[New decisions in the distribution of motorized vehicles for the handicapped (supplement to announcement of October 1979)].
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Of 491 patients aged 65 years or older consecutively referred to a sight enhancement clinic in northern Alberta, 22 (4%) with vision below legal limits persisted in driving a motor vehicle. Significantly more men (11%) than women (1%) were driving illegally (p less than 0.00001). Among the men, a higher proportion of those aged 65 to 79 years (17%) than those aged 80 years or older (6%) were driving illegally (p less than 0.009). Many patients had several diseases, including tremor, hearing loss, heart problems and insulin-dependent diabetes mellitus. None had been reported to the Motor Vehicles Division. Both patients and physicians appear reluctant to acknowledge the consequences of visual disabilities. Drivers should have their vision screened regularly beginning at age 65 years. Physicians should notify the appropriate authorities when a patient can no longer drive legally and safely.
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Statistical analysis is described of data on 1000 British drivers' accident histories and their performance on a vision screening instrument. Significant positive associations are evident between various accident variables and tests of hyperphoria, right eye visual acuity, left eye acuity and binocular acuity. The clustering of associations is strongest for older drivers. The significance of hyperphoria has received little attention previously. The age-related associations with accidents parallel the decline with age of other visual abilities. Statutory re-testing of drivers' vision at about the age of 50 is recommended.
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