Blaser Frank, Schneebeli Martina, Keller Kristina H, Pfäffli Matthias, Todorova Margarita G, Kaeser Pierre-François, Anastasi Stefano, Wildberger Hannes, Bochmann Frank, Zweifel Sandrine, Said Sadiq
Department of Ophthalmology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Traffic Medicine, Institute of Forensic Medicine, University of Zurich, Zurich, Switzerland.
Klin Monbl Augenheilkd. 2025 Apr;242(4):507-514. doi: 10.1055/a-2479-9305. Epub 2025 Jan 21.
To establish a national consensus on assessing visual function for fitness to drive in Switzerland.
The 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.
The 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.
A 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.
就瑞士驾驶适宜性视觉功能评估达成全国共识。
瑞士联邦法律，即《交通许可条例》（TLO）规定了驾驶适宜性视觉功能的最低医学要求。但其中未进一步明确在此背景下相关的医学检查技术及其评估方法，这导致驾驶员之间存在法律不平等，检查人员也存在不确定性。我们成立了一个研究小组，成员包括瑞士法医学会交通医学分会和瑞士眼科学会交通委员会的代表，旨在就瑞士驾驶适宜性视觉功能评估达成全国共识。在结构化会议中，作者们参照瑞士立法，讨论了医学检查技术以及关于该主题的国际和本地现有建议。如有不同意见，会在后续会议中再次讨论该主题，直至达成一致。我们将共识定义为对所讨论主题的完全认同。
研究小组在2019年3月至2023年1月期间举行了五次面对面会议。作者们制定了适用于所有评估驾驶适宜性的专业群体的建议。我们编写了一份日常实践辅助材料，介绍如何使用标准化测试程序检查TLO附件1中列出的视觉功能最低医学要求，并考虑如何解读所得结果，同时兼顾交通医学和眼科学方面的因素。
就瑞士驾驶适宜性视觉功能评估达成共识对于确保驾驶员的法律平等和检查人员的法律确定性至关重要。如果我们要在评估驾驶适宜性时考虑未来的法律发展和新的科学证据，就必须定期审查该共识。
