Maintaining Fitness to Drive

State Vision Screening and Standards for License to Drive

This resource is current according to most recently available information. State requirements, however, may change at any time. To confirm information found here, we recommend that you contact your state’s licensing agency. We also welcome any updates and corrections.

Helpful information about driving with low vision:

Alaska

Drivers undergo vision screening each time they renew their license in-person. The renewal cycle is 5 years, and drivers whose license is in good standing may renew by mail every other cycle until they reach age 69. An applicant must meet the following visual standards:

Arizona

Arizona issues a lifetime license up to age 65, but applicants must come into a license office every 12 years to apply for a duplicate license, and have their vision rechecked. At age 65, applicants must reapply every 5 years. One way that individuals with vision problems would be brought to the Agency’s attention would be a failure on the vision test. Conventionally corrected visual acuity must be 20/40 in at least one eye. The field of vision must be 70 degrees, plus 35 degrees on the opposite side of the nose, in at least one eye. Applicants who fail the Department-administered vision test must have a vision specialist complete a Vision Examination Report, and return it to the Department. The report must be based on an examination that is not older than three months from the date of submission to the Department. It must include:

Persons with conventionally corrected vision must wear corrective lenses at all times when driving. Persons diagnosed with impaired night vision are restricted to daytime driving only. Persons with binocular vision and with corrected visual acuity of 20/50 or 20/60 in both eyes together, are restricted to daytime driving only.

Arkansas

The Office of Driver Services performs a vision screening test for acuity and visual fields on all drivers renewing their licenses. A person must have a minimum uncorrected (no glasses or contacts) visual acuity of 20/40 to qualify for an unrestricted driver’s license. A person must have a minimum corrected (with glasses or contacts) visual acuity of 20/50 to qualify for a restricted license (drive with corrective lenses). Drivers with visual acuity of 20/60 are restricted to daytime driving only. A person with two functional eyes must have a field vision of 140 degrees. A person with one functional eye must have a field vision of 105 degrees. Applicants who fail the vision test must go to an ophthalmologist or optometrist for visual correction, and bring a form back to the Office of Driver Services from their vision care specialist stating that their vision has been corrected.

California

Drivers must also pass a vision test and a written knowledge test upon license renewal if they appear in person to renew. Drivers age 70 and older may not renew by mail, so they must appear in person to renew their licenses every 5 years. The knowledge test is useful for determining the driver’s mental competency, and cognitive and language skills. It can indicate when a person with dementia has deteriorating reading and comprehension skills as well as impaired cognitive and perceptual skills that may impact his or her ability to drive safely. The Department’s visual acuity screening standard is 20/40 or better with both eyes together, and no worse than 20/70 in the poorer eye. Drivers who fail the vision screening are referred to a vision specialist who must examine the driver and complete a Report of Vision Examination. Drivers with visual acuity of 20/200 or worse may not be licensed to drive. Drivers may use bioptic telescopes for driving, but may not use them to meet the vision standard. Following review of the Report of Vision Examination, the driver may be scheduled for a Drive Test or Special Drive Test to determine whether the vision condition impairs the ability to drive or whether the driver can adequately compensate for the vision condition. The Guidelines document provides matrices for visual conditions, definitions, range of severity, whether a driving test or special driving test should be administered for a particular acuity level, and what kinds of restriction could be placed on the license. Restrictions could include corrective lenses, sunrise to sunset driving only, no freeway, area restriction, additional mirrors (right side, wide angle, panoramic, right- or left-fender-mounted mirrors). An immediate revocation may be imposed after an examiner gives a driving test or special driving test to a low-vision driver who has performed dangerously poor and the condition renders the person unsafe to drive.

Colorado

All original and renewing applicants must take and pass a vision test. To pass the acuity test, applicants must have at least 20/40 in the better eye if the worse eye is worse than 20/200, or must have at least 20/70 in the better eye if the worse eye is better than 20/200.

Drivers are also screened for phoria (double vision), unless they have vision in only one eye. Applicants using bioptic telescopic lenses must attempt to pass the acuity test using only the carrier lens (and not the telescope). Drivers who fail the acuity or the phoria test must have a Confidential Medical/Eye Exam Report (DR 2401) completed by their vision specialist. The vision specialist is required to complete all sections pertaining to vision, indicate whether authorizing a driving privilege would be medically prudent, and recommend licensing restrictions that should apply. The eye specialist may check off any of the following restrictions, or enter a restriction not on the list: daylight driving only; not more than ___ mph; area radius ___ miles from home; right sideview mirror, or left sideview mirror.

Connecticut

New license applicants must take a vision test, and meet the minimum standards of: 20/40 visual acuity in both eyes or the better eye with or without corrective lenses, and an uninterrupted binocular visual field of at least 140 degrees in the horizontal meridian, or a monocular field of at least 100 degrees in the horizontal meridian, and no evidence of any other visual condition(s) which either alone or in combination would significantly impair driving ability.

Drivers who fail to meet the minimum standards are required to file an Eye Care Professional’s Medical Report, reflecting the results of the doctor’s personal examination within 90 days of the report being filed with the department. A person who has a best corrected visual acuity of worse that 20/40 but at least 20/70, an uninterrupted visual field of not less than 100 degrees in the horizontal meridian, and no other visual conditions that could significantly impair driving ability may be issued a license restricted to daylight only or as otherwise determined by the Commissioner. A person who has best corrected visual acuity better than 20/200 in the better eye, and has an uninterrupted visual field of at least 100 degrees in the horizontal meridian may be issued a license as the Commissioner deems advisable after consideration of factors including driving ability, driving needs, and the recommendations of the person’s ophthalmologist or optometrist. The person may be required to take a road test, and the opinion of the MAB may be requested to determine whether a license should be issued and what restrictions should be imposed. If a driver has a visually related health problem that may affect safe driving ability, he or she will be required to submit a Vision Report for evaluation by the Commissioner.

No license will be issued to a person who has best correct visual acuity of 20/200 or worse in the better eye, or has an uninterrupted binocular visual field of less than 100 degrees in the horizontal meridian or an uninterrupted monocular visual field of less than 70 degrees in the horizontal meridian, or has any other visual condition(s) which alone or in combination will significantly impair driving ability. Connecticut does not issue licenses to drivers who use spectacle mounted telescopic aids.

Delaware

All original and renewal applicants must pass a vision screening test before a license is issued. Applicants with visual acuity of 20/40 or better in one eye will be issued an unrestricted license. Applicants with 20/50 vision are restricted to daylight only driving. If corrective lenses are required to obtain the vision standards, a restriction for corrective lenses will be added to the license. Applicants who cannot meet the vision standards must have their optometrist or ophthalmologist complete a Report of Visual Status Form (MV-322). In addition to the visual acuity measures and whether they were obtained with correction, the eyecare specialist is asked to describe any field deficits, recommend restrictions, recommend vision retesting intervals, describe evidence of eye disease or defects of structure that would affect visual performance now or in the future, and to list any circumstances that may assist in the final disposition of the case.

First-time applicants are not issued a license until they either pass a vision screening or submit an acceptable vision test from their doctor; renewal applicants who fail the vision screening test are issued a 60-day temporary license if their license is about to expire, to provide time for the eye exam by an eye care specialist. If the applicant cannot meet the standards when tested by the eyecare specialist, the license is denied, and he or she may appeal the decision to the MAB. The MAB’s recommendations are used by the Medical Review Section to determine the applicant’s license status. The decision made by the Medical Review Section can be appealed to the Court of Common Pleas. Those who must wear bioptic lenses to drive must: be recommended by an optometrist or ophthalmologist; attend specialized rehabilitation training classes; and pass a written and road test administered by the Division. The Medical Review Section will forward the case to the MAB for its recommendation. The Medical Review Section will make the final licensing decision based upon the MAB’s recommendation. Those who operate motor vehicles with bioptic lenses must complete a road skill test upon initial issue, when renewing their license or when transferring their driver license from another state.

District of Columbia

Original and renewal applicants must also take and pass a vision test before being (re)licensed. The minimum visual acuity requirements are 20/40 in at least one eye and no less than 20/70 in the other eye, with or without correction. The field of vision must be at least 130 degrees in the horizontal meridian.
Applicants who cannot meet the minimum standards and applicants with only one functioning eye must take an Eye Report form to their ophthalmologist or optometrist for completion and return to the Medical Unit. Applicants with visual acuity of less than 20/40 but not less than 20/70 in the best or only eye and a field of vision of at least 140 degrees in the horizontal meridian may be issued a license upon favorable recommendation from their eyecare specialist, which will be restricted to daytime driving and the use of a left sideview mirror. Applicants being treated for glaucoma or cataracts may be issued a license if they meet the visual standards, and must submit an Eye Report annually, unless the eyecare specialist indicates more or less frequent reports should be submitted. Less frequent reports may be submitted, following three consecutive annual reports which indicate that no appreciable deterioration has occurred.

Florida

Customers with vision problems are identified by License Examiners at the time of initial application or renewal, as all first-time applicants and renewals must undergo vision screening. Applicants may renew by mail on every other renewal if they have a clean driving record. A new law passed in 2003 provides for mandatory vision screening for drivers age 80 and older who are renewing their licenses.
Applicants who have 20/50 vision or worse in either eye with or without corrective lenses are referred to a licensed practitioner for possible improvement. They are given a Report of Eye Exam to have completed by the eyecare specialist. Applicants who have 20/70 vision in either eye, may pass with or without corrective lenses if vision cannot be improved; however, if one eye is blind, or 20/200 or worse, the other eye must be 20/40 or better.
Applicants who have 20/80 vision or worse, with both eyes, are not licensed. Applicants may not use telescopic lenses to meet the visual standards. The minimum acceptable field of vision is 130 degrees. If an applicant fails an initial vision screening, a temporary 60-day permit is issued, provided the customer does not have a revocation reading. The customer may continue in the licensing process by taking the written test that day, but will not have the license renewned until he or she returns and passes the vision screening. On a subsequent visit if vision is failed, a suspension order for “Failure to Pass Required Examination or Reexamination” is placed on the driving record. The driver may continue with written testing, but the license isn’t renewed until the customer returns and passes vision screening. If the vision screening results in a revocation reading, a revocation order for “Inadequate Vision is placed on the driving record. The driver
may continue with written testing, but the license isn’t renewed until the customer returns and passes vision screening.

Hawaii

Drivers undergo vision screening each time they come into a licensing center for renewal. The test may be waived with the presentation of a vision report from an ophthalmologist or optometrist within the past 6-month period. If applicants do not meet the acuity standard of 20/40 in at least one eye, and visual field of 140 degrees horizontally, they must have a vision statement completed by an ophthalmologist or optometrist.

Georgia

First-time applicants and drivers renewing their licenses in person at every other renewal period are also required to have their vision screened. Individuals must have visual acuity (Snellen) of at least 20/60, corrected or uncorrected, in at least one eye, and a horizontal field of vision of at least 140 degrees binocularly, or in the event that only one eye has usable vision, horizontal field of vision must be at least 70 degrees temporally and 50 degrees nasally. Individuals with visual acuity of less than 20/60 but better than 20/200 using spectacles, contact lenses, or the carrier position of the bioptic spectacles will be considered eligible for licensing under the following provisions: the person can attain a visual acuity of at least 20/60 through utilizing bioptic telescopes; the telescopes are prescribed by a licensed optometrist or ophthalmologist; the person presents documentation of having satisfactorily completed training in the use of the bioptic telescope as certified by the prescribing doctor; the person completes a standard driver’s education course while using the bioptic telescopes prior to a Department onroad test; and the person passes a written and driver’s test examination at a Department exam station. Persons licensed to drive using bioptic telescopes are subject to license restrictions as determined or recommended by the prescribing eyecare specialist of the driver license examiner.
Restrictions may include daylight driving only, outside rear-view mirrors, area and time restrictions, no interstate driving, yearly reevaluations by an eyecare specialist, or other restrictions as deemed appropriate. Bioptic telescopic drivers must renew their driver’s licenses every 2 years and undergo reevaluation by their optometrist or ophthalmologist and pass the Department road test.

Idaho

Drivers in Idaho have their vision screened upon initial licensure and each time they come into the sheriff’s office to renew their licenses. This may be done every 4 years, or 8 years if they choose to renew by mail. After the age of 62, drivers may not renew by mail (they must appear in person every 4 years. The visual standard that drivers must meet to be eligible to drive without restrictions is 20/40 or better in one eye. Drivers with acuity between 20/50 and 20/60 must complete an annual vision test and an annual on-road skills test. Applicants with 20/70 acuity or worse are denied a license. Bioptic lenses users must have an acuity of 20/40 or better in one eye, and restrictions are placed that include daylight driving only and annual vision and road tests. Applicants who are required to have an annual visual exam and road test must show a certificate of examination before taking the road test. If minimum standards are not met, the road test is not given.

Illinois

Initial and renewing drivers are required to pass a vision screening test at each 4-year renewal cycle, unless they are between ages 22 and 74 and are eligible to renew by mail every other cycle because they have a clean driving record. Drivers must also take a knowledge test every 8 years, unless they have a clean driving record. Upon attaining the age of 75, drivers are not eligible to renew by mail, and must come into a Department of Driver Services office to take a road test and a vision test, and possibly a knowledge test. Drivers ages 75 to 80 are issued a 4-
year license. Between the ages of 81 and 85, drivers are issued a 2-year license and must pass a road test and a vision test at each renewal (and possibly the knowledge test). At age 87, drivers are issued a 1-year license, and must take the road test and vision test annually prior to being licensed (and possibly the knowledge test).
Illinois’ vision standards are binocular visual acuity of at least 20/40 and a peripheral visual field of at least 140 degrees binocularly (or 70 degrees horizontal and 35 degrees nasal, if monocular). Drivers who cannot meet the standards when administered the Department’s vision examination must obtain a favorable report from their vision specialist. A favorable vision specialist’s report contains a monocular or binocular acuity reading of 20/70 or better, and a peripheral field of 140 binocular (or 70 degree temporal and 35 degrees nasal monocular.)
Drivers who need corrective lenses to meet the standard are issued a license restricted to the use of corrective lenses. Applicants with binocular acuity readings of 20/41 to 20/70 (inclusive) are restricted to driving during daylight only. Screenings are administered to the left and right eyes individually to determine the need for an outside rearview mirror. Applicants who obtain a monocular acuity reading which is not better than 20/100 with or without standard corrective lenses are restricted to outside rearview mirrors. Applicants who qualify on the peripheral visual field standard only monocularly are restricted to operating a vehicle with left and right outside mirrors. If the vision specialist indicates that the applicant’s eyesight is deteriorating due to a visual disorder and warrants periodic reexamination, the Department follows the specialist’s recommendation, and will issue a license with a periodic visual reexamination requirement.
Applicants using binocular telescopic lenses may be issued a license if the binocular or monocular acuity reading through the telescopic lenses is 20/40 or better in both eyes, monocular or binocular acuity readings through the carrier lenses are 20/100 or better in both eyes, and the peripheral readings meet Illinois’ standards with the lens arrangement in place and without the use of field enhancements. The power of the telescopic lenses may not exceed 3.0X (wide angle) or 2.2 X (standard). Applicants must have been using the telescopic lenses at least 60 days prior to the examination conducted by a licensed vision specialist.
Applicants must provide a statement that they have clinically demonstrated the ability to locate stationary objects within the telescopic field and locate moving objects in a large field of vision; and that they have clinically demonstrated the ability to recall what they have observed after a brief exposure. They must also provide a statement that they have clinically experienced levels of illumination that may be encountered during inclement weather, and when driving from daylight into areas of shadow or artificial light; and that they have experienced being a pedestrian and riding as a passenger to gain practical experience of motion while objects are changing position. Drivers who qualify to drive with the use of a telescopic lens are restricted to daylight only driving and submission of an annual vision specialist report. A special restricted license for a period of 12 months may be issued to telescopic drivers who wish to drive at night, provided that they have operated a vehicle with telescopic lenses during the daytime for the past year, have had no crashes during nighttime hours during the prior 12-month period, and have successfully complete a road test administered at night. Drivers renewing the nighttime restricted license must be crash free in the prior 12-month period, and pass a nighttime driving test.

Indiana

Initial and renewing applicants are required to take and pass a vision test. Indiana has a 4-year renewal cycle that is reduced to 3 years when drivers reach age 75. If applicants cannot meet the acuity requirement of 20/40, they are given a certificate of vision to take to their eyecare specialist for completion and return to the BMV. The Certificate of Vision form lists acuities and restrictions that the eyecare specialist checks as applicable. Drivers with 20/40 acuity or better in each eye with or without visual correction, will be licensed without visual restrictions, unless glasses or contacts were used to pass the test. Drivers with acuity in the best eye of 20/40 or better and 20/50 to blind in the other eye, with or without correction, will receive a visual restriction requiring an outside rearview mirror, and visual correction if used to pass the test. Drivers with 20/50 acuity in each eye, with or without visual correction, will be required to wear glasses or contact lenses when driving, unless a vision specialist certifies in writing that lenses will not improve vision. Drivers with 20/50 acuity in one eye and 20/70 to blind in the other eye will be restricted to glasses, an outside rearview mirror, and daylight driving only.
Drivers with 20/70 in each eye, with or without glasses, will be restricted to wearing glasses, using an outside rearview mirror, and driving in daylight only, but must have normal peripheral visual fields. If the Driver Services Branch cannot make a determination as to what restrictions to place on the license because the applicant has an eye condition or vision falls off the guidelines chart, the certificate is sent to the IDLAC ophthalmologist for review and recommendation.
Indiana developed guidelines for bioptic lenses in 1986, which are summarized below:

Iowa

Initial and renewal drivers must also take and pass a vision test to be licensed. The renewal cycle is 4 years, up to age 70, when the renewal cycle is reduced to 2 years. Vision statements from eyecare specialists are accepted in lieu of vision screening by the Department.
Iowa’s acuity standard is 20/40 or better with both eyes or with the better eye, and a binocular field of vision of at least 140 degrees. If applicants without corrective lenses attain acuity of less than 20/40 but at least 20/50 with both eyes or with the better eye, they will be restricted to driving during periods when headlights are not required. If acuity without corrective lenses is poorer than 20/50 but not worse than 20/70, applicants will be restricted to driving during periods when headlights are not required and also restricted to maximum speed of 35 mph. If
applicants are screened with corrective lenses, the above restrictions apply at each acuity level attained, in addition to the requirement to wear corrective lenses. Applicants who cannot attain 20/40 but can attain 20/70 with at least one eye on the first screening, must consult a licensed vision specialist prior to being licensed. If the vision report recommends a restriction, the Department will issue the restricted license, even though it may not be required by Department standards. Applicants who cannot attain a visual acuity of 20/40 will be issued a 2-year license; however, the restriction can be waived when a vision report certifies that the vision has stabilized and is not expected to deteriorate. Applicants who cannot attain a visual acuity of 20/100 with both eyes or with the better eye will be considered for licensing only upon recommendation by the Medical Advisory Board. Such applicants will be required to drive with an outside rearview mirror if the left eye is not at least 20/100. Applicants with binocular field of vision less than 140 degrees but at least 115 degrees with one eye at least 70 degrees temporal and 45 degrees nasal are restricted to driving with two outside rearview mirrors. If an applicant’s binocular field of vision (sum of temporal measurements) is less than 95 degrees, or if neither eye has a monocular field of vision of at least 60 degrees temporal and 35 degrees nasal, he or she may be considered for licensing only after consideration by the MAB. Applicants who cannot attain a visual acuity of 20/200 with both eyes or with the better eye cannot be licensed. The Department also will not license any person who must wear a bioptic telescopic lens to meet the visual acuity standard.

Kansas

In addition to answering medical questions, original and renewal applicants must take and pass a vision exam and a written test covering knowledge of traffic signs and laws. Drivers who fail to test 20/40 in at least one eye at the examining station are required to take a vision report form to a vision specialist, and if they fail to test 20/60 in at least one eye by the vision specialist, the report must be forwarded by the license Examiner to the Driver Review Section.
Field of vision must be better than 55 degrees in one eye, or 110 degrees for both eyes. The vision report, in addition to describing the patient’s acuity, visual field, visual correction information, and diagnosis of visual condition, asks the optometrist or ophthalmologist to state whether he or she believes the person can safely operate a motor vehicle (if acuity is 20/60 or worse), whether an annual vision report should be required, whether the applicant’s physical/medical/mental condition should be evaluated, and which restrictions are recommended if the license is issued or continued. A maximum of four restrictions may be chosen from the following list of restrictions: corrective lenses; daylight hours only; no interstate driving; must drive outside of the business area; must drive within city limits; must be accompanied by a licensed driver in the front seat; driving is authorized within a ___ mile radius of home (from 5 to 30 miles, in 5-mile increments): and must use an outside mirror.

Kentucky

New drivers must pass a vision test. Vision screening is not required for renewal unless the license is expired for more than one year. The visual acuity standard in Kentucky is 20/40 or better. If an applicant cannot meet the standard, he or she is referred to a vision specialist for examination and possible correction. The visual requirements for driving include acuity of at least 20/60 or better in at least 1 eye with a single lens system; binocular horizontal field of vision of at least 35 degrees to the left and right side of fixation; and binocular vertical field of vision of at least 25 degrees above and below fixation.
Applicants who wear bioptic telescopic lenses may be accepted to participate in a certified driver training program, if they meet the following minimum vision requirements: a distance visual acuity of 20/200 or better, with corrective lenses, in the better eye; a visual field of at least 120 degrees horizontally and 80 degrees vertically in the better eye; a distance visual acuity of 20/60 or better using a bioptic telescopic device; and no ocular diagnosis or prognosis that indicates a likelihood that significant deterioration of visual acuity or visual field to levels below the minimum standards outlined above. Applicants are issued a temporary instruction permit that is valid only when he or she is accompanied by an employee of a certified driver training program. Temporary instruction permits are valid for 1 year. An applicant who successfully completes a certified driver training program must be reexamined by a vision specialist upon completion of the program. The examination shall certify that the applicant continues to meet the visual acuity and visual field standards. An applicant who successfully completes a certified driving training program and passes the visual reexamination is eligible to take a comprehensive operator’s license examination administered by the State Police. The operator’s license examination will include testing of the applicant’s driving skills over a route specifically designed to test the applicant’s competency using a bioptic telescopic device. If an applicant or restricted out-of-state driver fails the operator’s license examination three times, he or she will not be eligible to retake the examination until successfully completing additional training from a certified driver training program and obtaining an affidavit from the program director recommending that the applicant be allowed to retake the examination.
A bioptic driver will be restricted to daytime driving. A restriction to daytime driving in may be removed if the licensed driver: drives for 36 months without any at-fault crashes and without any license suspensions; successfully completes additional evaluation and training specifically designed for night driving from a certified driver training program; and passes a comprehensive night driving examination. A license restricted to the use of bioptic telescopic lenses is valid for 1 year. The license holder shall undergo a comprehensive visual examination
by a vision specialist before a license can be renewed. If the vision specialist certifies that the conditions causing the visual impairment are stable, then the circuit clerk shall issue a renewal license. If the conditions causing the visual impairment are unstable or deteriorating, the license holder may be required to undergo additional testing as required by the department before a renewal license may be issued.

Louisiana

Initial applicants as well as drivers renewing their licenses must take and pass a vision test. Drivers must renew their licenses every 4 years, and drivers under age 70 and those with no moving violations in the previous 2-year period may renew by mail every other cycle. Drivers who cannot attain at least 20/40 visual acuity in the better eye are referred to their eyecare specialist, who must complete a Vision Examination report and return it to the Department within 30 days. Specialist reports that indicate an applicant’s visual acuity is 20/40 or better may be licensed with no restrictions. Specialist reports that indicate an applicant’s visual acuity cannot be improved better 20/70 may be given limited driving privileges. In addition, a driving test may be warranted to determine any restrictions that should be applied. If the applicant fails the driving test, the driving privileges are suspended. If the visual acuity is worse than 20/70 but not worse than 20/100, the report is referred to the office supervisor for a driving test to determine if the applicant can safely operate a motor vehicle with this visual acuity. Specialist reports that indicate an applicant’s visual acuity is worse than 20/100 are presented for review by the Medical Advisory Board. The applicant is denied a driver’s license until a decision is rendered. If approved by the Medical Advisory Board, the driver must pass a driving exam before being licensed. A vision statement will be required at the time of each 4-year or more often if requested by the specialist or the Medical Advisory Board.
Applicants who can only achieve required visual acuities through wearing telescopic/bioptic lens are not eligible for a driver’s license. Telescopic/bioptic lens cannot be worn for driving in Louisiana.
Depending on the visual condition, one or more of the following restrictions may be applied: corrective lenses; left outside rearview mirror; daytime driving only; restricted to no more than a 5-, 10-, 15-, 20-, or 25-mile radius of home; no interstate highway driving; driving only within parish of principal residence; restricted to driving a maximum of 50, 45, 40, or 35 mph; vision medical exam required every 6 months, 12 months, or 24 months; complete medical exam required every 6 months, 12 months, or 24 months; driving only between 9:00 a.m. and 3:00 p.m.; inside and outside rearview mirror; and left and right rearview mirrors.

Maine

A mechanism for identifying drivers with visual impairments is the BMV vision screening test required at initial licensure, and then again at the first license renewal after attaining the age of 40, and again at every-other-renewal thereafter until attaining age 62. Upon reaching age 62, vision is screened each time the license is renewed. Drivers under age 65 renew their licenses every 6 years; drivers age 65 and older renew their licenses every 4 years. The visual standards are 20/40 acuity or better in the best eye, with or without correction, and a binocular visual field of 150 or better. Drivers who cannot meet the standards using the BMV screening equipment must have their eyecare specialist complete a Vision Form (MVE-103) based on an examination within the past year. The eyecare specialist is asked to provide acuity, visual field, and color vision readings, indicate whether new lenses are being fitted (including telescopic aids), and whether double vision may result from ocular motility. In addition, the vision specialist is asked to provide a recommendation for periodic reexaminations when a progressive eye disease is present, and to recommend other restrictions as necessary (e.g., corrective lenses, daylight driving only, geographic or area restrictions).
Applicants with visual fields of less than 140 degrees but at least 110 degrees are restricted to driving with right and left outside mirrors. Applicants with permanent visual fields of less than 110 may not be licensed to drive. Applicants with 20/50 acuity are restricted to daytime operation only. Applicants with
20/60 to 20/70 acuity are restricted to daytime operation within a 25 mile radius of their residence; however, the radius may be reduced or enlarged based on the eyecare specialist’s report and the applicant’s performance on a road test. Applicants with acuity less than 20/70 in each eye without a chance of recovery may not be licensed to drive. Correction through the use of telescopic or bioptic lenses is not acceptable for use in meeting the standards, nor may they be used during road testing.

Maryland

Original and renewal drivers must have their vision screened by MVA staff or bring in a certificate from their vision specialist. Maryland’s visual acuity standard is at least 20/40 (Snellen) in each eye and a continuous field of vision of at least 140 degrees.
Applicants who do not meet the minimum standards are referred to their vision specialist. Restricted licenses may be issued to license holders having visual acuity of at least 20/70 in one or both eyes and a continuous field of vision of at least 110 degrees, with at least 35 degrees lateral to the midline of each side. Individuals with visual acuity levels of less than 20/70, but no worse than 20/100 may be permitted to drive as determined by the Administration in consultation with the MAB. An applicant seeking such a low-vision license must successfully complete a driver’s training course in accordance with regulations of the Administration. The required driver’s training course must consist of at least 20 hours; and may vary based on an applicant’s previous driving experience or the driver trainer’s recommendation. If during the driver’s training, it is noted that spotting is improved by the use of telescopic lenses, the administration may require additional driver’s training using the bioptic telescopic lens.

Massachusetts

First-time and renewal applicants are required to undergo and pass a test of their vision. If the individual cannot meet the acuity, peripheral visual fields, color vision, and vision impairment (diplopia) standards listed below, a license or learner’s permit will not be issued.