Evidence map›Paper›PMID 34080310›Full record

ArticleActa ophthalmologica2021

Bilateral cataract surgery improves neurologic brake reaction time and stopping distance in elderly drivers.

Yvonne Nowosielski, Benedikt Leitner, Teresa Rauchegger, Reinhard Angermann, Angeliki Psomiadi, Christoph Palme, Johannes Laimer, Michael Liebensteiner, Claus Zehetner

Abstract read
In one paragraph

Article in Acta ophthalmologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

9 authors.

Yvonne NowosielskiDepartment of Ophthalmology and Optometry, Medical University of Innsbruck, Innsbruck, Austria.
Benedikt LeitnerDepartment of Ophthalmology and Optometry, Medical University of Innsbruck, Innsbruck, Austria.
Teresa RaucheggerDepartment of Ophthalmology and Optometry, Medical University of Innsbruck, Innsbruck, Austria.ORCID https://orcid.org/0000-0003-3439-6333
Reinhard AngermannDepartment of Ophthalmology and Optometry, Medical University of Innsbruck, Innsbruck, Austria.ORCID https://orcid.org/0000-0002-1610-4619
Angeliki PsomiadiDepartment of Ophthalmology and Optometry, Medical University of Innsbruck, Innsbruck, Austria.
Christoph PalmeDepartment of Ophthalmology and Optometry, Medical University of Innsbruck, Innsbruck, Austria.
Johannes LaimerDepartment of Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck, Innsbruck, Austria.
Michael LiebensteinerDepartment of Orthopaedic Surgery, Medical University of Innsbruck, Innsbruck, Austria.
Claus ZehetnerDepartment of Ophthalmology and Optometry, Medical University of Innsbruck, Innsbruck, Austria.ORCID https://orcid.org/0000-0003-1405-7457

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo determine brake reaction times before and after bilateral cataract surgery in elderly drivers.

methodsSixty-four patients were evaluated on the day of and 4 weeks after bilateral cataract surgery. Forty-three healthy individuals with a valid driving licence served as the control group. A driving simulator was used to determine brake reaction times after receiving a visual stimulus. Total brake reaction time (BRT) as well as neurologic reaction time (NRT), foot transfer time (FTT) and brake pedal travel time (BPTT) were measured, and the measurements obtained before and after cataract surgery were compared. The correlations between NRT, best-corrected visual acuity (BCVA) and contrast sensitivity (CS) were assessed.

resultsOut of the 64 patients with bilateral cataract, 53 were assessed for postsurgical measurements. All time measures improved significantly after cataract surgery (BRT, 815.7(224) versus 647.9(148) ms; NRT, 364.7(91) versus 283.5(44) ms; FTT, 290.8(62) versus 248.6(58) ms; and BPTT, 160.6(96) versus 116.6(72) ms, p < 0.001). The calculated stopping distance improved significantly after surgery (22.3(6) versus 19.9(4) m at 50 km/h). Best-corrected visual acuity (BCVA) and contrast sensitivity (CS) improved significantly after surgery (0.25(0.2) versus 0.05(0.05), n = 53, p < 0.001; 1.4(0.2) versus 1.6(0.1), p < 0.001, respectively). There was a significant negative correlation between CS and NRT before surgery (r = -0.253, n = 64, p = 0.04, Pearson's correlation).

conclusionOur findings show a significant effect of CS on neurological BRTs and the corresponding stopping distances. This highlights the importance of presurgical CS evaluation as a critical factor in cataract surgery decisions in elderly drivers.

Indexed as

Cataract ExtractionAgedAutomobile DrivingCataractContrast SensitivityFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesReaction Timebilateral cataract surgeryelderly driversneurologic brake reaction timestopping distance

Identifiers

PMID34080310
PMCPMC8597125

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.