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2010 BC Guide in Determining Fitness to Drive

2010 BC Guide in Determining Fitness to Drive

2010 BC Guide in Determining Fitness to Drive

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ConditionType of driv<strong>in</strong>gimpairment andassessmentapproachPrimaryfunctionalabilityaffectedAssessment <strong>to</strong>olsVision impairmentPersistentimpairment:FunctionalassessmentSensory -Vision<strong>Drive</strong>r’s MedicalExam<strong>in</strong>ation ReportIC<strong>BC</strong> vision screen<strong>in</strong>gExam<strong>in</strong>ation of visualfunctions (EVF) (seesample form <strong>in</strong> 21.18)Visual field test (VFT)(see sample form <strong>in</strong>21.19)IC<strong>BC</strong> road testFunctional assessment byan occupational therapis<strong>to</strong>r driver rehabilitationspecialist21.7 CompensationThe loss of certa<strong>in</strong> visual functions can be compensated for adequately, particularly <strong>in</strong> the case oflong-stand<strong>in</strong>g or congenital impairments. When a person becomes visually impaired, thecapacity <strong>to</strong> drive safely varies with their ability <strong>to</strong> compensate. As a result, there are people withvisual deficits who do not meet the vision standards for driv<strong>in</strong>g but who are able <strong>to</strong> drive safely.Corrective lensesMost <strong>in</strong>dividuals can compensate for a typical loss of visual acuity from myopia, hyperopia,astigmatism, or presbyopia by wear<strong>in</strong>g eyeglasses or contact lenses.Telescopic lenses/other low vision aidsTelescopic (bioptic) lenses are sometimes used <strong>to</strong> assist <strong>in</strong>dividuals with low vision. Atelescopic lens typically is mounted at the <strong>to</strong>p half of a regular spectacle lens, and provides thedriver with a magnified view of objects (e.g., text or detail of traffic signs that otherwise could beseen only at distances <strong>to</strong>o short for a safe or timely s<strong>to</strong>p). For the most part, the driver views theroad through the spectacle lens, look<strong>in</strong>g <strong>in</strong>termittently through the telescopic lens <strong>to</strong> read roadsigns, determ<strong>in</strong>e the status of traffic lights, or scan ahead for road hazards.264

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