In this issue of JAMA Ophthalmology, Subash et al1 report that most of their study participants who underwent bilateral multispot laser panretinal photocoagulation (PRP) for proliferative diabetic retinopathy (PDR) met the visual field standard for holding a car or motorcycle license in the United Kingdom 6 months after treatment. As the authors point out, although PRP has been shown to reduce the risk for severe visual loss from PDR, the treatment can come at a cost to peripheral vision, namely, loss of peripheral light sensitivity. In this study, the authors document some loss of peripheral vision; however, 35 of the 38 available participants (92%) met the United Kingdom’s visual field requirement for licensure 6 months after treatment.
Cynthia Owsley, Gerald McGwin. Driving Eligibility in Proliferative Diabetic Retinopathy. JAMA Ophthalmol. 2016;134(6):672–673. doi:10.1001/jamaophthalmol.2016.0562