Glaucoma patients with significant visual field (VF) defects show poorer driving performance, higher collision risks, and a greater likelihood of driving cessation. They face difficulties with lane maintenance, slower hazard responses, and self-regulation while driving.
A systematic review to study the impact of glaucomatous VF loss on the driving performance of glaucoma patients, the extent of driving limitation and cessation, as well as the risk of motor vehicle collisions (MVCs) has been conducted by Toh et al.
23 studies were included for the final review.
The study reported that moderate to severe VF defects resulted in poorer driving performance, with slower response times to road hazards, decreased ability for lane maintenance, and increased difficulty driving at night.
Patients with more severe VF defects and with bilateral glaucoma were more likely to limit or cease driving compared with those with milder and unilateral glaucoma.
A greater severity of VF loss was associated with a higher risk of MVCs.
The study concluded that more severe glaucomatous VF and bilateral glaucoma is associated with worse driving performances and a higher risk of MVCs, in both simulator and real-world settings.
REFERENCE:
Toh, Zhi Hong MBBS (S’pore), MMed (Ophth), FRCOphth*; Koh, Serene Yi Ning†; Yang, Wei Yun Lily MBBS (S’pore), DAvMed (Lond.)‡; Munro, Yasmin Lynda MSc (IS)§; Ang, Bryan Chin Hou MBBS (S'pore),FAMS (S'pore), FRCOphth*,†,§,∥. The Effect of Glaucomatous Visual Field Defects on Driving: A Systematic Review. Journal of Glaucoma 34(11):p 837-852, November 2025. | DOI: 10.1097/IJG.0000000000002633
No comments:
Post a Comment