Risk of Falls and Motor Vehicle Collisions in Glaucoma

LeBlanc, Raymond P.; Nicolela, Marcelo T.; Chiasson, Lorraine; Chauhan, Balwantray C.

doi:10.1167/iovs.06-0886

Cited by 271 publications

(264 citation statements)

References 49 publications

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“…It has been demonstrated that the following specific conditions damage drivers both psychologically and physiologically: specific diagnoses [20] such as neurological disorders [3,21]; dementias [22]; having suffered a stroke [23]; diabetes [24]; hypoglycemia [25]; eye problems [26]; macular degeneration [27]; glaucoma [28]; sleep apnea [29]; illnesses related to motion such as rheumatoid arthritis [3,21]; and osteoarthritis [30]; and acute attacks experienced while driving [31]. Most of these disorders are controlled/studied in the systems of evaluation of drivers used in Spain and in other many countries.…”

Section: Discussionmentioning

confidence: 99%

Consistency Between the Subjective Perception of Feeling Indisposed, the Decision to Drive and Driving Performance

Alonso¹

2016

SJPH

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Drivers' health and fitness are essential issues in order to predict traffic crashes, taking into account that these characteristics are essential to perform this task correctly and safety. The purpose of this research was to analyze the frequency in which drivers who feel physically or emotionally unable to drive decide to perform this task, or not, under states of indisposition, as well as the perception of the effect that this indisposition had on driving. This cross-sectional study used a total sample of n=1200 (666 [56%] men and 534 [44%] women) Spanish drivers, who answered a questionnaire designed to collect data about their psychosocial characteristics, driving habits and perceptions about their driving performance and safety behaviors related with physical and mental health. The main selection criteria were to be in possession of any type of driving license for vehicles other than motorcycles and to drive frequently. The results showed that 62.5% of the participants that were not in perfect conditions to drive at times decided not to drive and 37.5% decided to use the vehicle. Furthermore, 16.5% of the starting sample experienced inappropriate psychophysical conditions while driving. In the group of drivers who decided to use the vehicle, 46.9% admitted that their driving was affected. It was determined that there is a substantial lack of correspondence between driver's perceptions and behaviors with respect to the impact of health conditions on crash risk, and a growing need to raise people's awareness regarding this fact. A large number of drivers continue driving even when they are not in condition to do so, which is clearly a risky behavior. It seems necessary to implement preventive actions and measures oriented to raise appropriate public awareness about the risks derived from driving under an altered physical or emotional state.

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Section: Discussionmentioning

confidence: 99%

Consistency Between the Subjective Perception of Feeling Indisposed, the Decision to Drive and Driving Performance

Alonso¹

2016

SJPH

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“…In a case-control study, patients with glaucoma and relatively mild field defects were shown to be over three times more likely to have fallen in the previous year, and over six times more likely to have been involved in one or more motor vehicle collisions in the previous 5 years; 52 however, no explanation was given for this association.…”

Section: Glaucoma and Fallsmentioning

confidence: 96%

Visual loss and falls: a review

Dhital

Pey

Stanford

2010

Eye

148

116

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“…Regarding pathological age-related changes, the risk of falling is greater in the presence of glaucoma (Haymes et al, 2007), macular degeneration (Szabo et al, 2008), and cataract (McCarty et al, 2002). It is not completely clear yet whether cataract surgery reduces this increased risk of falling (for a review, see Desapriya et al, 2010).…”

Section: Impact Of Sensory Changesmentioning

confidence: 99%

Review of safety and mobility issues among older pedestrians

Tournier

Dommès²,

Cavallo³

2016

Accident Analysis & Prevention

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a b s t r a c tAlthough old people make up an extremely vulnerable road-user group, older pedestrians' difficulties have been studied less extensively than those of older drivers, and more knowledge of this issue is still required. The present paper reviews current knowledge of older-adult problems with the main components of pedestrian activity, i.e., walking and obstacle negotiation, wayfinding, and road crossing. Compared to younger ones, old pedestrians exhibit declining walking skills, with a walking speed decrease, less stable balance, less efficient wayfinding strategies, and a greater number of unsafe road crossing behaviors. These difficulties are linked to age-related changes in sensorial, cognitive, physical, and self-perception abilities. It is now known that visual impairment, physical frailty, and attention deficits have a major negative impact on older pedestrians' safety and mobility, whereas the roles of self-evaluation and self-regulation are still poorly understood. All these elements must be taken into consideration, not only in developing effective safety interventions targeting older pedestrians, but also in designing roads and cars. Recent initiatives are presented here and some recommendations are proposed.

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Risk of Falls and Motor Vehicle Collisions in Glaucoma

Abstract: There is an increased risk of falls and MVCs in patients with glaucoma.

Cited by 271 publications

References 49 publications

Consistency Between the Subjective Perception of Feeling Indisposed, the Decision to Drive and Driving Performance

Consistency Between the Subjective Perception of Feeling Indisposed, the Decision to Drive and Driving Performance

Visual loss and falls: a review

Review of safety and mobility issues among older pedestrians

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