Driving with homonymous visual field loss: a review of the literature

被引:47
作者
Bowers, Alex R. [1 ]
机构
[1] Harvard Med Sch, Massachusetts Eye & Ear, Schepens Eye Res Inst, Boston, MA 02115 USA
基金
美国国家卫生研究院;
关键词
driver's vision; hemianopia; hemianopsia; quadrantanopia; quadrantanopsia; TRAUMATIC BRAIN-INJURY; COLLISION-AVOIDANCE; LINE BISECTION; EYE-MOVEMENTS; HEMIANOPIA; PERFORMANCE; DEFECTS; VISION; PEOPLE; REHABILITATION;
D O I
10.1111/cxo.12425
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Driving is an important rehabilitation goal for patients with homonymous field defects (HFDs); however, whether or not people with HFDs should be permitted to drive is not clear. Over the last 15years, there has been a marked increase in the number of studies evaluating the effects of HFDs on driving performance. This review of the literature provides a much-needed summary for practitioners and researchers, addressing the following topics: regulations pertaining to driving with HFDs, self-reported driving difficulties, pass rates in on-road tests, the effects of HFDs on lane position and steering stability, the effects of HFDs on scanning and detection of potential hazards, screening for potential fitness to drive, evaluating practical fitness to drive and the efficacy of interventions to improve driving of persons with HFDs. Although there is clear evidence from on-road studies that some people with HFDs may be rated as safe to drive, others are reported to have significant deficits in skills important for safe driving, including taking a lane position too close to one side of the travel lane, unstable steering and inadequate viewing (scanning) behaviour. Driving simulator studies have provided strong evidence of a wide range in compensatory scanning abilities and detection performance, despite similar amounts of visual field loss. Conventional measurements of visual field extent (in which eye movements are not permitted) do not measure such compensatory abilities and are not predictive of on-road driving performance. Thus, there is a need to develop better tests to screen people with HFDs for visual fitness to drive. We are not yet at a point where we can predict which HFD patient is likely to be a safe driver. Therefore, it seems only fair to provide an opportunity for individualised assessments of practical fitness to drive either on the road and/or in a driving simulator.
引用
收藏
页码:402 / 418
页数:17
相关论文
共 119 条
[91]   Comparing explorative saccade and flicker training in hemianopia A randomized controlled study [J].
Roth, T. ;
Sokolov, A. N. ;
Messias, A. ;
Roth, P. ;
Weller, M. ;
Trauzettel-Klosinski, S. .
NEUROLOGY, 2009, 72 (04) :324-331
[92]   A two-point visual control model of steering [J].
Salvucci, DD ;
Gray, R .
PERCEPTION, 2004, 33 (10) :1233-1248
[93]   Does age matter? Age and rehabilitation of visual field disorders after brain injury [J].
Schuett, Susanne ;
Zihl, Josef .
CORTEX, 2013, 49 (04) :1001-1012
[94]   Line bisection in unilateral homonymous visual field defects [J].
Schuett, Susanne ;
Dauner, Ruth ;
Zihl, Josef .
CORTEX, 2011, 47 (01) :47-52
[95]   Automobile driving performance of brain-injured patients with visual field defects [J].
Schulte, T ;
Strasburger, H ;
Müller-Oehring, EM ;
Kasten, E ;
Sabel, BA .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 1999, 78 (02) :136-142
[96]   Current licensing authority standards for peripheral visual field and safe on-road senior aged automobile driving performance [J].
Silveira, Sue ;
Jolly, Neryla ;
Heard, Robert ;
Clunas, Nathan J. ;
Kay, Lynnette .
CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2007, 35 (07) :612-620
[97]   Driving with homonymous visual field loss: Does visual search performance predict hazard detection? [J].
Smith, Matthew ;
Mole, Callum D. ;
Kountouriotis, Georgios K. ;
Chisholm, Catharine ;
Bhakta, Bipin ;
Wilkie, Richard M. .
BRITISH JOURNAL OF OCCUPATIONAL THERAPY, 2015, 78 (02) :85-95
[98]   EFFECTS OF AGE AND HEMIANOPIC VISUAL-FIELD LOSS ON DRIVING [J].
SZLYK, JP ;
BRIGELL, M ;
SEIPLE, W .
OPTOMETRY AND VISION SCIENCE, 1993, 70 (12) :1031-1037
[99]   Use of prisms for navigation and driving in hemianopic patients [J].
Szlyk, JP ;
Seiple, W ;
Stelmack, J ;
McMahon, T .
OPHTHALMIC AND PHYSIOLOGICAL OPTICS, 2005, 25 (02) :128-135
[100]   Hemianopic visual field defects elicit hemianopic scanning [J].
Tant, MLM ;
Cornelissen, FW ;
Kooijman, AC ;
Brouwer, WH .
VISION RESEARCH, 2002, 42 (10) :1339-1348