Self-reported driving difficulty by persons with Hemianopia and Quadrantanopia

Parker, Walter T., McGwin, Gerald, Wood, Joanne M., Elgin, Jennifer, Vaphiades, Michael S., Kline, Lanning B., & Owsley, Cynthia (2011) Self-reported driving difficulty by persons with Hemianopia and Quadrantanopia. Current Eye Research, 36(3), pp. 270-277.

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Purpose: To compare self-reported driving difficulty by persons with hemianopic or quadrantanopic field loss with that reported by age-matched drivers with normal visual fields; and to examine how their self- reported driving difficulty compares to ratings of driving performance provided by a certified driving rehabilitation specialist(CDRS).

Method: Participants were 17 persons with hemianopic field loss, 7 with quadrantanopic loss, and 24 age-matched controls with normal visual fields, all of whom had current drivers’ licenses. Information was collected via questionnaire regarding driving difficulties experienced in 21 typical driving situations grouped into 3 categories(involvement of peripheral vision, low visibility conditions, and independent mobility). On-road driving performance was evaluated by a CDRS using a standard assessment scale.

Results: Drivers with hemianopic and quadrantanopic field loss expressed significantly more difficulty with driving maneuvers involving peripheral vision and independent mobility, compared to those with normal visual fields. Drivers with hemianopia and quadrantanopia who were rated as unsafe to drive based upon an on-road assessment by the CDRS were no more likely to report driving difficulty than those rated as safe.

Conclusion: This study highlights aspects of driving that hemianopic or quadrantanopic persons find particularly problematic, thus suggesting areas that could be focused on driving rehabilitation. Some drivers with hemianopia or quadrantanopia may inappropriately view themselves as good drivers when in fact their driving performance is unsafe as judged by a driving professional.

Impact and interest:

7 citations in Scopus
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9 citations in Web of Science®

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ID Code: 43842
Item Type: Journal Article
Refereed: Yes
Keywords: Driving, Visual fields, Hemianopia, Quadrantanopia
DOI: 10.3109/02713683.2010.548893
ISSN: 0271-3683
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OPTOMETRY AND OPHTHALMOLOGY (111300) > Vision Science (111303)
Divisions: Current > Schools > School of Optometry & Vision Science
Copyright Owner: Copyright 2011 Informa Healthcare
Copyright Statement: This is an electronic version of an article published in [Current Eye Research, 36(3), pp.270-277]. [Current Eye Research] is available online at informaworldTM
Deposited On: 08 Aug 2011 22:28
Last Modified: 04 Apr 2012 19:33

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