Amsterdam UMC, Ophthalmology, Amsterdam Public Health, Vrije Universiteit, Amsterdam, The Netherlands.
CBR, Rijswijk, The Netherlands.
Transl Vis Sci Technol. 2022 Mar 2;11(3):20. doi: 10.1167/tvst.11.3.20.
As the prevalence of age-related visual field disorders and the number of older drivers are rising, clear criteria on visual field requirements for driving are important. This article explores the predictive value of the Esterman visual field in relation to the outcome of an on-road driving test.
A retrospective chart review was performed for driver's license applicants who, based on their visual field, performed an on-road driving test. Cases (N = 101) with a failed on-road driving test were matched with 101 controls with a passed outcome. The Esterman visual field was divided in regions, and the number of points missed per region was counted. Logistic regression models and receiver operating characteristic (ROC) curves were computed for each region.
Most regions presented a significantly increased odds for failing the driving test when more points were missed. The odds ratio for the whole visual field was 2.52 (95% confidence interval, 1.53-4.14, P < 0.001) for all the participants. However, ROC curves failed to reveal distinct fail-pass criteria based on the number of points missed, as revealed by a large amount of overlap between cases and controls.
These findings confirm the relation between visual field damage and impaired driving performance. However, the Esterman visual field results were not conclusive for predicting the driving performance of the individual driver with visual field defects.
In our group of participants, the number of on-road driving tests cannot be further reduced by a more detailed definition of fail-pass criteria, based on the Esterman visual field test.
随着与年龄相关的视野障碍的患病率和老年驾驶员人数的增加，明确驾驶视野要求的标准变得尤为重要。本文探讨了埃斯特曼视野（Ester man visual field）与道路驾驶测试结果的相关性及其预测价值。
对基于视野进行道路驾驶测试的驾驶员申请人进行了回顾性图表审查。将未能通过道路驾驶测试的病例（N=101）与通过测试的对照组（N=101）进行匹配。将埃斯特曼视野划分为区域，并计算每个区域的失分点数。为每个区域计算了逻辑回归模型和接收者操作特征（ROC）曲线。
当错过的点数较多时，大多数区域的驾驶员通过道路驾驶测试的几率显著增加。对于所有参与者，整个视野的优势比为 2.52（95%置信区间，1.53-4.14，P<0.001）。然而，ROC 曲线未能揭示基于错过的点数的明确通过/失败标准，因为病例和对照组之间存在大量重叠。
这些发现证实了视野损伤与驾驶表现受损之间的关系。然而，埃斯特曼视野结果并不能根据个体驾驶员的视野缺陷来预测其驾驶表现。
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