How much blame can be placed on laser photocoagulation for failure to attain driving standards?
One hundred consecutive patients who underwent bilateral pan-retinal photocoagulation (PRP) for proliferative diabetic retinopathy were assessed in accordance with the UK Driver and Vehicle Licensing Agency (DVLA) guidelines. Visual acuity was documented, and visual fields were assessed using the Es...
Gespeichert in:
| Veröffentlicht in: | Eye (London) 1995-01, Vol.9 (4), p.517-525 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 525 |
|---|---|
| container_issue | 4 |
| container_start_page | 517 |
| container_title | Eye (London) |
| container_volume | 9 |
| creator | Mackie, S W Webb, L A Hutchison, B M Hammer, H M Barrie, T Walsh, G |
| description | One hundred consecutive patients who underwent bilateral pan-retinal photocoagulation (PRP) for proliferative diabetic retinopathy were assessed in accordance with the UK Driver and Vehicle Licensing Agency (DVLA) guidelines. Visual acuity was documented, and visual fields were assessed using the Esterman test. Among the 30% of patients who failed to reach the visual standards required for a driving licence, three groups were identified: those who failed to attain either the required binocular visual acuity (n = 4), or visual fields (n = 9), or both (n = 17). Previous studies reveal a large variation in DVLA field test failure following PRP treatment for proliferative diabetic retinopathy. Our results show a 19% failure rate solely attributable to treatment, which is at the lower end of previously reported studies (20-80%). The reasons for this discrepancy are discussed. We conclude that modern treatment procedures for proliferative diabetic retinopathy may be undertaken with the knowledge that in the majority of cases a patient's driving licence is unlikely to be revoked. |
| doi_str_mv | 10.1038/eye.1995.118 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_77738143</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>77738143</sourcerecordid><originalsourceid>FETCH-LOGICAL-c416t-29925f1e06fd0d69d4c2ade8ccda4d66b75c4c1e83ebae61043fde8501811cc03</originalsourceid><addsrcrecordid>eNp1kLFr3DAUh0VpSa5pt64BDSVTfZFsWbKnUELaFAJZEsgmnqXni4MsXSS5Jf99dNxxWyfB-z5-go-Qb5ytOWu6S3zDNe_7ds1594GsuFCyakUrPpIV61tW1XX9dEo-p_TCWIGKnZATJfquVd2K6Nvwj86LeaaDgxmpAU8HpFsHBi0NnjpIGOn2OeRgAmwWB3kq5zFEOsLklog0Bwo5w-SpjdPfyW9oyuAtRJuuvpBPI7iEXw_vGXn8dfNwfVvd3f_-c_3zrjKCy1zVfV-3I0cmR8us7K0wNVjsjLEgrJSDao0wHLsGB0DJmWjGglvGO86NYc0ZudjvbmN4XTBlPU_JoHPgMSxJK6WajoumiD_2ookhpYij3sZphvimOdO7nrr01LueuvQs-vlhdxlmtEf5ELDw7wcOyYAbI3gzpaPWSMmU4kWr9loqxG8w6pewRF-K_O9buvc95JL4uFeknbNT3gGL0Zjg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>77738143</pqid></control><display><type>article</type><title>How much blame can be placed on laser photocoagulation for failure to attain driving standards?</title><source>MEDLINE</source><source>Springer Online Journals Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Mackie, S W ; Webb, L A ; Hutchison, B M ; Hammer, H M ; Barrie, T ; Walsh, G</creator><creatorcontrib>Mackie, S W ; Webb, L A ; Hutchison, B M ; Hammer, H M ; Barrie, T ; Walsh, G</creatorcontrib><description>One hundred consecutive patients who underwent bilateral pan-retinal photocoagulation (PRP) for proliferative diabetic retinopathy were assessed in accordance with the UK Driver and Vehicle Licensing Agency (DVLA) guidelines. Visual acuity was documented, and visual fields were assessed using the Esterman test. Among the 30% of patients who failed to reach the visual standards required for a driving licence, three groups were identified: those who failed to attain either the required binocular visual acuity (n = 4), or visual fields (n = 9), or both (n = 17). Previous studies reveal a large variation in DVLA field test failure following PRP treatment for proliferative diabetic retinopathy. Our results show a 19% failure rate solely attributable to treatment, which is at the lower end of previously reported studies (20-80%). The reasons for this discrepancy are discussed. We conclude that modern treatment procedures for proliferative diabetic retinopathy may be undertaken with the knowledge that in the majority of cases a patient's driving licence is unlikely to be revoked.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.1995.118</identifier><identifier>PMID: 7498578</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Automobile Driver Examination ; Biological and medical sciences ; Diabetic Retinopathy - surgery ; Humans ; Laboratory Medicine ; Laser Coagulation ; Medical sciences ; Medicine ; Medicine & Public Health ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Surgical Oncology ; Vision Tests - standards ; Vision, Binocular ; Visual Acuity ; Visual Fields</subject><ispartof>Eye (London), 1995-01, Vol.9 (4), p.517-525</ispartof><rights>Royal College of Ophthalmologists 1995</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-29925f1e06fd0d69d4c2ade8ccda4d66b75c4c1e83ebae61043fde8501811cc03</citedby><cites>FETCH-LOGICAL-c416t-29925f1e06fd0d69d4c2ade8ccda4d66b75c4c1e83ebae61043fde8501811cc03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/eye.1995.118$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/eye.1995.118$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3660771$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7498578$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mackie, S W</creatorcontrib><creatorcontrib>Webb, L A</creatorcontrib><creatorcontrib>Hutchison, B M</creatorcontrib><creatorcontrib>Hammer, H M</creatorcontrib><creatorcontrib>Barrie, T</creatorcontrib><creatorcontrib>Walsh, G</creatorcontrib><title>How much blame can be placed on laser photocoagulation for failure to attain driving standards?</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>One hundred consecutive patients who underwent bilateral pan-retinal photocoagulation (PRP) for proliferative diabetic retinopathy were assessed in accordance with the UK Driver and Vehicle Licensing Agency (DVLA) guidelines. Visual acuity was documented, and visual fields were assessed using the Esterman test. Among the 30% of patients who failed to reach the visual standards required for a driving licence, three groups were identified: those who failed to attain either the required binocular visual acuity (n = 4), or visual fields (n = 9), or both (n = 17). Previous studies reveal a large variation in DVLA field test failure following PRP treatment for proliferative diabetic retinopathy. Our results show a 19% failure rate solely attributable to treatment, which is at the lower end of previously reported studies (20-80%). The reasons for this discrepancy are discussed. We conclude that modern treatment procedures for proliferative diabetic retinopathy may be undertaken with the knowledge that in the majority of cases a patient's driving licence is unlikely to be revoked.</description><subject>Automobile Driver Examination</subject><subject>Biological and medical sciences</subject><subject>Diabetic Retinopathy - surgery</subject><subject>Humans</subject><subject>Laboratory Medicine</subject><subject>Laser Coagulation</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Surgical Oncology</subject><subject>Vision Tests - standards</subject><subject>Vision, Binocular</subject><subject>Visual Acuity</subject><subject>Visual Fields</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLFr3DAUh0VpSa5pt64BDSVTfZFsWbKnUELaFAJZEsgmnqXni4MsXSS5Jf99dNxxWyfB-z5-go-Qb5ytOWu6S3zDNe_7ds1594GsuFCyakUrPpIV61tW1XX9dEo-p_TCWIGKnZATJfquVd2K6Nvwj86LeaaDgxmpAU8HpFsHBi0NnjpIGOn2OeRgAmwWB3kq5zFEOsLklog0Bwo5w-SpjdPfyW9oyuAtRJuuvpBPI7iEXw_vGXn8dfNwfVvd3f_-c_3zrjKCy1zVfV-3I0cmR8us7K0wNVjsjLEgrJSDao0wHLsGB0DJmWjGglvGO86NYc0ZudjvbmN4XTBlPU_JoHPgMSxJK6WajoumiD_2ookhpYij3sZphvimOdO7nrr01LueuvQs-vlhdxlmtEf5ELDw7wcOyYAbI3gzpaPWSMmU4kWr9loqxG8w6pewRF-K_O9buvc95JL4uFeknbNT3gGL0Zjg</recordid><startdate>19950101</startdate><enddate>19950101</enddate><creator>Mackie, S W</creator><creator>Webb, L A</creator><creator>Hutchison, B M</creator><creator>Hammer, H M</creator><creator>Barrie, T</creator><creator>Walsh, G</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</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>7X8</scope></search><sort><creationdate>19950101</creationdate><title>How much blame can be placed on laser photocoagulation for failure to attain driving standards?</title><author>Mackie, S W ; Webb, L A ; Hutchison, B M ; Hammer, H M ; Barrie, T ; Walsh, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-29925f1e06fd0d69d4c2ade8ccda4d66b75c4c1e83ebae61043fde8501811cc03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Automobile Driver Examination</topic><topic>Biological and medical sciences</topic><topic>Diabetic Retinopathy - surgery</topic><topic>Humans</topic><topic>Laboratory Medicine</topic><topic>Laser Coagulation</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Surgical Oncology</topic><topic>Vision Tests - standards</topic><topic>Vision, Binocular</topic><topic>Visual Acuity</topic><topic>Visual Fields</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mackie, S W</creatorcontrib><creatorcontrib>Webb, L A</creatorcontrib><creatorcontrib>Hutchison, B M</creatorcontrib><creatorcontrib>Hammer, H M</creatorcontrib><creatorcontrib>Barrie, T</creatorcontrib><creatorcontrib>Walsh, G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mackie, S W</au><au>Webb, L A</au><au>Hutchison, B M</au><au>Hammer, H M</au><au>Barrie, T</au><au>Walsh, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How much blame can be placed on laser photocoagulation for failure to attain driving standards?</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>1995-01-01</date><risdate>1995</risdate><volume>9</volume><issue>4</issue><spage>517</spage><epage>525</epage><pages>517-525</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><coden>EYEEEC</coden><abstract>One hundred consecutive patients who underwent bilateral pan-retinal photocoagulation (PRP) for proliferative diabetic retinopathy were assessed in accordance with the UK Driver and Vehicle Licensing Agency (DVLA) guidelines. Visual acuity was documented, and visual fields were assessed using the Esterman test. Among the 30% of patients who failed to reach the visual standards required for a driving licence, three groups were identified: those who failed to attain either the required binocular visual acuity (n = 4), or visual fields (n = 9), or both (n = 17). Previous studies reveal a large variation in DVLA field test failure following PRP treatment for proliferative diabetic retinopathy. Our results show a 19% failure rate solely attributable to treatment, which is at the lower end of previously reported studies (20-80%). The reasons for this discrepancy are discussed. We conclude that modern treatment procedures for proliferative diabetic retinopathy may be undertaken with the knowledge that in the majority of cases a patient's driving licence is unlikely to be revoked.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>7498578</pmid><doi>10.1038/eye.1995.118</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0950-222X |
| ispartof | Eye (London), 1995-01, Vol.9 (4), p.517-525 |
| issn | 0950-222X 1476-5454 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77738143 |
| source | MEDLINE; Springer Online Journals Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Automobile Driver Examination Biological and medical sciences Diabetic Retinopathy - surgery Humans Laboratory Medicine Laser Coagulation Medical sciences Medicine Medicine & Public Health Ophthalmology Pharmaceutical Sciences/Technology Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Surgical Oncology Vision Tests - standards Vision, Binocular Visual Acuity Visual Fields |
| title | How much blame can be placed on laser photocoagulation for failure to attain driving standards? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T01%3A38%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=How%20much%20blame%20can%20be%20placed%20on%20laser%20photocoagulation%20for%20failure%20to%20attain%20driving%20standards?&rft.jtitle=Eye%20(London)&rft.au=Mackie,%20S%20W&rft.date=1995-01-01&rft.volume=9&rft.issue=4&rft.spage=517&rft.epage=525&rft.pages=517-525&rft.issn=0950-222X&rft.eissn=1476-5454&rft.coden=EYEEEC&rft_id=info:doi/10.1038/eye.1995.118&rft_dat=%3Cproquest_cross%3E77738143%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=77738143&rft_id=info:pmid/7498578&rfr_iscdi=true |