Evidence map›Paper›PMID 39837537›Full record

ArticleKlinische Monatsblatter fur Augenheilkunde2025

National Consensus on the Assessment of Visual Function for Driving in Switzerland.

Frank Blaser, Martina Schneebeli, Kristina H Keller, Matthias Pfäffli, Margarita G Todorova, Pierre-François Kaeser, Stefano Anastasi, Hannes Wildberger, Frank Bochmann, Sandrine Zweifel and 1 more

Abstract readConsensus Statement
In one paragraph

Article in Klinische Monatsblatter fur Augenheilkunde, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Frank BlaserDepartment of Ophthalmology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Martina SchneebeliTraffic Medicine, Institute of Forensic Medicine, University of Zurich, Zurich, Switzerland.
Kristina H KellerTraffic Medicine, Institute of Forensic Medicine, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-2728-8089
Matthias PfäffliTraffic Medicine, Institute of Forensic Medicine, University of Bern, Bern, Switzerland.
Margarita G TodorovaDepartment of Ophthalmology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Pierre-François KaeserDepartment of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Fondation Asile des Aveugles, Lausanne, Switzerland.
Stefano AnastasiBerner Augenklinik, Bern, Switzerland.
Hannes WildbergerDepartment of Ophthalmology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Frank BochmannDepartment of Ophthalmology, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Sandrine ZweifelDepartment of Ophthalmology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Sadiq SaidDepartment of Ophthalmology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID 0000-0003-2037-4766

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo establish a national consensus on assessing visual function for fitness to drive in Switzerland.

methodsThe minimum medical requirements for visual function for fitness to drive are regulated by Swiss Federal Law, namely, by the Traffic Licensing Ordinance (TLO). The medical examination techniques relevant in this context and their assessment are not further specified therein, which leads to legal inequality among drivers and uncertainty among examiners. We established a study group of representatives of the Traffic Medicine Section of the Swiss Society of Forensic Medicine and the Traffic Commission of the Swiss Society of Ophthalmology to develop a national consensus on assessing visual function for fitness to drive in Switzerland. In structured meetings, the authors discussed medical examination techniques and available international and local recommendations on this topic, with respect to Swiss legislation. In the event of a contrary opinion, the topic was discussed again in a follow-up session until we reached an agreement. We defined consensus as complete agreement on the subject under discussion.

resultsThe study group held five in-person meetings between March 2019 and January 2023. The authors developed recommendations intended for all professional groups assessing driving fitness. We prepared an aid for daily practice on how to examine the minimum medical requirements for visual function listed in the TLO Annex 1, using standardized test procedures and considered how to interpret the findings obtained, accounting for aspects of traffic medicine and ophthalmology.

conclusionsA consensus on the assessment of visual function for fitness to drive in Switzerland is crucial to ensure legal equality for drivers and legal certainty for examiners. Regular review of the consensus is imperative if we are to consider future legal developments and new scientific evidence in assessing fitness to drive.

Indexed as

Automobile Driver ExaminationAutomobile DrivingVision DisordersVision TestsAccidents, TrafficHumansSwitzerland

Identifiers

PMID39837537
PMCPMC12020669

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.