Cross et al’s1 recent online article in your esteemed Journal shows that, at present, there is insufficient evidence to support the efficacy of the vision screening test as a preventive strategy to reduce motor vehicle crashes among older drivers. Vision is the most important source of information during driving, and many driving-related injuries have been associated with visual problems.2 Therefore, visual assessment for driving is paramount to the reduction of crash-related injuries. Visual tasks that are involved in driving include selective and divided attention and cognition.3

Licensing authorities in many jurisdictions throughout the world use simple strategies to measure driving fitness utilising simple visual acuity tests, but it is …