Bilateral macular staphylomas in a patient with cone dystrophy.
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Biomedical subjects
Publications and source records attributed to W L Park.
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BACKGROUND: The primary purpose of public policy requiring vision testing for driver license renewal is to identify individuals with functional vision impairments and, when necessary, to restrict their driving. This is based on the presumption that poor vision is causally related to poor driving and traffic crashes. METHODS: The AOA Environmental and Occupational Vision Committee performed a synthesis of relevant empirical literature on policy-based research and developed potential options for enhancing traffic safety. RESULTS: Presently, some states require vision testing for driver's license renewal and some do not. Regional and nationwide studies report that vision-related license renewal policies are associated with enhanced traffic safety. However, contemporary vision screening tests may be of limited value in identifying individuals with functional vision impairments. CONCLUSION: The most cost-effective and valid method for identifying, treating and counseling visually impaired drivers is to require a comprehensive eye examination as a condition for driver license renewal for those with a high prevalence or high probability of vision impairment.
BACKGROUND: Five-hundred twenty-eight licensed, telescopic drivers in the state of Michigan, were sent a questionnaire consisting of 50 questions to evaluate the demographics, formal training procedures experienced by these drivers, and their driving habits. METHODS: One-hundred forty-nine responses were tabulated to determine the characteristics of the telescopic driver in the state of Michigan. RESULTS: The findings show an increased necessity for dynamic assessment, training and follow-up of the telescopic wearer and for referral to a specific driving program to establish safe driving skills. CONCLUSION: As the field of low vision expands in its delivery of care, and with improvement in technology, the desire for telescopic driver's licenses will increase. The need for dynamic training procedures delivered by the multidisciplinary rehabilitative team becomes even more vital to ensure safe driving skills and to protect the privilege to drive. Extensive training, followup and communication must be an integral part of this process.
This driving program for the visually impaired individual was devised in 1986, as a specific adjunct to the pre-existing training program, designed for the cognitive and physically impaired patients. Two important purposes of the program are: 1) To give the low vision practitioner and staff the capability to be able to recommend a specific training program for telescopic and visually impaired drivers. 2) To try to ensure that every visually impaired telescopic driver (prescribed with a telescopic system by the low vision center) would not only meet legal visual acuity and visual field requirements for the State of Michigan, but would also improve the competency of using their telescopic system for driving.
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