ArticleAmerican journal of ophthalmology2016
On-road Driving Performance of Patients With Bilateral Moderate and Advanced Glaucoma.
Article in American journal of ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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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
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How do different lighting conditions affect the vision and quality of life of people with glaucoma? A systematic review.Eye (London, England) · 2020Pooled 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
- Individuals with severe visual field loss from stroke and glaucoma could have on-road driving safety comparable to normally sighted drivers.Acta ophthalmologica · 2025Article
- Development and Validation of the Low Vision Severely Constricted Peripheral Eyesight (LV-SCOPE) Questionnaire.American journal of ophthalmology · 2023Article
- Approaching rehabilitation in patients with advanced glaucoma.Eye (London, England) · 2023Review
- Self-Reported Driving Difficulty, Avoidance, and Negative Emotion With On-Road Driving Performance in Older Adults With Glaucoma.American journal of ophthalmology · 2022Article
- Incidence of ocular and systemic diseases affecting visual function among state bus drivers.Indian journal of ophthalmology · 2021Article
- Association between glaucoma surgery and all-cause and cause-specific mortality among elderly patients with glaucoma: a nationwide population-based cohort study.Scientific reports · 2021Article
- Impact of binocular visual field loss on driving performance in glaucoma patients.International journal of ophthalmology · 2021Article
- Age-Related Diseases and Driving Safety.Geriatrics (Basel, Switzerland) · 2020Review
- Effects of driver compensatory behaviour on risks of critical pedestrian collisions under simulated visual field defects.PloS one · 2020Article
- 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
- Effect of glaucoma on eye movement patterns and laboratory-based hazard detection ability.PloS one · 2017Article
- Glaucoma and Driving: On-Road Driving Characteristics.PloS one · 2016Article
- Comparative Evaluation of Activities of Daily Living Using Virtual Reality Simulation in Glaucoma and Non-Glaucoma Patients.Journal of the West African College of SurgeonsArticle
- Glaucoma and Driving License: How to Identify Patients at Risk of Revocation.Journal of current glaucoma practiceArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeTo compare on-road driving performance of patients with moderate or advanced glaucoma to controls and evaluate factors associated with unsafe driving.
designCase-control pilot study.
methodsA consecutive sample of 21 patients with bilateral moderate or advanced glaucoma from Washington University, St Louis, Missouri and 38 community-dwelling controls were enrolled. Participants, aged 55-90 years, underwent a comprehensive clinical evaluation by a trained occupational therapist and an on-road driving evaluation by a masked driver rehabilitation specialist. Overall driving performance of pass vs marginal/fail and number of wheel and/or brake interventions were recorded.
resultsFifty-two percent of glaucoma participants scored a marginal/fail compared to 21% of controls (odds ratio [OR], 4.1; 95% CI, 1.30-13.14; P = .02). Glaucoma participants had a higher risk of wheel interventions than controls (OR, 4.67; 95% CI, 1.03-21.17; P = .046). There were no differences detected between glaucoma participants who scored a pass vs marginal/fail for visual field mean deviation of the better (P = .62) or worse (P = .88) eye, binocular distance (P = .15) or near (P = .23) visual acuity, contrast sensitivity (P = .28), or glare (P = .88). However, glaucoma participants with a marginal/fail score performed worse on Trail Making Tests A (P = .03) and B (P = .05), right-sided Jamar grip strength (P = .02), Rapid Pace Walk (P = .03), Braking Response Time (P = .03), and identifying traffic signs (P = .05).
conclusionsPatients with bilateral moderate or advanced glaucoma are at risk for unsafe driving-particularly those with impairments on psychometric and mobility tests. A comprehensive clinical assessment and on-road driving evaluation is recommended to effectively evaluate driving safety of these patients.
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