Clinical Techniques
Visual Standards
*UK relevant
Group 1 entitlement (private car or motorbike)
Best corrected VA in good lighting sufficient to read a vehicle registration plate at 20 metres (where the figures are 5cm wide)
- The equivalent of this is approximately 6/12 Snellen VA
There should be no major binocular field defect: no more than 3 contiguous points missed in
- At least 120 degrees on the horizontal scale
- And within 20 degrees above and below fixation in the vertical
The Esterman protocol is commonly used for binocular testing: uses a target equivalent to the white Goldmann III4e setting
- New diplopia is a contraindication
- Diplopia must be controlled and the patient must have adapted
The DVLA should be informed about significant visual loss in one eye even if the other meets the standard for driving
Group 2 entitlement (lorries and buses)
- Best corrected VA at least 6/7.5 in the stronger eye
- Best corrected VA no worse than 6/60 in the other eye
- A glasses prescription of no more than +8
- NB: one eye with VA less than 3/60 is a contraindication to driving lorries, buses
- Normal binocular field of vision
- New onset diplopia is a contraindication
Diplopia must be controlled with prisms only (not with patching) and the patient must have adapted
- NB: Colour blindness is not a contraindication
Blind registration (“severely sight impaired”)
- Best corrected visual acuity is less than 3/60; or,
- Best corrected visual acuity is between 6/60 and 3/60 with field constriction; or,
- Best corrected visual acuity is between 6/18 and 6/60 with severe field constriction