The effect of presbyiopic vision corrections on nighttime driving performance

Chu, Byoung S., Wood, Joanne M., & Collins, Michael J. (2010) The effect of presbyiopic vision corrections on nighttime driving performance. Investigative Ophthalmology & Visual Science, 51(9), pp. 4861-4866.

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Purpose. To investigate the effect of various presbyopic vision corrections on nighttime driving performance on a closed-road driving circuit.

Methods. Participants were 11 presbyopes (mean age, 57.3 ± 5.8 years), with a mean best sphere distance refractive error of R+0.23±1.53 DS and L+0.20±1.50 DS, whose only experience of wearing presbyopic vision correction was reading spectacles. The study involved a repeated-measures design by which a participant's nighttime driving performance was assessed on a closed-road circuit while wearing each of four power-matched vision corrections. These included single-vision distance lenses (SV), progressive-addition spectacle lenses (PAL), monovision contact lenses (MV), and multifocal contact lenses (MTF CL) worn in a randomized order. Measures included low-contrast road hazard detection and avoidance, road sign and near target recognition, lane-keeping, driving time, and legibility distance for street signs. Eye movement data (fixation duration and number of fixations) were also recorded.

Results. Street sign legibility distances were shorter when wearing MV and MTF CL than SV and PAL (P < 0.001), and participants drove more slowly with MTF CL than with PALs (P = 0.048). Wearing SV resulted in more errors (P < 0.001) and in more (P = 0.002) and longer (P < 0.001) fixations when responding to near targets. Fixation duration was also longer when viewing distant signs with MTF CL than with PAL (P = 0.031).

Conclusions. Presbyopic vision corrections worn by naive, unadapted wearers affected nighttime driving. Overall, spectacle corrections (PAL and SV) performed well for distance driving tasks, but SV negatively affected viewing near dashboard targets. MTF CL resulted in the shortest legibility distance for street signs and longer fixation times.

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11 citations in Scopus
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117 since deposited on 22 Nov 2010
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ID Code: 38541
Item Type: Journal Article
Refereed: Yes
Keywords: Vision, driving, presbyopia, contact lenses, spectacles
DOI: 10.1167/iovs.10-5154
ISSN: 0146-0404
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OPTOMETRY AND OPHTHALMOLOGY (111300) > Optometry and Ophthalmology not elsewhere classified (111399)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Optometry & Vision Science
Copyright Owner: Copyright 2010 The Association for Research in Vision and Ophthalmology, Inc.
Deposited On: 22 Nov 2010 01:48
Last Modified: 29 Feb 2012 14:21

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