Document Detail

Cataract and pseudophakia in elderly European drivers.
MedLine Citation:
PMID:  20213613     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To evaluate the prevalence and association of different types and severities of cataract or pseudophakia with visual impairments in older European drivers. METHODS: In this prospective European multicenter study, 2211 active drivers, 45 years of age and older, participated in an ophthalmologic examination, the measurement of visual functions, and were asked to fill in the NEI-VFQ-25 and another questionnaire about driving habits, driving difficulties, and self-reported accidents. RESULTS: Prevalence of moderate and severe forms of cataract in an active driving population is lower than that in the general population, but could be found in both eyes in 20% (95% confidence interval [CI] 16%-25%) and 17% (95% CI:13%-21%) of subjects 75 years of age and older. In addition, there is a strong relationship between severity of cataract and parameters such as age, visual acuity, intraocular straylight, and contrast sensitivity. CONCLUSIONS: Cataract is not as highly prevalent in the elderly active driving population as in the general population, but is frequently present in drivers over 65 years of age. Lower prevalence of severe bilateral cataracts in countries with mandatory tests of visual functions of drivers suggest that this could be a suitable measure to detect and to reduce the number of active drivers with severe bilateral cataracts.
Christian Nischler; Ralph Michael; Christine Wintersteller; Patrick Marvan; Martin Emesz; Laurentius J Van Rijn; Thomas J T P van den Berg; Helmut Wilhelm; Tanja Coeckelbergh; Rafael I Barraquer; Günther Grabner; Wolfgang Hitzl
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of ophthalmology     Volume:  20     ISSN:  1724-6016     ISO Abbreviation:  Eur J Ophthalmol     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-08-02     Completed Date:  2010-10-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9110772     Medline TA:  Eur J Ophthalmol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  892-901     Citation Subset:  IM    
Department of Ophthalmology, Paracelsus Private Medical University Salzburg, Salzburg, Austria.
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MeSH Terms
Accidents, Traffic / statistics & numerical data*
Automobile Driving / statistics & numerical data*
Cataract / classification,  epidemiology*
Contrast Sensitivity / physiology
Europe / epidemiology
Middle Aged
Prospective Studies
Pseudophakia / epidemiology*
Sickness Impact Profile
Visual Acuity / physiology
Visually Impaired Persons / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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