Geruschat Duane R, Fujiwara Kyoko, Wall Emerson Robert S
Salus University, Philadelphia, Pennsylvania, USA.
Optom Vis Sci. 2011 Feb;88(2):208-16. doi: 10.1097/OPX.0b013e3182045988.
Pedestrians with low vision have identified crossing the street as a difficult task. With the increasing complexity of the crossing environment (actuated signals and roundabouts), the challenges are increasing. The purpose of this study was to evaluate the effect of two types of vision loss (central or peripheral) on the ability to detect gaps in traffic.
Forty-one subjects participated with 14 being fully sighted (FS), 10 having central vision loss from age-related macular degeneration (AMD), and 17 having peripheral vision loss from either retinitis pigmentosa or glaucoma. Standing at entry and exit lanes of a roundabout, subjects depressed a handheld trigger to indicate when there was a sufficient gap in traffic to cross the street. A total of twelve 2-min intervals were completed including four of those intervals with occluded hearing.
No difference was found in the ability of the three subject groups to identify crossable or short gaps. There were significant differences in latency and safety margin. The AMD subjects did not perform as well as the FS or the subjects with retinitis pigmentosa/glaucoma. When hearing was occluded, the two vision loss groups did not show a change in sensitivity but the FS group did, being more sensitive when hearing was occluded.
The purpose of this study was to evaluate the effect of low vision on the ability to detect crossable gaps in traffic. The findings suggest that subjects with AMD have an increased risk because they show significant latency in their identification of gaps and this in turn results in a reduction of safety margin.
视力低下的行人已将过马路视为一项困难任务。随着过马路环境(感应信号和环形交叉路口)日益复杂,挑战也在增加。本研究的目的是评估两种类型的视力丧失(中央视力或周边视力)对检测交通间隙能力的影响。
41名受试者参与研究,其中14名视力正常(FS),10名因年龄相关性黄斑变性(AMD)导致中央视力丧失,17名因色素性视网膜炎或青光眼导致周边视力丧失。受试者站在环形交叉路口的入口和出口车道,按下手持触发器以表明何时有足够的交通间隙可以过马路。总共完成了12个2分钟的时间段,其中包括4个听力被遮挡的时间段。
三个受试者组在识别可穿越或短间隙的能力上未发现差异。在反应潜伏期和安全裕度方面存在显著差异。AMD受试者的表现不如FS组或色素性视网膜炎/青光眼受试者。当听力被遮挡时,两个视力丧失组的敏感性没有变化,但FS组有变化,听力被遮挡时更敏感。
本研究的目的是评估低视力对检测交通中可穿越间隙能力的影响。研究结果表明,AMD受试者风险增加,因为他们在识别间隙时表现出明显的潜伏期,这反过来又导致安全裕度降低。