کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6194791 | 1602111 | 2016 | 9 صفحه PDF | دانلود رایگان |
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; PÂ = .02). Glaucoma participants had a higher risk of wheel interventions than controls (OR, 4.67; 95% CI, 1.03-21.17; PÂ = .046). There were no differences detected between glaucoma participants who scored a pass vs marginal/fail for visual field mean deviation of the better (PÂ = .62) or worse (PÂ = .88) eye, binocular distance (PÂ = .15) or near (PÂ = .23) visual acuity, contrast sensitivity (PÂ = .28), or glare (PÂ = .88). However, glaucoma participants with a marginal/fail score performed worse on Trail Making Tests A (PÂ = .03) and B (PÂ = .05), right-sided Jamar grip strength (PÂ = .02), Rapid Pace Walk (PÂ = .03), Braking Response Time (PÂ = .03), and identifying traffic signs (PÂ = .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.
Journal: American Journal of Ophthalmology - Volume 166, June 2016, Pages 43-51