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Binocular superior visual field areas associated with driving self-regulation in patients with primary open-angle glaucoma
  1. Tomoyo Yamasaki1,
  2. Kenya Yuki1,
  3. Sachiko Awano-Tanabe1,
  4. Takeshi Ono1,
  5. Hiroshi Murata2,
  6. Kazuo Tsubota1,
  7. Ryo Asaoka2,3,4
  1. 1 Ophthalmology, Keio Univeristy School of Medicine, Tokyo, Shinjuku-ku, Japan
  2. 2 Department of Ophthalmology, University of Tokyo Graduate School of Medicine, Tokyo, Japan
  3. 3 Ophthalmology, Seirei Hamamatsu General Hospital, Hamamatsu City, Japan
  4. 4 Seirei Christopher University, Hamamatsu CIty, Japan
  1. Correspondence to Dr Ryo Asaoka, Department of Ophthalmology, University of Tokyo Graduate School of Medicine, Tokyo 113-0033, Japan; ryoasa0120{at}


Background/aims The aim of our study was to investigate the associations between driving self-regulation and glaucoma severity, and between driving self-regulation and glaucomatous visual field (VF) defect patterns.

Methods In 247 patients with primary open-angle glaucoma included in this prospective observational study, a battery of ophthalmic examination was performed, including visual acuity (VA) and VF. Integrated binocular VF was constructed and mean of total deviation (mTD) values in four sectors was calculated (mTDsup-peri, mTDsup-centre, mTDinf-peri and mTDinf-centre). In addition, all participants answered seven questions regarding their avoidance in driving. (1) at night, (2) in rain, (3) in fog, (4) on freeways, (5) lane changing, (6) at high speed and (7) close to the car in front. The associations between these driving behaviours and 10 variables (age, gender, best VA, worst VA, the four sectorial average TD values, years holding a driver’s licence and distance driven per week) were analysed using the generalised linear model with binomial distribution, followed by the model section method using the corrected Akaike information criterion.

Results As a result of the model selection, it was suggested that deterioration of mTDsup-peri was associated with (1) avoiding driving at night and (2) avoiding driving in rain. On the other hand, mTDsup-centre was related to (3) avoiding driving in fog.

Conclusion Damage in visual function was related with driving behaviours in patients with glaucoma.

  • glaucoma
  • vision

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  • TY and KY are joint first authors.

  • Contributors Substantial contributions to the conception or design of the work, or the acquisition, analysis or interpretation of data: TY, KY and RA. Drafting the work or revising it critically for important intellectual content: TY, KY and RA. Final approval of the version published: all authors. Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: all authors.

  • Funding This work was supported by the Ministry of education, culture, sports, and technology, JAPAN grant number 17K11418, 18KK0253, and 19H01114.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data are available on reasonable request.

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