6 regions (upper, lower, left, and right visual fields; horizontal and vertical meridians), we found that impairment in the left, upper, or lower visual field was associated with higher MVC rates, and an impaired left visual field showed the highest RR (3.16; P = 0.001) compared with other regions. However, no association was found in deficits in the right side or along the horizontal or vertical meridian.
conclusionsA population-based study suggests that older drivers with glaucoma are more likely to have a history of at-fault MVC involvement than those without glaucoma. Impairment in the driving visual field in drivers with glaucoma seems to have an independent association with at-fault MVC involvement, whereas visual acuity and CS impairments do not.
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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.