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Hemianopia – DVLA Visual Field Standards — SCE Neurology MCQ

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ModerateCerebrovascular DiseaseHemianopia – DVLA Visual Field StandardsSCE Neurology

A 68-year-old woman with a recent posterior circulation ischaemic stroke has persistent bilateral visual field loss. Perimetry confirms a left homonymous hemianopia. She asks whether she can drive. What is required for DVLA to consider relicensing?

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Correct answer: C — She must pass DVLA's binocular Esterman visual field test meeting minimum field standards

The DVLA requires a minimum visual field standard for Group 1 driving: an adequate field of vision of at least 120° horizontally, and no significant defect within the central 20° radius of fixation, assessed by binocular Esterman perimetry. Some patients with a partial hemianopia may meet this standard. A complete homonymous hemianopia will not meet the standard. A: There is no automatic restoration after 12 months. C: Prism glasses do not restore the visual field for DVLA purposes. D: A partial hemianopia that meets the minimum standard can be licensed. E: Visual acuity must also be met but field is the key issue here.

Reference: DVLA – Assessing Fitness to Drive (2025)