ArticleBMC geriatrics2018
First and second eye cataract surgery and driver self-regulation among older drivers with bilateral cataract: a prospective cohort study.
Article in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- A Systematic Review of the Effects of Second-Eye Cataract Surgery on Motor Function.Frontiers in aging · 2022Pooled 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
- Visual Impairment and Driving in Older Adults: A Narrative Review.Current treatment options in neurology · 2026Review
- 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
- Aggressive Driving Behaviours in Cannabis Users. The Influence of Consumer Characteristics.International journal of environmental research and public health · 2021Article
- Experiences following cataract surgery - patient perspectives.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2020Review
- Driving Skills Tested on Simulator After Strabismus Surgery: A Prospective Study.Translational vision science & technology · 2020Article
- IMPACT OF HEADLIGHT GLARE ON PEDESTRIAN DETECTION WITH UNILATERAL CATARACT.Proceedings of the ... International Driving Symposium on Human Factors in Driver Assessment, Training, and Vehicle Design · 2019Article
- Impact of first and second eye cataract surgery on physical activity: a prospective study.BMJ open · 2019Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundDriving a car is the most common form of transport among the older population. Common medical conditions such as cataract, increase with age and impact on the ability to drive. To compensate for visual decline, some cataract patients may self-regulate their driving while waiting for cataract surgery. However, little is known about the self-regulation practices of older drivers throughout the cataract surgery process. The aim of this study is to assess the impact of first and second eye cataract surgery on driver self-regulation practices, and to determine which objective measures of vision are associated with driver self-regulation.
methodsFifty-five older drivers with bilateral cataract aged 55+ years were assessed using the self-reported Driving Habits Questionnaire, the Mini-Mental State Examination and three objective visual measures in the month before cataract surgery, at least one to three months after first eye cataract surgery and at least one month after second eye cataract surgery. Participants' natural driving behaviour in four driving situations was also examined for one week using an in-vehicle monitoring device. Two separate Generalised Estimating Equation logistic models were undertaken to assess the impact of first and second eye cataract surgery on driver-self-regulation status and which changes in visual measures were associated with driver self-regulation status.
resultsThe odds of being a self-regulator in at least one driving situation significantly decreased by 70% after first eye cataract surgery (OR: 0.3, 95% CI: 0.1-0.7) and by 90% after second eye surgery (OR: 0.1, 95% CI: 0.1-0.4), compared to before first eye surgery. Improvement in contrast sensitivity after cataract surgery was significantly associated with decreased odds of self-regulation (OR: 0.02, 95% CI: 0.01-0.4).
conclusionsThe findings provide a strong rationale for providing timely first and second eye cataract surgery for older drivers with bilateral cataract, in order to improve their mobility 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.