TY  - JOUR
PY  - 2016//
TI  - The role of specific visual subfields in collisions with oncoming cars during simulated driving in patients with advanced glaucoma
JO  - British journal of ophthalmology
A1  - Kunimatsu-Sanuki, Shiho
A1  - Iwase, Aiko
A1  - Araie, Makoto
A1  - Aoki, Yuki
A1  - Hara, Takeshi
A1  - Fukuchi, Takeo
A1  - Udagawa, Sachiko
A1  - Ohkubo, Shinji
A1  - Sugiyama, Kazuhisa
A1  - Matsumoto, Chota
A1  - Nakazawa, Toru
A1  - Yamaguchi, Takuhiro
A1  - Ono, Hiroshi
SP  - 896
EP  - 901
VL  - 101
IS  - 7
N2  - BACKGROUND/AIMS: To assess the role of specific visual subfields in collisions with oncoming cars during simulated driving in patients with advanced glaucoma. <br><br>METHODS: Normal subjects and patients with glaucoma with mean deviation <-12 dB in both eyes (Humphrey Field Analyzer 24-2 SITA-S program) used a driving simulator (DS; Honda Motor, Tokyo). Two scenarios in which oncoming cars turned right crossing the driver's path were chosen. We compared the binocular integrated visual field (IVF) in the patients who were involved in collisions and those who were not. We performed a multivariate logistic regression analysis; the dependent parameter was collision involvement, and the independent parameters were age, visual acuity and mean sensitivity of the IVF subfields. <br><br>RESULTS: The study included 43 normal subjects and 100 patients with advanced glaucoma. And, 5 of the 100 patients with advanced glaucoma experienced simulator sickness during the main test and were thus excluded. In total, 95 patients with advanced glaucoma and 43 normal subjects completed the main test of DS. Advanced glaucoma patients had significantly more collisions than normal patients in one or both DS scenarios (p<0.001). The patients with advanced glaucoma who were involved in collisions were older (p=0.050) and had worse visual acuity in the better eye (p<0.001) and had lower mean IVF sensitivity in the inferior hemifield, both 0°-12° and 13°-24° in comparison with who were not involved in collisions (p=0.012 and p=0.034). A logistic regression analysis revealed that collision involvement was significantly associated with decreased inferior IVF mean sensitivity from 13° to 24° (p=0.041), in addition to older age and lower visual acuity (p=0.018 and p<0.001). <br><br>CONCLUSIONS: Our data suggest that the inferior hemifield was associated with the incidence of motor vehicle collisions with oncoming cars in patients with advanced glaucoma.<br><br>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.<p />  <p>Language: en</p>
LA  - en
SN  - 0007-1161
UR  - http://dx.doi.org/10.1136/bjophthalmol-2016-308754
ID  - ref1
ER  -