Evidence map›Paper›PMID 27535208›Full record

ReviewClinical & experimental optometry2016

Driving with homonymous visual field loss: a review of the literature.

Alex R Bowers

Abstract readReview
In one paragraph

Review in Clinical & experimental optometry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Head Scanning by Drivers With Left Homonymous Visual Field Loss: A Naturalistic Driving Pilot Study.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Interpretation of the Visual Field in Neuro-ophthalmic Disorders.Current neurology and neuroscience reports · 2024
    Review
  11. Article
  12. Article
  13. Perceptual-Cognitive Integration for Goal-Directed Action in Naturalistic Environments.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Review
  14. Article
  15. Driving and exceptional cases: Supporting relicensing evaluation in patients whose visual fields fail to meet standards.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2022
    Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Alex R BowersSchepens Eye Research Institute, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA. alex_bowers@meei.harvard.edu.

Funding

Scanning and Detection at IntersectionsR01EY025677 · NEI · SCHEPENS EYE RESEARCH INSTITUTE · PI Alexandra Rae Bowers · 2015 to 2026
$6.9M
NEI NIH HHS R01 EY025677
6 · The paper itself

Abstract

Driving is an important rehabilitation goal for patients with homonymous field defects (HFDs); however, whether or not people with HFDs should be permitted to drive is not clear. Over the last 15 years, there has been a marked increase in the number of studies evaluating the effects of HFDs on driving performance. This review of the literature provides a much-needed summary for practitioners and researchers, addressing the following topics: regulations pertaining to driving with HFDs, self-reported driving difficulties, pass rates in on-road tests, the effects of HFDs on lane position and steering stability, the effects of HFDs on scanning and detection of potential hazards, screening for potential fitness to drive, evaluating practical fitness to drive and the efficacy of interventions to improve driving of persons with HFDs. Although there is clear evidence from on-road studies that some people with HFDs may be rated as safe to drive, others are reported to have significant deficits in skills important for safe driving, including taking a lane position too close to one side of the travel lane, unstable steering and inadequate viewing (scanning) behaviour. Driving simulator studies have provided strong evidence of a wide range in compensatory scanning abilities and detection performance, despite similar amounts of visual field loss. Conventional measurements of visual field extent (in which eye movements are not permitted) do not measure such compensatory abilities and are not predictive of on-road driving performance. Thus, there is a need to develop better tests to screen people with HFDs for visual fitness to drive. We are not yet at a point where we can predict which HFD patient is likely to be a safe driver. Therefore, it seems only fair to provide an opportunity for individualised assessments of practical fitness to drive either on the road and/or in a driving simulator.

Indexed as

Automobile DrivingEye MovementsFeedback, SensoryHead MovementsHemianopsiaHumansSafetySpace Perceptiondriver's visionhemianopiahemianopsiaquadrantanopiaquadrantanopsia

Identifiers

PMID27535208
PMCPMC5012957

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.