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Home » Q & A about DOT Physical Requirements » Vision

Vision

vision med

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Q&A

What are the vision requirements to get a DOT medical card?

What if I have monocular vision?

Can I wear contact lenses to do the vision test?

What if I have had laser eye surgery?

I am legally blind in one eye from an injury? With documentation from my eye specialist can I pass the DOT physical?

I need to obtain a vision waiver. Where can I get the forms?

I have 20/20 vision corrected, right eye. 20/200 uncorrectable in my left eye, 70 degree plus horizontal left and right. Does this fail the DOT physical?

I’ve been a CDL driver for 16 years. Last week, for my DOT physical the doctor made me do the color test from a book with numbers and dots. I could get only half of them right. I have always been able to see the colors red, green and amber and pass my DOT physical. Now the book test has made me fail the color portion of the DOT physical. What’s going on with this?

What are the vision requirements to get a DOT medical card?

You must have a distant visual acuity of at least 20/40 with or without corrective lenses:

  • see at least 20/40 with both eyes together
  • see at least 20/40 with the right eye
  • see at least 20/40 with the left eye.

Monovision is a disqualification. Use of a contact lens in one eye for distant visual acuity and another lens in the other eye for near vision is not acceptable, nor are telescopic lenses acceptable for driving a commercial motor vehicle.

Exemption: A driver with monocular vision may be able to get a Federal Vision Exemption Certificate, if medically fit for duty in all other categories of the physical exam.

What if I have monocular vision?

If you pass all other aspects of the DOT physical, and you meet all vision requirements in the functioning eye, then you may be considered for a Federal Vision Exemption.

Can I wear contact lenses to do the vision test?

You are permitted to wear contact lenses provided you’re used to wearing them and have a good tolerance for wearing contacts. Be aware that monovision is a disqualification, so use of a contact lens in one eye for distant visual acuity and another lens in the other eye for near vision is not acceptable.

What if I have had laser eye surgery?

Provided you meet the vision requirements, you should have no problem.

I am legally blind in one eye from an injury? With documentation from my eye specialist can I pass the DOT physical?

This type of injury will require documentation.
If you are going to drive only within your state borders, it will be easier. Just check with your DMV to see what the states rules and regulations are.
To pursue an interstate medical card will require an exemption that you can only get from FMCSA. Check out the requirements to determine if this is something you want to pursue. It is possible, but a bit tough to do. Lots of hoops, but do-able.

I need to obtain a vision waiver. Where can I get the forms?

FMCSA has a Vision Exemption Program which has specific requirements for each application. You will get a decision within 180 days of completing your application. To find out more and get the forms go to this FMCSA official webpage.

I have 20/20 vision corrected, right eye. 20/200 uncorrectable in my left eye, 70 degree plus horizontal left and right. Does this fail the DOT physical?

DOT requires you have a minimum of 20/40 vision in each eye, and in both eyes together, either non-corrective or with corrective lenses. Your peripheral vision is within normal limits.
All that being said, you could be driving skills tested with a FMCSA exemption. Check with the FMCSA for the requirements for that particular exemption.

I’ve been a CDL driver for 16 years. Last week, for my DOT physical the doctor made me do the color test from a book with numbers and dots. I could get only half of them right. I have always been able to see the colors red, green and amber and pass my DOT physical. Now the book test has made me fail the color portion of the DOT physical. What’s going on with this?

It looks like the doctor is trying to determine if you may be color blind. But the primary reason for the DOT physical color test is to determine your ability to distinguish red, amber/yellow and green – not a color blindness examination. Not really sure as to why they would do this. Especially since you have been driving for so long. You are correct to question this.

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Comments

  1. Daniel M says

    June 30, 2019 at 8:52 pm

    I am trying to get my cel my eye doctor got my bad eye 20/400 to 20/60
    And my good eye 20/40 Can I still get my Cdl interstate

    Reply
    • Trucker Docs™ says

      July 14, 2019 at 8:52 pm

      @ Daniel
      Class A cdl requires a 20/40 or better in each eye, with or without the use of corrective lenses. 20/60 , even with corrective lenses would not pass a FMCSA/DOT medical examination for interstate driving.

      Reply
    • stephen B says

      July 25, 2019 at 10:05 pm

      What are the requirements for eye test if you’re a mechanic and can’t get 20/40 vision in one eye.

      Reply
      • Trucker Docs™ says

        August 11, 2019 at 2:04 pm

        @ stephen B
        FMCSA is strict on vision, but as a mechanic, not sure where your question is aimed. FMCSA requires 20/40 or better in each eye individually, but that can be done with corrective lenses.

        Reply
    • Konner says

      March 9, 2020 at 1:49 pm

      My left eye Corrected is 20/80 and my right eye is 20/20 and together they are 20/20. I have to get a cataract surgery and prescription glasses to try and help my left eye but is there any way I can get it exempted for a class A cdl? I’ve driven for three years with a perfect record.

      Reply
      • Konner says

        March 9, 2020 at 1:51 pm

        And how do I get that exemption waiver if it can be done

        Reply
      • Trucker Docs™ says

        March 10, 2020 at 10:54 am

        @ Konner
        You will have to go through FMCSA for the exemption papers. Check their website for more information.

        Reply
  2. Dona says

    June 27, 2019 at 2:08 pm

    Will I be disqualified from my CDL, I have 20/20 in one eye with full field and 20/40 in the other eye with 20 degrees field?

    Reply
    • Trucker Docs™ says

      June 27, 2019 at 8:21 pm

      @ Dona
      You may still qualify to drive CDL with restrictions. Class A will require a visual exemption or a SPE evaluation. Your state may have varying guidelines, so check with your state too.

      Reply
  3. Kelli B says

    June 13, 2019 at 3:08 pm

    I have a friend who just lost his eye due to a tumor. Would he still be qualified to use his CDL for OTR? He has 20/20 in the good eye with a contact.

    Reply
    • Trucker Docs™ says

      June 13, 2019 at 7:49 pm

      @ Kelli B
      It is possible to driver class A OTR with one good eye and the process is a huge pain to go through. Maybe intra-state only with the restriction on his drivers license and medical card. State requirements may be more lenient on this issue.

      Reply
  4. Matt C says

    May 2, 2019 at 5:27 pm

    Will having ageing cataracts cause me to fail the dot physical or as long as I can pass the vision test I will be ok

    Reply
    • Trucker Docs™ says

      May 5, 2019 at 6:48 pm

      @ Matt C
      The condition will raise questions. Your best bet is to have your eye doctor do a complete eye examination and give you a copy to take to your DOT medical certification examination.

      Reply
  5. George T says

    April 26, 2019 at 12:22 pm

    I live in PA but I work full time in NYC. I need clarity with whats acceptable regarding vision in NYC. My optometrist gave me a form that says that as long as I have 20/40 in one or both eyes, I am good to go. Can I either take this eye report to PA and be approved for the DOT physical or should I take the physical in NYC and bring the physical report or card to PA to take the CDL permit?

    Reply
    • Trucker Docs™ says

      May 1, 2019 at 2:38 pm

      @ George T
      FMCSA requires 20/40 or better in each eye individually, with or without corrective lenses. Medical certification cards are good federally, so it does not matter where the examination is done. If your license is in PA, then PA will need a copy of your medical certification to attach to your drivers license.

      Reply
  6. Dave H says

    April 12, 2019 at 12:19 am

    I am an OD who saw a CDL candidate today… Visual acuity is 20/20 OD, 20/20 OS, but the patient has strabismus and doesn’t truly have binocular acuity. Acuity OU is 20/20, but that is mainly coming from her right eye. She has a CDL and has driven a bus for 6 years with no incidents… Does she qualify because of her OU acuity, or not because of no true binocular vision? Thanks!

    Reply
    • Trucker Docs™ says

      April 15, 2019 at 7:48 pm

      @ Dave H
      She is driving a bus which puts her under the states variances and not FMCSA. The FMCSA guidelines where established for the long-haul, over the road, tractor/trailer drivers. Your state has a set of guidelines that may vary from the FMCSA. Check with the state first, unless her cdl is a class A. If it is she falls under FMCSA guidelines. FMCSA guidelines require that a driver have a visual acuity of 20/40 or better in each eye, with or without corrective lenses. She would also need a peripheral field of vision of 70 degrees of center, in each eye.

      Reply
  7. Blackrain says

    April 5, 2019 at 7:48 pm

    I have 20/20 in one eye and 20/60 with glasses in the other am I able to get a cdl in Texas and drive interstate Also I do not have any health problems and can see colors with both eyes peripheral vision is good in both eyes

    Reply
    • Trucker Docs™ says

      April 7, 2019 at 8:11 pm

      @ Blackrain
      FMCSA requires interstate drivers maintain a 20/40, or better, in each eye individually. The state may have different visual variances, so check with your local drivers licensing department regarding visual restrictions.

      Reply
      • Blackrain says

        April 8, 2019 at 1:06 pm

        OK thanks. So spoke with a Texas dot person today she said if I’m 20/20 in one eye and 20/70or better in the other eye corrected or non corrected that I was OK for a cdl. So I’m guessing that’s for driving in state? Or maybe she does not know

        Reply
        • Trucker Docs™ says

          April 15, 2019 at 8:22 pm

          @ Blackrain
          Most likely intra-state only.

        • Doyle C says

          August 15, 2019 at 10:04 pm

          if I fail my eye test at the dot Dr can I go to my eye Dr’s and get my eyes check and pass it there can he Wright the Dr and tell him I pass

        • Trucker Docs™ says

          August 17, 2019 at 7:06 pm

          @ Doyle C
          All you need to do is get your eye doctor to do an examination, then ask for a copy to take to your DOT medical examiner.

  8. DOT NP says

    March 20, 2019 at 11:15 am

    REGARDING COLOR REQUIREMENT
    Passing a Ishihara color text is NOT required. All a driver needs to be able to do is prove that they can DISTINGUISH between red, green and yellow. If the driver can distinguish these colors the driver has passed the color portion of the exam.

    Reply
    • Useman says

      May 30, 2019 at 5:53 pm

      I have a slight color deficiency. I have no problem distinguishing red yellow and green. I’m having difficulty getting a doctor to sign off on this

      Reply
      • Trucker Docs™ says

        June 3, 2019 at 8:56 pm

        @ Useman
        You don’t need a doctor to sign off on this. You must be able to distinguish red, yellow and green, that’s it.

        Reply
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