Journal Home
Search for

Volume 75, Issue 8, Pages 517-522 (August 2004)


View previous. 13 of 15 View next.

Natural sunlight and its association to civil aviation accidents

Van B. Nakagawara, O.D.1Corresponding Author Informationemail address, Kathryn J. Wood, CPOT1, Ron W. Montgomery, B.S.1

Background

Glare is a temporary visual sensation produced by luminance within the visual field that is significantly greater than that to which the eyes are adapted. Glare from natural and artificial light sources can result in temporary visual impairment, increasing the risk of an accident. This study investigates the relationship between visual impairment from natural sunlight and aviation accidents.

Methods

The National Transportation Safety Board Aviation Accident/Incident Database was queried for the period January 1,1988 to December 31,1998 for terms, which included “sun”, “glare”, “vision”, “blinded”, and “reflections”. Reports annotated with one or more of these terms were reviewed to determine whether glare was considered a direct or contributing factor in the event.

Results

There were 130 accidents in which glare was found to be a contributing factor. The majority of these events occurred during clear weather and atmospheric conditions (85%), and were associated with approach/landing and take-off/departure phases of flight (55%).

Conclusions

Exposure to glare from natural sunlight has contributed to aviation accidents, primarily under otherwise optimal visual conditions at low altitude in congested airspace. Preventative techniques are presented that may protect a pilot's visual performance against the debilitating effects of glare from the sun.

No full text is available. To read the body of this article, please view the PDF online.

Article Outline

Abstract

References

Copyright

References 

return to Article Outline

1.. 1.Illuminating Engineering Society of North America. American National Standard Practice for Industrial Lighting. American National Standards Institute, 1983: ANSI/IES RP-7,6,38.

2.. 2.Abrahamsson M, Sjostrand J. Impairment of contrast sensitivity function (CSF) as a measure of disability glare. Invest Ophthalmol Vis Sci. 1986;27:1131–1136. MEDLINE

3.. 3.Storch RL, Bodis-Wollner I. Overview of contrast sen sitivity and neuro-ophthalmic disease. In:  Nadler MP,  Miller D,  Nadler DJ editor. Glare and contrast sensitivity for clinicians. New York: Springer-Verlag; 1990;p. 85–112.

4.. 4.Pepose JS, Ubels JL. The cornea. In:  Hart WM editors. Adler's physiology of the eye. St. Louis: Mosby Year-Book; 1992;p. 29–70.

5.. 5.IJspeert JK, de Waard PW, van den Berg TJ, et al. The intraocular straylight function in 129 healthy volunteers: dependence on angle, age, and pigmentation. Vision Res. 1990;30:699–707. MEDLINE | CrossRef

6.. 6.Nakagawara VB, Montgomery RW, Wood KJ. The applicability of commercial glare test devices in the aeromedical certification of pilot applicants. Washington, DC: U.S. Department of Transportation/Federal Aviation Administration, 1994. FAA Report No. DOT/FAA/AM-94-15. (Available from: National Technical Information Service, Springfield, Virginia 22161. Order #ADA 284232.)

7.. 7.van den Berg TJ, IJspeert JK, de Waard PW. Dependence of intraocular stray light on pigmentation and light transmission through the ocular wall. Vision Res. 1991;31:1361–1367. MEDLINE | CrossRef

8.. 8.Bichao IC, Yager D, Meng J. Disability glare: effects of temporal characteristics of the glare source and of the visual-field location of the test stimulus. J Opt Soc Am A. 1995;12:2252–2258.

9.. 9.Owsley C, Stalvey BT, Wells J, et al. Visual risk factors for crash involvement in older drivers with cataract. Arch Ophthalmol. 2001;119:881–887. MEDLINE

10.. 10.Mantyjarvi M, Tuppurainen K. Cataract in traffic. Graefes Arch Clin Exp Ophthalmol. 1999;237:278–282. CrossRef

11.. 11.Mainster MA, Timberlake GT. Why HID headlights bother older drivers. Br J Ophthalmol. 2003;87:113–117. MEDLINE | CrossRef

12.. 12.Fong DS. Age-related macular degeneration: update for primary care. Am Fam Physician. 2000;61:3035–3042.

13.. 13.Faubert J, Overbury O. Binocular vision in older people with adventitious visual impairment: sometimes one eye is better than two. J Am Geriatr Soc. 2000;48:375–380. MEDLINE

14.. 14.Richer S. A protocol for the evaluation and treatment of atrophic age-related macular degeneration. J AM OPTOM ASSOC. 1999;70:13–23. MEDLINE

15.. 15.Lin S, Reiter K, Dreher AW, et al. The effect of pterygiaon contrast sensitivity and glare disability. Am J Oph thalmol. 1989;107:407–410.

16.. 16.Titiyal JS, Das A, Dada VK, et al. Visual performance of rigid gas-permeable contact lenses in patients with corneal opacity. CLAO J. 2001;27:163–165. MEDLINE

17.. 17.Jewelewicz DA, Evans R, Chen R, et al. Evaluation of night vision disturbances in contact lens wearers. CLAO J. 1998;24:107–110. MEDLINE

18.. 18.Miller D, Lazenby GW. Glare sensitivity in corrected aphakes. Ophthalmic Surg. 1977;8:54–57.

19.. 19.Harper RA, Halliday BL. Glare and contrast sensitivity in contact lens corrected aphakia, epikeratophakia, and pseudophakia. Eye. 1989;3(Pt. 5):562–570.

20.. 20.LeClaire J, Nadler MP, Weiss S, et al. A new glare tester for clinical testing: results comparing normal subjects and variously corrected aphakic patients. Arch Ophthalmol. 1982;100:153–158. MEDLINE

21.. 21.Alio JL, de la Hoz F, Perez-Santonja JJ, et al. Phakic anterior chamber lenses for the correction of myopia: a 7-year cumulative analysis of complications in 263 cases. Ophthalmology. 1999;106:458–466. Abstract | Full Text | Full-Text PDF (434 KB) | CrossRef

22.. 22.Dick HB, Krummenauer F, Schwenn O, et al. Objective and subjective evaluation of photic phenomena after monofocal and multifocal intraocular lens implantation. Ophthalmology. 1999;106:1878–1886. Abstract | Full Text | Full-Text PDF (507 KB) | CrossRef

23.. 23.Nadler DJ, Jaffe NS, dayman HM, et al. Glare disability in eyes with intraocular lenses. Am J Ophthalmol. 1984;97:43–47. MEDLINE

24.. 24.Tan JC, Spalton DJ, Arden GB. Comparison of methods to assess visual impairment from glare and light scattering with posterior capsule opacification. J Cataract Refract Surg. 1998;24:1626–1631. MEDLINE

25.. 25.Claesson M, Klaren L, Beckman C, et al. Glare and contrast sensitivity before and after Nd:YAG laser capsulotomy. Ada Ophthalmol jCopenhj. 1994;72:27–32.

26.. 26.Applegate RA, Trick LR, Meade DL, et al. Radial keratotomy increases the effects of disability glare: initialresults. Ann Ophthalmol. 1987;19:293–297. MEDLINE

27.. 27.Ghaith AA, Daniel J, Stulting RD, et al. Contrast sensitivity and glare disability after radial keratotomy and photorefractive keratectomy. Arch Ophthalmol. 1998;116:12–18. MEDLINE

28.. 28.Gartry DS, Kerr-Muir MG, Marshall J. Excimer laser photorefractive keratectomy: 18-month followup. Ophthal mology. 1992;99:1209–1219.

29.. 29.Diamond S. Excimer laser photorefractive keratectomy (PRK) for myopia—present status: aerospace considerations. Aviat Space Environ Med. 1995;66:690–693. MEDLINE

30.. 30.Ivan DJ, Tredici TJ, Perez-Becerra J, et al. Photorefractive keratectomy (PRK) in the military aviator: an aeromedical perspective. Aviat Space Environ Med. 1996;67:770–776. MEDLINE

31.. 31.el Danasoury MA. Prospective bilateral study of nightglare after laser in situ keratomileusis with single zone and transition zone ablation. J Refract Surg. 1998;14:512–516.

32.. 32.Novack GD. Ocular toxicology. Curr Opin Ophthalmol. 1994;5:110–114. MEDLINE | CrossRef

33.. 33.Mathison IW, Haas KL. Drug photosensitivity. I. Light- and photo-sensitivities observed during oral contraceptive therapy. A review. Obstet Gynecol Surv. 1970;25:389–401. MEDLINE

34.. 34.Caffery BE, Josephson JE. Ocular side effects of isotretinoin therapy. J AM OPTOM ASSOC. 1988;59:221–224. MEDLINE

35.. 35.Adams AJ, Brown B. Alcohol prolongs time course of glare recovery. Nature. 1975;257:481–483. MEDLINE | CrossRef

36.. 36.Adams AJ, Brown B, Haegerstrom-Portnoy G, et al. Marijuana, alcohol, and combined drug effects on the time course of glare recovery. Psychopharmacology (Berl). 1978;56:81–86. MEDLINE | CrossRef

37.. 37.Aerospace medicine: flight surgeon's guide. Washington, DC: Department of the Air Force, 1968. Air Force Pamphlet No. 161-18.

38.. 38.Curtis JL. Visual problems of high altitude flight. In:  Mercier A editors. Visual problems in aviation medicine. New York: The MacMillan Company; 1962;p. 39–44.

39.. 39.Nakagawara VB, Montgomery RW, Wood KJ. Aviation accidents and incidents associated with the use of ophthalmic devices by civilian pilots. Washington, DC: U.S. Department of Transportation/Federal Aviation Administration, 2001: FAA Report No. DOT/FAA/AM-01-14. (Available from: National Technical Information Service, Springfield, Virginia 22161. Order #ADA 396122.)

40.. 40.International Civil Aviation Organization. International standards and recommendation practices: aircraft accident and incident investigation, 9th ed. Chapter 1: Definitions. July 2001: 01/11/01. p. 1-1.

41.. 41.Swearingen JJ and Johnson GR. Strain patterns in aircraft windshield and visibility through polaroid sun glasses. Okla homa City, Okla.: United States Civil Aeronautic Administration, Aeronautical Center, Civil Aviation Medical Research Laboratories, 1948. Report No. AC 8500-1.

Federal Aviation Administration, Civil Aerospace Medical Institute, Oklahoma City, Oklahoma

Corresponding Author InformationCorresponding author: Federal Aviation Administration, Civil Aerospace Medical Institute, Vision Research Team, AAM-610, P.O. Box 25082 Oklahoma City, Oklahoma 73125.

1 Nakagawara VB, Wood KJ, Montgomery RW. Natural sunlight and its association to civil aviation accidents. Optometry 2004;75:517-22.

PII: S1529-1839(04)70177-3

doi:10.1016/S1529-1839(04)70177-3


View previous. 13 of 15 View next.