1. Development and Validation of a Novel Night-Time Hazard Visibility Test.
- Author
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Wood JM, Lacherez P, Kennon C, Cuda D, and Black AA
- Subjects
- Humans, Male, Female, Young Adult, Adult, Vision Tests methods, Refractive Errors diagnosis, Refractive Errors physiopathology, Accidents, Traffic prevention & control, Visual Acuity physiology, Automobile Driving, Cataract physiopathology, Cataract diagnosis
- Abstract
Purpose: Night-time driving is dangerous, with increased crash rates, particularly involving vulnerable road users. A Night-Time Hazard Visibility Test (NHVT) was developed and validated by exploring the effects of refractive and cataract blur on performance., Methods: The NHVT comprised video clips of night-time roads from the driver's perspective, including different hazards (pedestrians, cyclists, and vehicles). Participants responded when they first recognized hazards requiring them to take evasive action to avoid a collision. In experiment 1, there were 16 young visually normal drivers (mean age = 22.3, standard deviation [SD] = 2.2 years) who completed 2 NHVT sets, viewed separately through best-correction and refractive blur (+1.00 diopter sphere [DS]). In experiment 2, a refined version of the NHVT was administered to an additional 16 young visually normal drivers (mean age = 21.1, SD = 1.2 years) with best-correction and cataract blur. The order of visual conditions and NHVT sets were counterbalanced., Results: In experiment 1, refractive blur significantly reduced photopic visual acuity (VA) compared to best-corrected vision (+0.09 vs. -0.21 logMAR, P < 0.001) and delayed response times by 0.69 seconds (3.10 vs. 2.41 seconds, P < 0.001) compared to best-corrected vision. In experiment 2, cataract blur reduced VA compared to best-corrected vision (+0.03 vs. -0.17 logMAR, P < 0.001) and delayed response times by 0.63 seconds (2.92 vs. 2.29 seconds, P < 0.001)., Conclusions: The NHVT was sensitive to refractive and cataract blur, providing preliminary support of its validity as a measure of night-time hazard visibility performance., Translational Relevance: The NHVT has potential as an off-road assessment of visibility for night driving and application for assessment of drivers with different refractive corrections and ocular diseases.
- Published
- 2024
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