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Patients With Homonymous Hemianopia Become Visually Qualified to Drive Using Novel Monocular Sector Prisms

Update item information
Title Journal of Neuro-Ophthalmology, March 2014, Volume 34, Issue 1
Publisher Lippincott, Williams & Wilkins
Date 2014-03
Type Text
Language eng
Rights Management © North American Neuro-Ophthalmology Society
Publication Type Journal Article
ARK ark:/87278/s67979sg
Setname ehsl_novel_jno
Date Created 2015-03-24
Date Modified 2020-03-03
ID 227572
Reference URL https://collections.lib.utah.edu/ark:/87278/s67979sg

Page Metadata

Title Patients With Homonymous Hemianopia Become Visually Qualified to Drive Using Novel Monocular Sector Prisms
Creator Moss, Adam M; Harrison, Andrew R; Lee, Michael S
Affiliation Department of Ophthalmology and Visual Neurosciences, University of Minnesota School of Medicine, Minneapolis, Minnesota
Subject Adult; Automobile Driving; Eyeglasses; Hemianopsia; Humans; Male; Vision, Binocular; Visual Field Tests; Visual Fields; Young Adult
Abstract Patients with homonymous hemianopia (HH) often fail to meet visual field (VF) requirements for a driver's license. We describe 2 patients with complete HH, who met the minimum VF requirements for driving using a novel, high-power, monocular sector prism system. Baseline VFs were assessed using automated and kinetic perimetry. Patients were fitted with glasses and press-on 57-PD peripheral monocular sector prisms placed on the lens ipsilateral to the VF defect above and below the visual axis with prisms oriented obliquely. Kinetic perimetry was reassessed both monocularly and binocularly, with and without prisms. The 2 patients had 95 and 82 angle of continuous, horizontal, binocular VF. With the use of the prism system, the binocular VF increased to 115 and 112 angles. Both patients reported improvement in quality of life and each holds a valid driver's license and has successfully operated a motor vehicle without any restrictions or accidents. These findings suggest that the addition of oblique 57-PD prisms to the ipsilateral spectacle lens above and below the visual axis for patients with complete HH can significantly increase horizontal VF, which may help an individual become visually qualified to obtain a driver's license.
OCR Text Show
Publisher Lippincott, Williams & Wilkins
Date 2014-03
Type Text
Language eng
Rights Management © North American Neuro-Ophthalmology Society
Publication Type Journal Article
Setname ehsl_novel_jno
Date Created 2015-03-24
Date Modified 2015-03-24
ID 227552
Reference URL https://collections.lib.utah.edu/ark:/87278/s67979sg/227552