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

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