Comparison of ophthalmological standards applicable to drivers in Poland and the United Kingdom with the European Union recommendations

Stopyra, Wiktor · 2022 · DOAJ

DOI: http://doi.org/10.31288/oftalmolzh202214450

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Summary

This review paper compares the ophthalmological standards for driver licensing in Poland and the United Kingdom against European Union (EU) recommendations. The study addresses the lack of comprehensive, up-to-date comparative literature on visual requirements for drivers, motivated by the critical link between deteriorating vision and road safety. The author selected Poland and the UK to represent continental and island nations with distinct regulatory histories, while using EU directives as a benchmark for harmonization. The methodology involved a systematic review of legal acts, government guidelines, and medical literature published between 2000 and 2020. Data were extracted from the Polish Ordinance of the Minister of Health (2019), the UK’s *Advice for Medical Professionals to Follow when Assessing Drivers with Visual Disorders* (2020), and the EU Directive 2006/126/EC (updated 2018). The analysis focused on key visual parameters: visual acuity, visual field, color vision, binocular vision, glare sensitivity, mesopic vision, and contrast sensitivity. The findings indicate that Poland and the UK align closely with EU recommendations for car and motorcycle drivers. Both countries require a minimum binocular visual acuity of 0.5 and identical visual field limits (horizontal ≥ 120°, range ≥ 50° right/left, ≥ 20° up/down). For professional drivers (buses and lorries), Poland requires correct recognition of red, green, and yellow, whereas the UK and EU do not mandate color vision testing. Monocular vision standards are also consistent across all three jurisdictions, requiring an adaptation period of at least six months. Auxiliary tests for mesopic vision, glare, and contrast sensitivity are not routinely required for standard licenses in any jurisdiction but may be used in exceptional cases or for professional drivers in Poland. The study concludes that current visual requirements in Poland are sufficiently strict to ensure safety but not overly restrictive. By analyzing road crash statistics from 2014 to 2018, the author notes a 10% decrease in crashes in Poland despite the liberalization of ophthalmic norms in 2015. This decline is attributed to improved infrastructure, speed management, and vehicle safety rather than stricter vision tests. Consequently, the paper suggests that further liberalization of ophthalmic standards is feasible without compromising road safety, as the current criteria effectively balance accessibility for drivers with visual impairments and public safety.

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