TY - JOUR PY - 2011// TI - The association between primary open-angle glaucoma and motor vehicle collisions JO - Investigative ophthalmology and visual science A1 - Tanabe, Sachiko A1 - Yuki, Kenya A1 - Ozeki, Naoki A1 - Shiba, Daisuke A1 - Abe, Takayuki A1 - Kouyama, Keisuke A1 - Tsubota, Kazuo SP - 4177 EP - 4181 VL - 52 IS - 7 N2 - Purpose: To investigate and compare the prevalence of motor vehicle collisions (MVCs) involving individuals with or without primary open-angle glaucoma (POAG). Methods: A total of 265 subjects were consecutively enrolled: 121 (79 men, 42 women; age: 62.1±8.0 years) with POAG; and 144 (95 men, 49 women; age: 61.2±7.9 years) who were free of ocular disease. Participants answered a questionnaire on MVC experience during the previous 10 years, past driving experience, and daily driving habits. The POAG group was subdivided into 3 groups according to disease severity (mild, moderate, or severe) to assess the relationship between POAG severity and MVC. Results: A statistically significant association between POAG severity and MVC frequency was observed: 3.5% of the controls, 0.0% of the mild POAG group, 3.9% of the moderate POAG group, and 25.0% of the severe POAG group had experienced MVCs (P=0.007, Cochran-Armitage trend test). The severe POAG group had experienced a much higher frequency of MVCs during the surveyed period than the control group (P<0.010, Fisher's exact test). Logistic regression analyses to account for confounding factors (age, presence of diabetes mellitus, driving history, time spent driving per day, and best corrected visual acuity in the better or worse eye) produced consistent RESULTS: Conclusions: Advanced POAG with marked visual field defects may be a risk factor for MVCs.
Language: en
LA - en SN - 0146-0404 UR - http://dx.doi.org/10.1167/iovs.10-6264 ID - ref1 ER -