Tomooka Kiyohide, Takeyama Eisuke, Kunimatsu-Sanuki Shiho, Sato Setsuko, Sakiyama Noriko, Wada Hiroo, Matsumoto Chota, Tanigawa Takeshi
Department of Public Health, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Department of Public Health, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Sci Rep. 2025 Aug 26;15(1):31324. doi: 10.1038/s41598-025-16676-0.
In this cross-sectional study, we investigated the association between visual field impairment (VFI) and motor vehicle accidents (MVAs) among Japanese taxi drivers. We also evaluated the usefulness of a self-check test, the CLOCK CHART, as a screening tool for VFI. We recruited 1,227 male Japanese taxi drivers from 2018 to 2019. The CLOCK CHART detected defects (CCDD) were recorded as VFI. We collected data on visual field (VF)-related near miss incidents and MVAs over the previous five years using a self-administered questionnaire. A multivariable-adjusted generalized linear model was used to examine the association of the combination between CCDD and VF-related near misses with MVAs. We conducted a follow-up survey among 326 participants with CCDD to determine the proportion of newly diagnosed glaucoma. The proportion of MVAs was 61.9%, with a multivariable-adjusted prevalence ratio (95% confidence interval) of 1.22 (1.05-1.41) for MVAs in the group with both CCDD and VF-related near misses compared to the group without these factors. Further, 14 of these participants were newly diagnosed with glaucoma. A higher prevalence of MVAs was found among taxi drivers with both CCDD and VF-related near misses than for those without these factors. The CLOCK CHART may aid in identifying asymptomatic glaucoma.
在这项横断面研究中，我们调查了日本出租车司机的视野损害（VFI）与机动车事故（MVA）之间的关联。我们还评估了一种自我检查测试——时钟图表（CLOCK CHART）作为VFI筛查工具的有效性。我们在2018年至2019年招募了1227名日本男性出租车司机。时钟图表检测到的缺陷（CCDD）被记录为VFI。我们使用一份自填式问卷收集了过去五年中与视野（VF）相关的险些发生事故和机动车事故的数据。采用多变量调整的广义线性模型来检验CCDD与VF相关险些发生事故的组合与机动车事故之间的关联。我们对326名有CCDD的参与者进行了随访调查，以确定新诊断青光眼的比例。机动车事故的比例为61.9%，在既有CCDD又有VF相关险些发生事故的组中，与没有这些因素的组相比，机动车事故的多变量调整患病率比值（95%置信区间）为1.22（1.05 - 1.41）。此外，这些参与者中有14人被新诊断为青光眼。在既有CCDD又有VF相关险些发生事故的出租车司机中，机动车事故的患病率高于没有这些因素的司机。时钟图表可能有助于识别无症状青光眼。
