Bilateral cataract surgery improves neurologic brake reaction time and stopping distance in elderly drivers
Aims To determine brake reaction times before and after bilateral cataract surgery in elderly drivers. Methods Sixty‐four patients were evaluated on the day of and 4 weeks after bilateral cataract surgery. Forty‐three healthy individuals with a valid driving licence served as the control group. A dr...
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| Veröffentlicht in: | Acta ophthalmologica (Oxford, England) England), 2021-11, Vol.99 (7), p.e1013-e1017 |
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| creator | Nowosielski, Yvonne Leitner, Benedikt Rauchegger, Teresa Angermann, Reinhard Psomiadi, Angeliki Palme, Christoph Laimer, Johannes Liebensteiner, Michael Zehetner, Claus |
| description | Aims
To determine brake reaction times before and after bilateral cataract surgery in elderly drivers.
Methods
Sixty‐four patients were evaluated on the day of and 4 weeks after bilateral cataract surgery. Forty‐three healthy individuals with a valid driving licence served as the control group. A driving simulator was used to determine brake reaction times after receiving a visual stimulus. Total brake reaction time (BRT) as well as neurologic reaction time (NRT), foot transfer time (FTT) and brake pedal travel time (BPTT) were measured, and the measurements obtained before and after cataract surgery were compared. The correlations between NRT, best‐corrected visual acuity (BCVA) and contrast sensitivity (CS) were assessed.
Results
Out of the 64 patients with bilateral cataract, 53 were assessed for postsurgical measurements. All time measures improved significantly after cataract surgery (BRT, 815.7(224) versus 647.9(148) ms; NRT, 364.7(91) versus 283.5(44) ms; FTT, 290.8(62) versus 248.6(58) ms; and BPTT, 160.6(96) versus 116.6(72) ms, p |
| doi_str_mv | 10.1111/aos.14748 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2536795549</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2580607991</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4438-56efce68a04db31b65bab95bfa9215c85961fcc1b545ad49b0018f0f3b7c47c53</originalsourceid><addsrcrecordid>eNqNkU2LFDEQhoMo7rp68A9IwIsis5tM56svwjr4BQt7UMFbSNLVY3a7k94kPTL_3owzDioI1qUK8tTLW3kRekrJOa11YWI-p0wydQ-dUsn5opFC3T_O_OsJepTzDSGCCsEeopOGEUUaSk7R7Rs_mALJDNiZYpJxBec5rSFtsR-nFDeQcYA5xSGuvcM2mVvACSrnY8DFj4BN6HAucZp8WOPO52KCA-wDhqGDNGxxl_wGUn6MHvRmyPDk0M_Ql3dvP68-LK6u339cXV4tHGONWnABvQOhDGGdbagV3Brbctubdkm5U7wVtHeOWs646VhrCaGqJ31jpWPS8eYMvd7rTrMdoXMQSr1PT8mPJm11NF7_-RL8N72OG12lJV3uBF4cBFK8myEXPfrsYBhMgDhnXREhW85ZW9Hnf6E3cU6hnlcpRQSRbUsr9XJPuRRzTtAfzVCidxHqGqH-GWFln_3u_kj-yqwCag98Bxv77DzU7z5ipKbMJZVLWidCV76YXVKrOIdSV1_9_2qlLw60H2D7b8v68vrT3vsPXfnJXg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2580607991</pqid></control><display><type>article</type><title>Bilateral cataract surgery improves neurologic brake reaction time and stopping distance in elderly drivers</title><source>MEDLINE</source><source>Wiley Free Content</source><source>Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>Wiley Online Library All Journals</source><creator>Nowosielski, Yvonne ; Leitner, Benedikt ; Rauchegger, Teresa ; Angermann, Reinhard ; Psomiadi, Angeliki ; Palme, Christoph ; Laimer, Johannes ; Liebensteiner, Michael ; Zehetner, Claus</creator><creatorcontrib>Nowosielski, Yvonne ; Leitner, Benedikt ; Rauchegger, Teresa ; Angermann, Reinhard ; Psomiadi, Angeliki ; Palme, Christoph ; Laimer, Johannes ; Liebensteiner, Michael ; Zehetner, Claus</creatorcontrib><description>Aims
To determine brake reaction times before and after bilateral cataract surgery in elderly drivers.
Methods
Sixty‐four patients were evaluated on the day of and 4 weeks after bilateral cataract surgery. Forty‐three healthy individuals with a valid driving licence served as the control group. A driving simulator was used to determine brake reaction times after receiving a visual stimulus. Total brake reaction time (BRT) as well as neurologic reaction time (NRT), foot transfer time (FTT) and brake pedal travel time (BPTT) were measured, and the measurements obtained before and after cataract surgery were compared. The correlations between NRT, best‐corrected visual acuity (BCVA) and contrast sensitivity (CS) were assessed.
Results
Out of the 64 patients with bilateral cataract, 53 were assessed for postsurgical measurements. All time measures improved significantly after cataract surgery (BRT, 815.7(224) versus 647.9(148) ms; NRT, 364.7(91) versus 283.5(44) ms; FTT, 290.8(62) versus 248.6(58) ms; and BPTT, 160.6(96) versus 116.6(72) ms, p < 0.001). The calculated stopping distance improved significantly after surgery (22.3(6) versus 19.9(4) m at 50 km/h). Best‐corrected visual acuity (BCVA) and contrast sensitivity (CS) improved significantly after surgery (0.25(0.2) versus 0.05(0.05), n = 53, p < 0.001; 1.4(0.2) versus 1.6(0.1), p < 0.001, respectively). There was a significant negative correlation between CS and NRT before surgery (r = −0.253, n = 64, p = 0.04, Pearson’s correlation).
Conclusion
Our findings show a significant effect of CS on neurological BRTs and the corresponding stopping distances. This highlights the importance of presurgical CS evaluation as a critical factor in cataract surgery decisions in elderly drivers.</description><identifier>ISSN: 1755-375X</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/aos.14748</identifier><identifier>PMID: 34080310</identifier><language>eng</language><publisher>HOBOKEN: Wiley</publisher><subject>Acuity ; Aged ; Automobile Driving - psychology ; bilateral cataract surgery ; Cataract - physiopathology ; Cataract - psychology ; Cataract Extraction ; Contrast Sensitivity - physiology ; elderly drivers ; Eye surgery ; Female ; Follow-Up Studies ; Humans ; Life Sciences & Biomedicine ; Male ; Middle Aged ; neurologic brake reaction time ; Ophthalmology ; Original ; Patients ; Prospective Studies ; Reaction Time - physiology ; Science & Technology ; stopping distance ; Surgery ; Visual stimuli</subject><ispartof>Acta ophthalmologica (Oxford, England), 2021-11, Vol.99 (7), p.e1013-e1017</ispartof><rights>2020 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.</rights><rights>2020. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>2</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000657172100001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c4438-56efce68a04db31b65bab95bfa9215c85961fcc1b545ad49b0018f0f3b7c47c53</citedby><cites>FETCH-LOGICAL-c4438-56efce68a04db31b65bab95bfa9215c85961fcc1b545ad49b0018f0f3b7c47c53</cites><orcidid>0000-0002-1610-4619 ; 0000-0003-3439-6333 ; 0000-0003-1405-7457</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Faos.14748$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Faos.14748$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,315,781,785,886,1418,1434,27929,27930,39263,45579,45580,46414,46838</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34080310$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nowosielski, Yvonne</creatorcontrib><creatorcontrib>Leitner, Benedikt</creatorcontrib><creatorcontrib>Rauchegger, Teresa</creatorcontrib><creatorcontrib>Angermann, Reinhard</creatorcontrib><creatorcontrib>Psomiadi, Angeliki</creatorcontrib><creatorcontrib>Palme, Christoph</creatorcontrib><creatorcontrib>Laimer, Johannes</creatorcontrib><creatorcontrib>Liebensteiner, Michael</creatorcontrib><creatorcontrib>Zehetner, Claus</creatorcontrib><title>Bilateral cataract surgery improves neurologic brake reaction time and stopping distance in elderly drivers</title><title>Acta ophthalmologica (Oxford, England)</title><addtitle>ACTA OPHTHALMOL</addtitle><addtitle>Acta Ophthalmol</addtitle><description>Aims
To determine brake reaction times before and after bilateral cataract surgery in elderly drivers.
Methods
Sixty‐four patients were evaluated on the day of and 4 weeks after bilateral cataract surgery. Forty‐three healthy individuals with a valid driving licence served as the control group. A driving simulator was used to determine brake reaction times after receiving a visual stimulus. Total brake reaction time (BRT) as well as neurologic reaction time (NRT), foot transfer time (FTT) and brake pedal travel time (BPTT) were measured, and the measurements obtained before and after cataract surgery were compared. The correlations between NRT, best‐corrected visual acuity (BCVA) and contrast sensitivity (CS) were assessed.
Results
Out of the 64 patients with bilateral cataract, 53 were assessed for postsurgical measurements. All time measures improved significantly after cataract surgery (BRT, 815.7(224) versus 647.9(148) ms; NRT, 364.7(91) versus 283.5(44) ms; FTT, 290.8(62) versus 248.6(58) ms; and BPTT, 160.6(96) versus 116.6(72) ms, p < 0.001). The calculated stopping distance improved significantly after surgery (22.3(6) versus 19.9(4) m at 50 km/h). Best‐corrected visual acuity (BCVA) and contrast sensitivity (CS) improved significantly after surgery (0.25(0.2) versus 0.05(0.05), n = 53, p < 0.001; 1.4(0.2) versus 1.6(0.1), p < 0.001, respectively). There was a significant negative correlation between CS and NRT before surgery (r = −0.253, n = 64, p = 0.04, Pearson’s correlation).
Conclusion
Our findings show a significant effect of CS on neurological BRTs and the corresponding stopping distances. This highlights the importance of presurgical CS evaluation as a critical factor in cataract surgery decisions in elderly drivers.</description><subject>Acuity</subject><subject>Aged</subject><subject>Automobile Driving - psychology</subject><subject>bilateral cataract surgery</subject><subject>Cataract - physiopathology</subject><subject>Cataract - psychology</subject><subject>Cataract Extraction</subject><subject>Contrast Sensitivity - physiology</subject><subject>elderly drivers</subject><subject>Eye surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Middle Aged</subject><subject>neurologic brake reaction time</subject><subject>Ophthalmology</subject><subject>Original</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Reaction Time - physiology</subject><subject>Science & Technology</subject><subject>stopping distance</subject><subject>Surgery</subject><subject>Visual stimuli</subject><issn>1755-375X</issn><issn>1755-3768</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkU2LFDEQhoMo7rp68A9IwIsis5tM56svwjr4BQt7UMFbSNLVY3a7k94kPTL_3owzDioI1qUK8tTLW3kRekrJOa11YWI-p0wydQ-dUsn5opFC3T_O_OsJepTzDSGCCsEeopOGEUUaSk7R7Rs_mALJDNiZYpJxBec5rSFtsR-nFDeQcYA5xSGuvcM2mVvACSrnY8DFj4BN6HAucZp8WOPO52KCA-wDhqGDNGxxl_wGUn6MHvRmyPDk0M_Ql3dvP68-LK6u339cXV4tHGONWnABvQOhDGGdbagV3Brbctubdkm5U7wVtHeOWs646VhrCaGqJ31jpWPS8eYMvd7rTrMdoXMQSr1PT8mPJm11NF7_-RL8N72OG12lJV3uBF4cBFK8myEXPfrsYBhMgDhnXREhW85ZW9Hnf6E3cU6hnlcpRQSRbUsr9XJPuRRzTtAfzVCidxHqGqH-GWFln_3u_kj-yqwCag98Bxv77DzU7z5ipKbMJZVLWidCV76YXVKrOIdSV1_9_2qlLw60H2D7b8v68vrT3vsPXfnJXg</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Nowosielski, Yvonne</creator><creator>Leitner, Benedikt</creator><creator>Rauchegger, Teresa</creator><creator>Angermann, Reinhard</creator><creator>Psomiadi, Angeliki</creator><creator>Palme, Christoph</creator><creator>Laimer, Johannes</creator><creator>Liebensteiner, Michael</creator><creator>Zehetner, Claus</creator><general>Wiley</general><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1610-4619</orcidid><orcidid>https://orcid.org/0000-0003-3439-6333</orcidid><orcidid>https://orcid.org/0000-0003-1405-7457</orcidid></search><sort><creationdate>202111</creationdate><title>Bilateral cataract surgery improves neurologic brake reaction time and stopping distance in elderly drivers</title><author>Nowosielski, Yvonne ; Leitner, Benedikt ; Rauchegger, Teresa ; Angermann, Reinhard ; Psomiadi, Angeliki ; Palme, Christoph ; Laimer, Johannes ; Liebensteiner, Michael ; Zehetner, Claus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4438-56efce68a04db31b65bab95bfa9215c85961fcc1b545ad49b0018f0f3b7c47c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acuity</topic><topic>Aged</topic><topic>Automobile Driving - psychology</topic><topic>bilateral cataract surgery</topic><topic>Cataract - physiopathology</topic><topic>Cataract - psychology</topic><topic>Cataract Extraction</topic><topic>Contrast Sensitivity - physiology</topic><topic>elderly drivers</topic><topic>Eye surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>Middle Aged</topic><topic>neurologic brake reaction time</topic><topic>Ophthalmology</topic><topic>Original</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Reaction Time - physiology</topic><topic>Science & Technology</topic><topic>stopping distance</topic><topic>Surgery</topic><topic>Visual stimuli</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nowosielski, Yvonne</creatorcontrib><creatorcontrib>Leitner, Benedikt</creatorcontrib><creatorcontrib>Rauchegger, Teresa</creatorcontrib><creatorcontrib>Angermann, Reinhard</creatorcontrib><creatorcontrib>Psomiadi, Angeliki</creatorcontrib><creatorcontrib>Palme, Christoph</creatorcontrib><creatorcontrib>Laimer, Johannes</creatorcontrib><creatorcontrib>Liebensteiner, Michael</creatorcontrib><creatorcontrib>Zehetner, Claus</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Acta ophthalmologica (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nowosielski, Yvonne</au><au>Leitner, Benedikt</au><au>Rauchegger, Teresa</au><au>Angermann, Reinhard</au><au>Psomiadi, Angeliki</au><au>Palme, Christoph</au><au>Laimer, Johannes</au><au>Liebensteiner, Michael</au><au>Zehetner, Claus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral cataract surgery improves neurologic brake reaction time and stopping distance in elderly drivers</atitle><jtitle>Acta ophthalmologica (Oxford, England)</jtitle><stitle>ACTA OPHTHALMOL</stitle><addtitle>Acta Ophthalmol</addtitle><date>2021-11</date><risdate>2021</risdate><volume>99</volume><issue>7</issue><spage>e1013</spage><epage>e1017</epage><pages>e1013-e1017</pages><issn>1755-375X</issn><eissn>1755-3768</eissn><abstract>Aims
To determine brake reaction times before and after bilateral cataract surgery in elderly drivers.
Methods
Sixty‐four patients were evaluated on the day of and 4 weeks after bilateral cataract surgery. Forty‐three healthy individuals with a valid driving licence served as the control group. A driving simulator was used to determine brake reaction times after receiving a visual stimulus. Total brake reaction time (BRT) as well as neurologic reaction time (NRT), foot transfer time (FTT) and brake pedal travel time (BPTT) were measured, and the measurements obtained before and after cataract surgery were compared. The correlations between NRT, best‐corrected visual acuity (BCVA) and contrast sensitivity (CS) were assessed.
Results
Out of the 64 patients with bilateral cataract, 53 were assessed for postsurgical measurements. All time measures improved significantly after cataract surgery (BRT, 815.7(224) versus 647.9(148) ms; NRT, 364.7(91) versus 283.5(44) ms; FTT, 290.8(62) versus 248.6(58) ms; and BPTT, 160.6(96) versus 116.6(72) ms, p < 0.001). The calculated stopping distance improved significantly after surgery (22.3(6) versus 19.9(4) m at 50 km/h). Best‐corrected visual acuity (BCVA) and contrast sensitivity (CS) improved significantly after surgery (0.25(0.2) versus 0.05(0.05), n = 53, p < 0.001; 1.4(0.2) versus 1.6(0.1), p < 0.001, respectively). There was a significant negative correlation between CS and NRT before surgery (r = −0.253, n = 64, p = 0.04, Pearson’s correlation).
Conclusion
Our findings show a significant effect of CS on neurological BRTs and the corresponding stopping distances. This highlights the importance of presurgical CS evaluation as a critical factor in cataract surgery decisions in elderly drivers.</abstract><cop>HOBOKEN</cop><pub>Wiley</pub><pmid>34080310</pmid><doi>10.1111/aos.14748</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-1610-4619</orcidid><orcidid>https://orcid.org/0000-0003-3439-6333</orcidid><orcidid>https://orcid.org/0000-0003-1405-7457</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Acuity Aged Automobile Driving - psychology bilateral cataract surgery Cataract - physiopathology Cataract - psychology Cataract Extraction Contrast Sensitivity - physiology elderly drivers Eye surgery Female Follow-Up Studies Humans Life Sciences & Biomedicine Male Middle Aged neurologic brake reaction time Ophthalmology Original Patients Prospective Studies Reaction Time - physiology Science & Technology stopping distance Surgery Visual stimuli |
| title | Bilateral cataract surgery improves neurologic brake reaction time and stopping distance in elderly drivers |
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