Abstract
Background: Considering the lack of universally accepted visual requirements for driving and for defining various grades of visual disability, the aim of this study is to propose a new method that provides a numerical score resulting from a combined assessment of the visual field and visual acuity loss obtained using a digital technology visor. Methods: This study presents a new system for calculating the percentage of visual disability by combining binocular visual acuity and binocular visual field assessments. A new Global Vision Evaluation System digital technology visor uses standardized, reproducible criteria to produce well-defined, numerically expressed test results. Through a specific algorithm, the device produces a numerical value expressing the percentage of visual disability. Results: Eighty-six subjects with various types of visual impairment underwent visual acuity and visual field test examinations carried out employing both traditional methods and the new digital visor. The two methods provided homogeneously similar results regarding the positioning of the subjects on the visual disability scale. Conclusions: The new digital visor seems to be a valid method to ensure that visual disability assessments are more homogeneous and reliable, and that, consequently, the resources available for this purpose are more fairly distributed.
Highlights
A recent transnational review of visual driving standards [1] has reported that the existing literature does not provide uniform driving standards, as there is no agreement over visual requirements for driving and the methods to be used to assess this ability
Given that the objective of the study was to verify whether visual acuity and visual field measurements obtained using a digital visor were comparable to traditional methods, two generalized linear models were used with the aim of assessing the continuous response variables (TMVF: traditional measure of visual field; TMVA: traditional measure of visual acuity) through the measures of VF and VA obtained by the digital visor (GVES_VF and GVES_VA)
The general characteristics of the visual defect groups showed considerable heterogeneity (Table 3); mean age and mean visual acuity in patients tested traditionally and by digital visor revealed no significant differences among defect types
Summary
A recent transnational review of visual driving standards [1] has reported that the existing literature does not provide uniform driving standards, as there is no agreement over visual requirements for driving and the methods to be used to assess this ability. Many driver-licensing screening assessments worldwide are based on visual acuity (VA) and visual field (VF) examination, but the testing methods are not standardized, a large number of studies have tried to assess the validity and reliability of the tools used to measure VA in normal subjects, or VA in specific populations [3,4,5,6,7,8,9]. Considering the lack of universally accepted visual requirements for driving and for defining various grades of visual disability, the aim of this study is to propose a new method that provides a numerical score resulting from a combined assessment of the visual field and visual acuity loss obtained using a digital technology visor. Tes1t2s%timuli luminance ac1c8o%rding to the patient’s ag3e6%and point location. 60%
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