2010 BC Guide in Determining Fitness to Drive
2010 BC Guide in Determining Fitness to Drive 2010 BC Guide in Determining Fitness to Drive
21.9 Commercial drivers with impaired visual acuityApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations for commercialdrivers who have impaired visual acuity.If further information regarding an individual’s visual acuity isrequired, OSMV will request either: an Examination of Visual Functions (EVF), or a vision screening at an ICBC Point of Service, if an individualdoes not live in a community with an optometrist orophthalmologist.The recommended testing procedures are outlined in 21.20.If an individual has a visual acuity of between 20/30 and 20/50 withboth eyes open and examined together, OSMV will request an ICBCroad test. OSMV will not generally request an ICBC road test forindividuals who have a visual acuity of less than 20/50.Individuals may drive if they have visual acuity not less than 20/30(6/9) with both eyes open and examined together.OSMV may find individuals fit to drive if: they have visual acuity not less than 20/30 (6/9) with both eyesopen and examined together, or a functional assessment indicates that they have the functionalability required for their class of licence held.No conditions are required.OSMV will impose the following restriction on an individual whorequires corrective lenses in order to meet the fitness guidelines:# 21 Corrective lenses requiredIf the condition causing the impaired visual acuity is not progressive,no re-assessment, other than routine commercial re-assessment, isrequired. This includes: myopia hyperopia, and astigmatism.OSMV will re-assess individuals with cataracts annually until thecataracts are removed.OSMV will re-assess individuals with macular degeneration annually.OSMV will re-assess individuals with glaucoma and diabeticretinopathy depending upon their visual acuity. Individuals with bestcorrected vision of 20/30 or better will be re-assessed every two years.268
Policy rationaleIndividuals with best corrected vision of 20/40 or worse will be reassessedannually.There is little research evidence regarding the level of visual acuityrequired for driving fitness. The minimum acuity requirement in theguideline is based on consensus medical opinion in Canada. Becausethere is no definitive level of acuity established for driving fitness,those who do not meet the acuity level in the guideline may request anindividual functional assessment.269
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21.9 Commercial drivers with impaired visual acuityApplicationAssessment guidel<strong>in</strong>es<strong>Fitness</strong> guidel<strong>in</strong>esOSMV determ<strong>in</strong>ationguidel<strong>in</strong>esConditionsRestrictionsRe-assessmentguidel<strong>in</strong>esThese guidel<strong>in</strong>es apply <strong>to</strong> driver fitness determ<strong>in</strong>ations for commercialdrivers who have impaired visual acuity.If further <strong>in</strong>formation regard<strong>in</strong>g an <strong>in</strong>dividual’s visual acuity isrequired, OSMV will request either: an Exam<strong>in</strong>ation of Visual Functions (EVF), or a vision screen<strong>in</strong>g at an IC<strong>BC</strong> Po<strong>in</strong>t of Service, if an <strong>in</strong>dividualdoes not live <strong>in</strong> a community with an op<strong>to</strong>metrist orophthalmologist.The recommended test<strong>in</strong>g procedures are outl<strong>in</strong>ed <strong>in</strong> 21.20.If an <strong>in</strong>dividual has a visual acuity of between 20/30 and 20/50 withboth eyes open and exam<strong>in</strong>ed <strong>to</strong>gether, OSMV will request an IC<strong>BC</strong>road test. OSMV will not generally request an IC<strong>BC</strong> road test for<strong>in</strong>dividuals who have a visual acuity of less than 20/50.Individuals may drive if they have visual acuity not less than 20/30(6/9) with both eyes open and exam<strong>in</strong>ed <strong>to</strong>gether.OSMV may f<strong>in</strong>d <strong>in</strong>dividuals fit <strong>to</strong> drive if: they have visual acuity not less than 20/30 (6/9) with both eyesopen and exam<strong>in</strong>ed <strong>to</strong>gether, or a functional assessment <strong>in</strong>dicates that they have the functionalability required for their class of licence held.No conditions are required.OSMV will impose the follow<strong>in</strong>g restriction on an <strong>in</strong>dividual whorequires corrective lenses <strong>in</strong> order <strong>to</strong> meet the fitness guidel<strong>in</strong>es:# 21 Corrective lenses requiredIf the condition caus<strong>in</strong>g the impaired visual acuity is not progressive,no re-assessment, other than rout<strong>in</strong>e commercial re-assessment, isrequired. This <strong>in</strong>cludes: myopia hyperopia, and astigmatism.OSMV will re-assess <strong>in</strong>dividuals with cataracts annually until thecataracts are removed.OSMV will re-assess <strong>in</strong>dividuals with macular degeneration annually.OSMV will re-assess <strong>in</strong>dividuals with glaucoma and diabeticret<strong>in</strong>opathy depend<strong>in</strong>g upon their visual acuity. Individuals with bestcorrected vision of 20/30 or better will be re-assessed every two years.268