眩光敏感度与职业驾驶员安全：一例伴有阴性视网膜电图的视锥视杆细胞营养不良病例
Glare sensitivity and professional drivers' safety: a case of rod-cone dystrophy with negative electroretinogram.
作者信息
Jägle Herbert, Besch Dorothea
机构信息
Department of Pathophysiology of Vision and Neuro-ophthalmology, University Eye Hospital, University of Tübingen, Tübingen, Germany. herbert.jaegle@uni-tuebingen
出版信息
Acta Ophthalmol Scand. 2005 Aug;83(4):504-7. doi: 10.1111/j.1600-0420.2005.00483.x.
BACKGROUND
To obtain a driver's licence certain requirements for visual acuity and visual field have to be fulfilled. Mesopic contrast and glare sensitivity are not regularly tested and are not crucial to passing the driving test.
CASE REPORT
We report a case of a 39-year-old professional bus driver whose only complaint was increased glare sensitivity. After he had been involved in four traffic accidents, ophthalmological investigations revealed binocular annular scotomata and night blindness, leading to the diagnosis of rod-cone dystrophy.
DISCUSSION
Enhanced glare sensitivity is a common complaint in elderly people or people with the beginnings of cataract but may also represent an initial symptom of a retinal disorder. It is therefore advisable for traffic safety if drivers with such complaints undergo a complete ophthalmological investigation including visual field testing.
背景
要获得驾驶执照，必须满足一定的视力和视野要求。中间视觉对比度和眩光敏感度通常不进行测试，对通过驾驶考试也并非至关重要。
病例报告
我们报告一例39岁职业巴士司机的病例，其唯一主诉是眩光敏感度增加。在他发生四起交通事故后，眼科检查发现双眼环形暗点和夜盲，从而诊断为视杆-视锥营养不良。
讨论
眩光敏感度增强在老年人或白内障初发患者中是常见主诉，但也可能是视网膜疾病的初始症状。因此，出于交通安全考虑，有此类主诉的驾驶员应接受包括视野测试在内的全面眼科检查。
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