Risk of Falls and Motor Vehicle Collisions in Glaucoma

摘要: PURPOSE: To investigate the risk of falls and motor vehicle collisions (MVCs) in patients with glaucoma. METHODS: The sample comprised 48 glaucoma (mean visual field mean deviation [MD] better eye = -3.9 dB; 5.1 dB SD) 47 age-matched normal control subjects, who were recruited from a university-based hospital care clinic are enrolled an ongoing prospective study factors for falls, MVCs, on-road driving performance Main outcome measures at baseline previous self-reported police-reported MVCs. Demographic medical data obtained. In addition, functional independence daily living, physical activity level balance assessed. Clinical vision included acuity, contrast sensitivity, standard automated perimetry, useful view (UFOV), stereopsis. Analyses MVCs adjusted to account possible confounding effects demographic characteristics, medications, impairment. MVC analyses also kilometers driven per week. RESULTS: There no significant differences between subjects respect number systemic conditions, body mass index, independence, (P > 0.10). At baseline, 40 (83%) 44 (94%) driving. Compared over three times more likely have fallen year (odds ratio [OR](adjusted) 3.71; 95% CI, 1.14-12.05), six been involved one or 5 years (OR(adjusted) 6.62; 1.40-31.23), fault 12.44; 1.08-143.99). strongest factor was impaired UFOV selective attention 10.29; 1.10-96.62; >350 ms compared