Title
Cataract and pseudophakia in elderly European driversCataract and pseudophakia in elderly European drivers
Author
Faculty/Department
University Hospital Antwerp
Research group
Faculteit Geneeskunde
UZA
Publication type
article
Publication
Milano,
Subject
Human medicine
Source (journal)
European journal of ophthalmology. - Milano
Volume/pages
20(2010):5, p. 892-901
ISSN
1120-6721
ISI
000281259300013
Carrier
E
Target language
English (eng)
Affiliation
University of Antwerp
Abstract
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. (Eur J Ophthalmol 2010; 20: 892-901)
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