In the aptitude test for a driver’s license, visual function is one of the most basic assessment items. Such aptitude tests are based on road traffic laws 3). The standards are not uniform; they differ for mopeds/small special vehicles, ordinary licenses, and large/Class 2 licenses 1)2). Therefore, it is important to understand the values corresponding to your own license type.
In addition to visual acuity, the visual field conditions for monocular vision, depth perception required for large vehicles, and color vision (signal discrimination) common to all license types are important items in the system 1)2).
Regarding color vision, regardless of whether it is a Class 1 or Class 2 license, the ability to distinguish the three colors of traffic lights (red, blue, and yellow) is required. If you have congenital color vision deficiency, it is advisable to check the color vision test at the license center in advance.
QDo ordinary licenses and large licenses have the same vision standards?
A
They are not the same. For ordinary licenses, the basic requirement is binocular vision of 0.7 or better and each eye 0.3 or better, but for large licenses, binocular vision of 0.8 or better and each eye 0.5 or better is required, along with depth perception 1)2).
It is easy to understand the vision standards by dividing them into the following three groups.
Moped, etc.
Target: Moped license, small special license.
Standard: Binocular vision of 0.5 or better.
Monocular vision: Even if one eye is blind, if the other eye has a visual field of 150 degrees or more horizontally and visual acuity of 0.5 or better, it is eligible 1)2).
Ordinary, etc.
Target: Ordinary license, ordinary provisional license, ordinary motorcycle, large special, 8-ton limited中型, 5-ton limited quasi-medium, etc.
Standard: Binocular vision of 0.7 or better, and each eye 0.3 or better.
Exception: If one eye is less than 0.3 or blind, the other eye must have a visual field of 150 degrees or more horizontally and visual acuity of 0.7 or better 1)2).
Large, etc.
Target: Large, medium, quasi-medium, trailer, Class 2, large provisional license, etc.
Standard: Binocular visual acuity of 0.8 or better, and each eye 0.5 or better.
Additional requirement: Must pass the depth perception test1)2).
The following table is a quick reference commonly used in practice.
License class
Binocular standard
Additional condition
Moped / Small special
0.5 or better
150° when one-eyed
Ordinary etc.
0.7 or better
Each eye 0.3 or better
Large etc.
0.8 or better
Each eye 0.5 / Depth perception
QCan I renew a regular driver's license even if I can barely see in one eye?
A
It may be possible. For regular licenses, if the other eye has a visual field of at least 150 degrees horizontally and visual acuity of 0.7 or higher, it is indicated that you may qualify1)2).
3. What to check if you are unsure about the standards
Ophthalmological evaluations related to driver’s licenses mainly include the following.
Visual acuity test: Core for all categories (moped, ordinary, large). Measured with corrected vision (wearing glasses or contact lenses).
Visual field assessment: Important for monocular vision or low vision in one eye. For ordinary licenses, a horizontal field of 150 degrees or more is a threshold 1)2).
Depth perception test: Required for large, medium, semi-medium, trailer, and special vehicle licenses 1)2).
Color vision test: Confirms ability to distinguish traffic signals (red, blue, yellow). If congenital color vision deficiency exists, prior confirmation is necessary.
Test
Mainly required for
What is assessed
Visual acuity
All license categories
Binocular and monocular visual acuity
Visual field
Monocular vision, etc.
150 degrees horizontally
Depth perception
Large vehicles, etc.
Average error 2 cm
Color vision
All license groups
Red, blue, yellow identification
QWhat is the depth perception test?
A
This test measures how accurately you can perceive depth. For large vehicles, the three-rod test is performed three times at a distance of 2.5 meters, and an average error of 2 cm or less is required1)2).
If you are concerned about your vision, it is easier to organize your thoughts by following the steps below.
Step
Content
Main consultation destination
1
Check current condition at an ophthalmologist
Ophthalmology
2
Confirm license type
Your own license
3
Pre-renewal consultation
Driver’s license center
4
Aptitude test
Police
The actual assessment is conducted at the driver’s license center or police aptitude test. Meanwhile, ophthalmology helps evaluate the underlying disease, review correction, and understand visual field defects.
Depth perception is not merely an extension of visual acuity. It is a test that assesses how accurately you can judge depth using information from both eyes.
Method: Using a three-rod depth perception tester1)
Measurement conditions: Measured three times at a distance of 2.5 meters1)2)
Passing criteria: Average error of 2 cm or less1)2)
Stereoscopic vision tests: Some people have difficulty with depth perception even if their visual acuity is sufficient. If you plan to take a large vehicle driving test, it is advisable to learn about the system early.
7. Role of the Ophthalmologist and Voluntary Surrender
Ophthalmologists have a role in explaining driving suitability to patients with visual field or visual acuity impairments. For patients with visual field narrowing (glaucoma, retinitis pigmentosa, cranial nerve diseases) or reduced corrected visual acuity, it is desirable to actively provide information on whether they can continue to hold a license.
If visual field impairment is progressing due to glaucoma or other conditions, regular visual field tests should be performed to determine whether driving can continue. If the visual field defect exceeds a certain level, it may be advisable to recommend voluntary surrender of the driver’s license.
Voluntary surrender of a driver’s license is a system in which the license is returned upon the individual’s own application. It is an option when there are concerns about declining visual function or cognitive function due to aging or disease. After surrender, it is important to transition to public transportation or transport services.
QIf diagnosed with glaucoma, must I stop driving?
A
It is not necessary to stop driving immediately after diagnosis. It depends on the extent and progression rate of the visual field impairment. Evaluate the course with regular visual field tests, and if the visual field defect becomes extensive, consult with your primary care physician to determine whether to continue driving.
According to the guidance from the Tokyo Metropolitan Police Department and Kanagawa Prefectural Police, the main figures are consistent 1)2). However, the details of procedural guidance, consultation desks, and explanations of provisional licenses and second-class licenses differ in presentation by each prefectural police department.
QIs it worth going to an ophthalmologist even if my vision is borderline?
A
Yes. The approach differs depending on whether the actual reason for failure is refractive error, cataract, corneal disease, or visual field defect. Organizing the causes before renewal makes it easier to plan ahead.