Published: 24 December 2020 | Updated: 28 September 2026 | Author: Smart Vision Optometry
Editorial and clinical update — 28 September 2026: The original article/interview body below is retained in its editorial form, including its attributed quotations and narrative structure. Current evidence and clinical guidance are presented separately below and should be relied on where older wording or claims differ.
With an Italian study finding that 60% of car accidents could be linked to vision problems, it is vital that people don’t rely solely on their car’s condition to keep them safe on the road, but also make sure that their vision is capable of meeting the demands placed on it, according to Australian behavioural optometrists Gary Rodney and Jacqueline Gattegno.
Gattegno says that many drivers, happy with their standard test results, are often unaware that they have one of many vision errors such as myopia (nearsightedness) which limit the distance at which people see clearly; or visual coordination issues that result in unstable or double vision. And statistics show that in 23% (close to one in four of the world’s drivers) these vision problems are uncorrected.
Signs of Trouble
An Optometry Australia survey found that just under 20 percent of drivers in the 35 to 54 age group find it difficult to see signposts when driving. 15% of them said they squinted during the day in order to address this, and more than 20% said they found themselves squinting at night.
Other factors listed by drivers included eye fatigue and dry eyes after long periods spent in front of the computer screen at work, and the glare caused by the setting sun as they drove home, specially when they were driving directly towards it. After sunset problems were identified as eye irritation caused by direct exposure to the bright lights of oncoming cars, as well as reflections on wet roads and signposts, and the changing colours of traffic lights.
Eye Test Doesn’t Cover Everything
According to Rodney, founder of Smart Vision Optometry in Australia and fellow of the International Academy of Orthokeratology and Myopia Control (FIAOMC), these responses indicate that relying on the eye test taken to get a driver’s license as an indication that all is well with a driver’s vision, could be a mistake. These tests in most countries, including Australia, rely on eye acuity, or how well the would-be driver’s eyes can see an object at a certain distance. This is determined by their ability to read the letters on the standard Snellen chart.
Rodney says this leaves out a big, and vital section of vision needed for driving safely. The gap lies in that it doesn’t test the driver’s ability to understand what is being seen, or react to it appropriately and quickly, particularly when they see something unexpected, such as a child suddenly crossing the road, or a car stopping just ahead of them for no apparent reason.
Acuity vs Vision
He says the ability to respond quickly is vital to safe driving, and this is not affected by eyesight, or determined by how far someone can see. It’s the relevant, usable, and applicable information that’s provided by perceptual vision following teamwork between eye and brain in processing the information gathered by sight.
This makes it important, Rodney says, that when testing sight for driver’s licenses, vision tests should also be included that determine other factors besides those indicated by the standard acuity test.
To learn more about perceptual vision and Smart Vision’s approach to Myopia management and vision therapy, visit the Smart Vision website: Optometrists Sydney: Optometry Services For Children and Adults | Smart Vision; for specific information about Myopia treatment and prevention visit Myopia Prevention: Solutions, Control And Treatment In Sydney; and for detailed information about Myopia Treatment visit Orthokeratology In Sydney: The Non Surgical Alternative.
Book an appointment for a thorough eye check-up or Call the Bondi clinic on (02) 9365 5047 or the Mosman clinic on (02) 9969 1600.
Current evidence and clinical context
No. A service-centre screening uses a distance letter chart, but the national Austroads vision standards address both visual acuity and visual fields. The wider guidance also covers double vision, progressive eye disease and circumstances requiring specialist assessment.
The Service NSW eyesight-testing guide explains that drivers must notify Transport for NSW when a relevant medical or eye condition occurs, rather than waiting until licence renewal. New eye issues may require a report from an optometrist or ophthalmologist and a change to licence conditions.
Austroads assessment guidance states that most forms of double vision are incompatible with driving and require appropriate assessment. It also calls for regular monitoring of progressive conditions such as glaucoma, cataract, diabetic retinopathy and macular degeneration.
Related reading
sudden-blurry-vision guide; glaucoma guide; diabetic retinopathy guide.
Frequently asked questions
Does passing an eyesight screening rule out every eye problem?
No. New symptoms or a diagnosed eye condition can require a fuller assessment and follow-up even after a screening pass.
Can I ignore a glasses condition because my vision feels better?
No. Follow the conditions on your licence and use the official process to report changes and request any reassessment.
Can an online article confirm that I am fit to drive?
No. Individual clinical assessment and the applicable licensing process are needed. Do not drive when your vision is unsafe.
Eye appointments in Bondi Beach and Mosman
For non-emergency eye checks, contact our Bondi Beach practice or Mosman practice. Mention driving concerns and any official paperwork when arranging the visit.
