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Relationship between Functional Visual Acuity and Useful Field of View in Elderly Drivers

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  • Kazuno Negishi
  • Sachiko Masui
  • Masaru Mimura
  • Yoshio Fujita
  • Kazuo Tsubota

Abstract

Purpose: To investigate the relationship between the functional visual acuity (FVA) and useful field of view (UFOV) in elderly drivers and assess the usefulness of the FVA test to screen driving aptitude in elderly drivers. Methods: This study included 45 elderly drivers (31 men, 14 women; mean age, 68.1 years) and 30 younger drivers (26 men, 4 women; mean age, 34.2 years) who drive regularly. All participants underwent measurement of the binocular corrected distant visual acuity (CDVA), binocular corrected distant FVA (CDFVA), and Visual Field with Inhibitory Tasks Elderly Version (VFIT-EV) to measure UFOV. The tear function and cognitive status also were evaluated. Results: The CDVA, the CDFVA, cognitive status, and the correct response rate (CAR) of the VFIT-EV were significantly worse in the elderly group than in the control group (P = 0.000 for all parameters). The cognitive status was correlated significantly with the CDVA (r = -0.301, P = 0.009), CDFVA (r = -0.402, P = 0.000), and the CAR of the VFIT-EV (r = 0.348, P = 0.002) in all subjects. The results of the tear function tests were not correlated with the CDVA, CDFVA, or VFIT-EV in any subjects. Stepwise regression analysis for all subjects in the elderly and control groups showed that the CDFVA predicted the CAR most significantly among the clinical factors evaluated. Conclusion: The FVA test is a promising method to screen the driving aptitude, including both visual and cognitive functions, in a short time.

Suggested Citation

  • Kazuno Negishi & Sachiko Masui & Masaru Mimura & Yoshio Fujita & Kazuo Tsubota, 2016. "Relationship between Functional Visual Acuity and Useful Field of View in Elderly Drivers," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-13, January.
    • Handle: RePEc:plo:pone00:0147516
    DOI: 10.1371/journal.pone.0147516
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    References listed on IDEAS

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    1. Sandra Rosenbloom, 2001. "Sustainability and automobility among the elderly: An international assessment," Transportation, Springer, vol. 28(4), pages 375-408, November.
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    1. Ignacio Lijarcio & Sergio A. Useche & Javier Llamazares & Luis Montoro, 2020. "Are Your Eyes “on the Road”? Findings from the 2019 National Study on Vision and Driving Safety in Spain," IJERPH, MDPI, vol. 17(9), pages 1-18, May.
    2. Karlijn Woutersen & Albert V van den Berg & F Nienke Boonstra & Thomas Theelen & Jeroen Goossens, 2018. "Useful field of view test performance throughout adulthood in subjects without ocular disorders," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-18, May.

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