title: Incidental visual field loss: ethical considerations in assessing and reporting ability to drive.
abstract: Driving safety is an issue frequently encountered in the neurology clinic, particularly as it pertains to cognitive decline, vision loss, and motor limitations. This case illustrates the ethical dilemmas associated with determining driving safety, particularly those associated with an incidentally found congenital visual field abnormality. The authors discuss the issues involved with overruling patient autonomy for the principle of beneficence and the ethics of reporting patients with unsafe vision to authorities.
authors.forename: Aimee J
authors.initials: AJ
authors.lastname: Szewka
authors.forename: Nancy
authors.initials: N
authors.lastname: Newman
mesh_terms: D001334:Automobile Driving; D007839:Functional Laterality; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010468:Perceptual Disorders / Q000175:diagnosis* / Q000503:physiopathology*; D058609:Visual Field Tests; D014794:Visual Fields / Q000502:physiology*
references.citation: Arch Ophthalmol. 2002 Nov;120(11):1509-16
references.pmid: 12427065
references.citation: Am J Ophthalmol. 2007 Jun;143(6):1013-23
references.pmid: 17399676
references.citation: Invest Ophthalmol Vis Sci. 2011 Mar 02;52(3):1220-5
references.pmid: 21367969
references.citation: Arch Ophthalmol. 1983 Mar;101(3):371-5
references.pmid: 6830485