Over 70 and Driving in the UK: What You Need to Know About Sight Tests, Driving Rules and Cataract Treatment

As we get older, good vision becomes even more important for staying safe on the road. If you’re aged 70 or over in the UK, there are important rules around driving licences, eyesight, and some proposed government changes you should be aware of.

Mr Benson explains:

• Current and proposed driving eyesight requirements

• What happens if your vision no longer meets the legal standard

• What to do if cataracts are affecting your sight

• NHS vs private cataract surgery timelines

Driving After Age 70: The Current Rules

Once you turn 70, driving licence rules change:

• Your driving licence must be renewed every 3 years

• You must self-declare that you are medically fit to drive

• You must confirm that your eyesight meets legal driving standards

At present, no compulsory eye test is required at renewal — drivers are trusted to report honestly.

UK Driving Eyesight Standards (All Drivers)

To drive legally in the UK, you must be able to:

• Read a car number plate from 20 metres

• Meet minimum visual acuity standards (with glasses or contact lenses if needed)

• Have an adequate field of vision

If you develop an eye condition that affects these standards, you are legally required to inform the DVLA.

Proposed Government Changes: What May Be Coming

The UK government is currently consulting on changes aimed at improving road safety for older drivers. These are not law yet, but proposals include:

👁️ Mandatory eyesight tests from age 70

• Drivers aged 70+ may be required to provide proof of an eyesight test when renewing their licence

• Testing would likely occur every 3 years

• Evidence from an optometrist may be needed

🚫 Licence renewal could be refused

• If you do not meet legal vision standards, your licence may not be renewed until vision is corrected

These changes are still under discussion, but it’s sensible to prepare.

Why Regular Eye Tests Matter More After 70

Eye conditions often develop gradually, meaning vision loss may not be obvious day to day. Regular eye tests help detect issues early — particularly cataracts, one of the most common age-related causes of reduced vision.

Good news:✅ NHS sight tests are free for everyone aged 60 and over

Cataracts and Driving: What You Need to Know

What are cataracts?

Cataracts cause the natural lens of the eye to become cloudy, leading to:

• Blurred or misty vision

• Glare from headlights

• Difficulty driving at night

• Reduced contrast and colour clarity

If cataracts reduce your vision below driving standards, you must stop driving until treated.

Treatment Options if Cataracts Are Affecting Your Vision

🔹 1. Monitoring (Early Cataracts)

If cataracts are mild:

• Updated glasses may help temporarily

• Regular monitoring is recommended

• Driving may still be legal if standards are met

🔹 2. Cataract Surgery (Definitive Treatment)

Cataract surgery:

• Is one of the most common and successful operations in the UK

• Takes around 10–20 minutes

• Is usually done under local anaesthetic

• Replaces the cloudy lens with a clear artificial lens

Vision often improves dramatically, helping patients return to safe driving once standards are met.

NHS vs Private Cataract Surgery: Timelines Compared

⏳ NHS Cataract Surgery

• Referral required (usually from an optometrist or GP)

• Surgery offered when cataracts significantly affect daily life

• Typical waiting times:

  • 4–18 months (varies by region and demand - West Yorkshire ICB currently mandates 16 weeks wait before and between eyes)

• Standard monofocal lens usually provided

• No direct cost to the patient

⚡ Private Cataract Surgery

• No referral needed

• Surgery can often be scheduled within:

  • 2–6 weeks

• Greater choice of lens options (e.g. enhanced intermedate/near or reduced glasses dependence)

• Costs typically range from:

  • £2,000–£4,000 per eye, depending on lens choice and clinic

Many patients choose private treatment to restore vision sooner, particularly if driving is essential for independence.

When Can You Drive Again After Cataract Surgery?

• Most people notice improved vision within a few days

• You can usually drive again once your vision meets legal standards

• This is often confirmed at your post-operative check (usually within 2–4 weeks)

Always follow your clinician’s advice and never resume driving until vision is safe and can see at 20 meters.

Practical Advice for Drivers Over 70

✔️ Have an eye test every 1–2 years✔️ Don’t rely on “coping” — gradual vision loss is easy to miss✔️ Act early if glare, blur or night driving becomes difficult✔️ Plan ahead for licence renewals✔️ Seek advice promptly if cataracts are diagnosed

Key Takeaway

Driving safely after 70 is absolutely achievable — but it relies on good vision, honesty, and early treatment when problems arise. With possible changes to eyesight testing on the horizon, staying proactive about eye health has never been more important.

If you’re concerned about your vision or cataracts, speak to your optometrist or eye care professional — early action protects both your independence and your safety.

Author - Aidan Benson FRCOphth is an expert cataract surgeon having performed thousands of cataract surgeries for NHS and Private patients in the UK who prides himself on being up to date with the most innovative yet safe techniques and approaches to get patients their best possible vision.