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This systematic review evaluated and summarized evidence on the impact of vision disorders and impairment on motor vehicle crash (MVC) risk and on\u2010road driving performance across seven databases, was prospectively registered with PROSPERO (CRD42020180135), and study quality rated using a standard tool. Forty\u2010eight studies met the inclusion criteria for MVC risk (N\u2009=\u200936), on\u2010road performance (N\u2009=\u20099), and both MVC risk and on\u2010road performance (N\u2009=\u20093). Of these studies, less than half were rated as \u2018good\u2019 quality. Due to the small number of studies and often conflicting findings, it was not possible to draw firm conclusions for most vision disorders. However, evidence from several \u2018good\u2019 and \u2018fair\u2019 quality studies suggested increased MVC risk with binocular visual field impairment. There was mixed evidence regarding the impact of cataract, glaucoma, age\u2010related macular degeneration and homonymous field loss on MVC risk and no evidence of increased MVC risk with mild VA impairment. This review highlights the need for well\u2010designed future studies to further explore the impact of vision disorders and impairment on driving outcomes to inform evidence\u2010based policy and fitness to drive guidelines.<\/jats:p>","DOI":"10.1111\/aos.14908","type":"journal-article","created":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T10:42:27Z","timestamp":1627296147000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Impact of vision disorders and vision impairment on motor vehicle crash risk and on\u2010road driving performance: A systematic review"],"prefix":"10.1111","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0776-7736","authenticated-orcid":false,"given":"Joanne M.","family":"Wood","sequence":"first","affiliation":[{"name":"Centre for Vision and Eye Research School of Optometry and Vision Science Queensland University of Technology (QUT) Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8671-5167","authenticated-orcid":false,"given":"Alex A.","family":"Black","sequence":"additional","affiliation":[{"name":"Centre for Vision and Eye Research School of Optometry and Vision Science Queensland University of Technology (QUT) Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8210-8194","authenticated-orcid":false,"given":"Kaeleen","family":"Dingle","sequence":"additional","affiliation":[{"name":"School of Public Health and Social Work QUT Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7009-2575","authenticated-orcid":false,"given":"Cameron","family":"Rutter","sequence":"additional","affiliation":[{"name":"Academic Division, Library QUT Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0312-7416","authenticated-orcid":false,"given":"Marilyn","family":"DiStefano","sequence":"additional","affiliation":[{"name":"Road Safety Victoria, Department of Transport Victorian State Government Melbourne Vic Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3973-299X","authenticated-orcid":false,"given":"Sjaan","family":"Koppel","sequence":"additional","affiliation":[{"name":"Monash University Accident Research Centre (MUARC) Monash University Clayton Vic Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5990-2151","authenticated-orcid":false,"given":"Judith L.","family":"Charlton","sequence":"additional","affiliation":[{"name":"Monash University Accident Research Centre (MUARC) Monash University Clayton Vic Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0146-4248","authenticated-orcid":false,"given":"Sharon A.","family":"Bentley","sequence":"additional","affiliation":[{"name":"Centre for Vision and Eye Research School of Optometry and Vision Science Queensland University of Technology (QUT) Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tra.2014.11.002"},{"key":"e_1_2_9_3_1","first-page":"261","article-title":"Visual function survey of commercial intercity vehicle drivers in Ilorin, Nigeria","volume":"44","author":"Adekoya BJ","year":"2009","journal-title":"Can J Public Health"},{"key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"199","DOI":"10.4103\/1117-1936.177550","article-title":"Visual standards in commercial driving","volume":"14","author":"Adeoti CO","year":"2007","journal-title":"Nigerian Postgrad Med J"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0023835"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-4575(97)00102-4"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2016.02.031"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13741"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13931"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2008.144584"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-1313.1985.tb00656.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006324-200303000-00010"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0001-4575(93)90021-N"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/15389588.2018.1508834"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.64.2.268"},{"key":"e_1_2_9_16_1","unstructured":"Federal Highway Administration DoTU(2018):Highway Statistics 2017. 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