Bekibele C O, Fawole O I, Bamgboye A E, Adekunle L V, Ajayi R, Baiyeroju A M
Department of Ophthalmology, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Ann Afr Med. 2007 Mar;6(1):26-30. doi: 10.4103/1596-3519.55734.
High rate of motor vehicle accidents' have been associated with poor vision. Studies on drivers from elsewhere other than health institutions have found abnormal visual acuities. The aim of this study is to determine prevalence of refractive errors and the attitude to spectacle wear among drivers of public institutions studied.
A cross sectional population study of all 99 motor vehicle drivers from the College of Medicine, University of Ibadan and University College Hospital (UCH) Ibadan between December 2003 and January 2004.
The ninety-nine motor vehicle drivers in the study comprised of 67 (67.7%) from the College of Medicine, and 32 (32.3%) from the UCH. All were males, aged 38 to 60 years, mean 50.1 +/- (SD= 4.8 years). Proportion of drivers with refractive errors was 16.7% (95% CI, 16.6-16.8) but only 56.3% of these wear glasses while driving (others did not including 3 out 4 who were bilaterally visually impaired without glasses). Relative frequency of RTA among drivers was 16.2%, the risk was marginally higher among drivers with refractive error (OR 1.2, 95% CI: 0.4-3.7). The commonest refractive error was simple hypermetropia present in 15 eyes. Hypermetropia was associated with increasing age of drivers (p<0.05). Majority (97.7%) of the drivers were presbyopic but only 32 (32.3%) were current wearers of spectacles.
Refractive errors were present in 16.7% of drivers studied. But 43.8% of these (3 out 4 of whom were bilaterally visually impaired without glasses) do not wear corrective lenses while driving. There is need for periodic visual screening exercise and eye health education on drivers.
机动车事故发生率高与视力不佳有关。对医疗机构以外其他地方的驾驶员进行的研究发现了视力异常情况。本研究的目的是确定在接受研究的公共机构驾驶员中屈光不正的患病率以及对佩戴眼镜的态度。
2003年12月至2004年1月期间，对伊巴丹大学医学院和伊巴丹大学学院医院（UCH）的所有99名机动车驾驶员进行了一项横断面人群研究。
研究中的99名机动车驾驶员包括医学院的67名（67.7%）和UCH的32名（32.3%）。所有驾驶员均为男性，年龄在38至60岁之间，平均年龄为50.1±（标准差=4.8岁）。屈光不正驾驶员的比例为16.7%（95%置信区间，16.6 - 16.8），但其中只有56.3%的人在开车时戴眼镜（其他人不戴，包括4名双眼视力受损且未戴眼镜者中的3人）。驾驶员中道路交通事故（RTA）的相对发生率为16.2%，屈光不正驾驶员的风险略高（比值比1.2，95%置信区间：0.4 - 3.7）。最常见的屈光不正是单纯远视，有15只眼睛存在该情况。远视与驾驶员年龄增长有关（p<0.05）。大多数（97.7%）驾驶员患有老花眼，但只有32名（32.3%）是当前眼镜佩戴者。
在接受研究的驾驶员中，16.7%存在屈光不正。但其中43.8%（4名中有3名双眼视力受损且未戴眼镜）在开车时不佩戴矫正镜片。有必要对驾驶员进行定期视力筛查和眼健康教育。
