Bro Tomas, Andersson Jan
Department of Ophthalmology Eksjö, Region Jönköping County and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Swedish National Road and Transport Research Institute, Linköping, Sweden.
Neuroophthalmology. 2022 Mar 21;46(5):290-297. doi: 10.1080/01658107.2022.2038640. eCollection 2022.
The purpose of this study was to compare the driving simulator performance of participants with visual field loss (VFL) from optic disc drusen (ODD) with a normally sighted control group and a group of individuals with glaucoma. Data on performance and safety from a traffic simulator test for five participants with VFL from ODD were retrospectively compared with data from 49 male individuals without visual deficits in a cross-sectional study. VFL of the ODD group was also compared with a group of 20 male glaucoma participants who had failed the same simulator test. Four individuals with ODD regained their driving licences after a successful simulator test and were then followed in a national accident database. All participants with ODD passed the test. No significant differences in safety or performance measures were detected between the normally sighted participants and the ODD group despite severe concentric visual field constrictions. Compared with failed glaucoma male participants, the ODD group had even lower mean sensitivity in the peripheral and peripheral inferior field of vision. None of the four participants with a regained licence were involved in a motor vehicle accident during a 3-year follow-up period after the simulator test. Despite having severe VFL, participants with ODD had no worse performance or safety than controls. As even individuals with severe VFL might drive safely, there is a need for individual practical assessments on licencing issues.
本研究的目的是比较患有视盘小疣（ODD）所致视野缺损（VFL）的参与者与正常视力对照组以及一组青光眼患者在驾驶模拟器中的表现。在一项横断面研究中，对5名患有ODD所致VFL的参与者在交通模拟器测试中的表现和安全性数据进行了回顾性比较，并与49名无视觉缺陷的男性个体的数据进行了对比。ODD组的VFL也与一组20名在同一模拟器测试中未通过的男性青光眼参与者进行了比较。4名患有ODD的个体在模拟器测试成功后重新获得了驾驶执照，随后被纳入国家事故数据库进行跟踪。所有患有ODD的参与者均通过了测试。尽管存在严重的同心性视野缩窄，但正常视力参与者与ODD组在安全性或表现指标上未检测到显著差异。与未通过测试的青光眼男性参与者相比，ODD组在周边及周边下视野的平均敏感度更低。在模拟器测试后的3年随访期内，4名重新获得执照的参与者均未发生机动车事故。尽管患有严重的VFL，但ODD患者的表现和安全性并不比对照组差。由于即使是患有严重VFL的个体也可能安全驾驶，因此有必要对执照问题进行个体实际评估。
