Glaucomatous visual field defect severity and the prevalence of motor vehicle collisions in Japanese: a hospital/clinic-based cross-sectional study.
Purpose. This study examined the association between the severity of visual field defects and the prevalence of motor vehicle collisions (MVCs) in subjects with primary open-angle glaucoma (POAG). Methods. This is a cross-sectional study. Japanese patients who have had driver's licence between 40 and 85 years of age were screened for eligibility. Participants answered a questionnaire about MVCs experienced during the previous 5 years. Subjects with POAG were classified as having mild, moderate, or severe visual field defect. We evaluated associations between the severity of POAG and the prevalence of MVCs by logistic regression models. Results. The prevalence of MVCs was significantly associated with the severity of POAG categorized by worse eye MD (control: 30/187 = 16.0%; mild POAG: 17/92 = 18.5%; moderate POAG: 14/60 = 23.3%; severe POAG: 14/47 = 29.8%; P = 0.025, Cochran-Armitage trend test). Compared to the control group, the adjusted OR for MVC prevalence in subjects with mild, moderate, or severe POAG in the worse eye was 1.07 (95% CI: 0.55 to 2.10), 1.44 (95% CI: 0.68 to 3.08), and 2.28 (95% CI: 1.07 to 4.88). Conclusions. There is a significant association between the severity of glaucoma in the worse eye MD and the prevalence of MVCs.
Department of Ophthalmology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Takeshi
0000-0002-9514-0588
T
Ono
Department of Ophthalmology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Kenya
K
Yuki
Department of Ophthalmology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Ryo
R
Asaoka
Clinical Research Centre, Keio University School of Medicine, Tokyo 160-8582, Japan.
Keisuke
K
Kouyama
Clinical Research Centre, Keio University School of Medicine, Tokyo 160-8582, Japan.
Takayuki
T
Abe
Department of Ophthalmology, Keio University School of Medicine, Tokyo 160-8582, Japan ; Tanabe Eye Clinic, Yamanashi 400-0177, Japan.
Sachiko
S
Tanabe
Department of Ophthalmology, Keio University School of Medicine, Tokyo 160-8582, Japan ; Iidabashi Eye Clinic, Tokyo 102-0072, Japan.
Kazumi
0000-0002-5997-3486
K
Fukagawa
Department of Ophthalmology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Miki
0000-0001-6906-406X
M
Uchino
Department of Ophthalmology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Masaru
0000-0001-6515-1326
M
Shimoyama
Department of Ophthalmology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Yoko
Y
Ozawa
Department of Ophthalmology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Naoki
0000-0003-4730-2279
N
Ozeki
Department of Ophthalmology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Daisuke
D
Shiba
Department of Ophthalmology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Kazuo
0000-0002-8874-7111
K
Tsubota