Life on the Road With Visual Impairments


Drivers depend on clear vision to spot distant objects, identify road hazards and read signs. Poor sight in any of these areas raises accident risk.

The Department of Motor Vehicles (DMV) requires drivers to take a vision exam before getting a license. Some can be corrected with glasses or contacts. More severe conditions can disqualify drivers entirely.


Behind the Wheel: Driving With Vision Impairments in the US

Many American adults have visual disabilities that interfere with driving or make it impossible. More than 3 million people in the U.S. have a vision problem, and more than 1 million are legally blind.

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Two to three percent of drivers have visual acuity below the minimum legal standard.

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Eighteen states have a minimum requirement of 20/40 vision in the better eye.

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Eighty-five percent of people with diagnosed eye disorders have some remaining sight.


Identifying Common Vision Impairments

Getting or renewing a driver's license is harder for people with visual impairments. Certain conditions, genetic or age-related, can prevent someone from passing the DMV vision test. Corrective lenses and other solutions help many people meet DMV standards.

Visual Acuity

Visual acuity measures clarity of vision at a distance of 20 feet. A score of 20/20 is normal. Someone with 20/100 acuity needs to stand 20 feet from an object to see what a person with standard vision sees at 100 feet.

Some conditions can be corrected or improved with eyeglasses or contacts. Others make safe driving much harder.

Common Impairment
Challenges

Low vision

Visual acuity of 20/70 or worse in the better-seeing eye, not correctable with glasses or contacts.

Damaged central or peripheral view

Central vision focuses on objects directly ahead, while peripheral vision picks up objects to the side. Severe damage to either makes judging surroundings too difficult for safe driving.

Hemianopia

Loss of more than half the visual field. Most states prohibit driving with this diagnosis.

Poor depth perception

Difficulty judging proximity to other vehicles, stoplights and pedestrians. Safe merging is harder with this condition.

Poor night vision

Trouble seeing in low-light conditions. Glaucoma also increases sensitivity to headlight and streetlamp glare at night.

Color blindness

Inability to distinguish between colors. Traffic signals use red, yellow and green, which can be hard for color-blind drivers to distinguish.

Myopia

Nearsightedness affects distance vision. Road signs and oncoming vehicles can be difficult to see.

Astigmatism

The eyes can't focus properly, blurring vision and reducing clarity while driving.

Vision Solutions and Associated Costs

An illustration of a young woman holding her eyeglasses and walking to her blue truck.

Corrective lenses, smart electronic glasses and other assistive technology help drivers with visual impairments meet state licensing requirements.

Vision Solution
Costs

Corrective lenses

Glasses: $20–400 or more. Contact lenses: $50–125 for a box of six pairs.

Night vision glasses

Nonprescription yellow-tinted glasses that reduce glare while driving at night. $15–100.

Bioptics

Telescopic lenses help drivers with depth perception issues see objects on the road quickly enough to brake or make corrections. $500–3,000.

Smart glasses

High-powered cameras and facial/voice recognition provide magnified views of objects. Up to $10,000, depending on the device.

Vision training

Doctors use specialized lenses and prisms to train the eye. Insurance may cover this treatment. $500 per visit or less, depending on the provider.

Laser surgery

Reshapes the cornea to eliminate the need for glasses. $1,000–5,000 per eye.

3 Steps to Stay Safe on the Road

  1. 1
    Be prepared

    Keep your glasses in the car if you use them to drive. If your vision is better at certain times of day, plan your drives for those windows. With depth perception issues, stick to surface streets over highways.

  2. 2
    Use caution

    Check your blind spots often, and stick to your regular route as much as possible. If you're struggling to see or making driving mistakes, find a safe spot to pull over and call for a ride.

  3. 3
    Acknowledge your limits

    Know what you can and can't handle behind the wheel. See a doctor or talk to a family member if you're unsure whether you can still drive safely, or if you've recently lost vision.

Limited Vision and Car Insurance

An illustration of a pair of yellow eyeglasses pointed toward car insurance papers on a clipboard.

Car insurance rates are based on risk. Drivers with limited vision pay higher premiums than those without vision restrictions. Minor conditions corrected by glasses don't affect your rates. "Drivers with severe vision loss, such as 20/200 acuity, pay higher premiums.

Insurers cannot raise rates simply because a driver wears glasses for nearsightedness. Premiums increase only when a visual impairment results in license restrictions, suspensions or special equipment requirements. Shopping multiple insurers can help you find the best car insurance rate.

Disclosing Vision Issues

You're not legally required to disclose medical conditions to your insurer. But if a condition affects your driving, disclose it. If your insurer finds out an accident resulted from an undisclosed condition, it can legally deny your claim. You may also be charged with insurance fraud.

State Vision Driving Requirements

Every U.S. state requires drivers to pass a vision test before getting a license. Install any required adaptive equipment before getting on the road.

Types of Driver's Licenses

  • Unrestricted: Drivers who pass their test receive an unrestricted license. They can drive without limits beyond standard traffic laws.
  • Restricted: A restricted license limits where, when or how a driver can operate a vehicle. For example, drivers with certain visual impairments may not be able to drive at night. Underage drivers can also get a restricted license for school commutes only.

What Is the Minimum Vision Required for Driving?

Vision requirements vary by state. Most states require visual acuity between 20/40 and 20/70 in one or both eyes.

Kansas, Iowa and Alabama require a temporal visual field of at least 110 degrees horizontally in both eyes. California, Colorado and Delaware have no visual field requirements. DMV eye tests or optometrist exams determine whether drivers meet their state's requirements.

States
Vision Acuity Needed
Visual Field Needed

Alabama

20/60 (for the better-seeing eye)

110° horizontal field

Alaska

20/40 (each eye or both together)

Not required

Arizona

20/70 (both eyes) or 20/50 (one eye)

70° temporal & 35° nasal fields in one eye

Arkansas

20/70 (both eyes)

140° horizontal field or 105° horizontal field with one functional eye

California

20/40 (both eyes) or 20/40 and 20/70 (for one and the other eye)

Not required

What to Expect With a DMV Vision Test

DMV vision tests take about 10 minutes and don't resemble a medical exam.

Resources

About Christopher Murray


Christopher Murray, Personal Finance Writer

Christopher Murray is a personal finance and sustainability writer who contributes finance articles to MoneyGeek. His work spans budgeting, socially responsible investing (SRI) and cryptocurrency, with a focus on sustainability as a practical savings strategy.

Christopher earned his degree in English literature and gender studies from Smith College.


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