As people age, a number of visual functions such as acuity, visual field, and night vision deteriorate. This decline in vision is associated in part with an increase in vehicular accidents per mile driven by the elderly. Four age-related ocular conditions-cataract, macular degeneration, open-angle glaucoma, and diabetic retinopathy-are primarily responsible for the decline in visual acuity and visual field in the elderly. Few epidemiologic data are available about these diseases, and at present they cannot be prevented. There is need for more information about visual decline and how it affects driving performance and for development of pragmatic approaches for detecting and assessing the elderly driver with functional visual deficits.
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References
1.
Bailey, I. L., and Sheedy, J. E. (1988). Vision screening for driver licensure. In Transportation in an aging society (Special Report 218, Vol. 2). Washington, DC: National Research Council, Transportation Research Board.
2.
Burg, A. (1967). The relationship between vision test scores and driving record: General findings (Report 67-24). Los Angeles: University of California, Los Angeles, Department of Engineering.
3.
Burg, A. (1968). Vision test scores and driving record: Additional findings (Report 68-27). Los Angeles: University of California, Los Angeles, Department of Engineering.
4.
Burg, A. (1971). Vision and driving: A report on research. Human Factors, 13, 79-87.
5.
Cerrelli, E. C. (1969). Older drivers, the age factor in traffic safety (National Highway Traffic Safety Administration Contract No. HS 807 402). Washington, DC: U.S. Government Printing Office.
6.
Davison, P. A. (1985). Inter-relationships between British drivers' visual abilities, age, and road accident histories. Ophthalmic Physiologic Optics, 5, 195-204.
7.
Drance, S. M., Berry, V., and Hughes, A. (1967). Studies on the effects of age on the central and peripheral isopters of the visual field in normal subjects. American Journal of Ophthalmology, 63, 1167-1672.
8.
Ferris, F. L. (1983) Senile macular degeneration: Review of epidemiologic features. American Journal of Epidemiology, 118, 132-151.
9.
Harris, M. I., Hadden, W. C.Knowler, W. C, and Bennett, P. H. (1987). Prevalence of diabetes and impaired glucose tolerance and plasma glucose levels in the U.S. population aged 20-74 yr. Diabetes, 36, 523-534.
10.
Johnson, C. A., and Keltner, J. L. (1983). Incidence of visual field loss in 20,000 eyes and its relationship to driving performance. Archives of Ophthalmology, 101, 371-375.
11.
Kahn, H. A., and Milton, R. C. (1980). Revised Framing-ham Eye Study prevalence of glaucoma and diabetic retinopathy. American Journal of Epidemiology, 111, 769-776.
12.
Klein, R., and Klein, B. E. K. (1985). Vision disorders in diabetes. In M. I. Harrss and R. F. Hammnn (Eds.), Diabetes in America (pp. 1-36); NIH Publication No. 85-1468). Washington DC: U.S. Government Printing Office.
13.
Klein, R., Klein, B. E. K.Linton, K. L. P., and DeMets, D. L. (1991). Beaver Dam eye study: Visual acuity. Ophthalmology, 98, 1310-1315.
14.
Klein, R., Klein, B. E. K.Moss, S. E., Davis, M. D., and DeMets, D. L. (1988). Glycosylated hemoglobin predicts the incidence and progression of diabetic retinopathy. Journal of the American Medical Association, 260, 2864-287.
15.
Leske, M. C. (1983). The epidemiology of open-angle glaucoma: A review. American Journal of Epidemiology, 118, 166-191.
16.
Leske, M. C, and Sperduto, R. D. (1983). The epidemiology of senile cataracts: A review. American Journal of Epidemiology, 118, 152-165.
17.
Nationll Society to Prevent Blindnss). (1980). Vision problems in the U.S.: Data analysis: Definitions/data source., detailed data tables, analysis, interpretation. New York: Author.
18.
Shina, D., and Schieber, F. (1991). Visual requirements for safety and mobility of older driver). Human Factors, 33, 507-519.
19.
Sperduto, R. D., and Seigel, D. (1980). Senile lens and senile macular changes in a population-based sample. American Journal of Ophthalmology, 90, 86-91.
20.
Weale, R. A. (1975). Senile changes in visual acuity. Transactions of the Ophthalmological Society of the United Kingdom, 95, 36-38.
21.
U.S. Department of Health, Education, and Welfare. (1977). Monocular visual acuity of persons 4-74 years in the United State, 1971-1972 (Publication 201, Series II). Washington, DC: U.S. Government Printing Office.
