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<chapter num="05" heading="Use of Bioptic Telescopic Lenses" title_num="11" subtitle_num="17">
  <regulation prefix="Regulation" num=".01" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meaning indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Administration” means the Motor Vehicle Administration.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Bioptic telescopic lens” means a spectacle-mounted telescopic lens which is a corrective lens and which uses magnification as the main means of obtaining minimal visual acuity.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Carrier lens” means a lens on which a bioptic telescopic lens is mounted.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Corrective Lens.</text>
        <paragraph num="(a)">
          <text>“Corrective lens” means a lens which improves a refractive condition in the eye.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>“Corrective lens” as used in this chapter does not include a bioptic telescopic lens.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(5)">
        <text>“Field expander” means a wide-angle lens that makes objects look smaller and further away.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>“Gross vehicle weight (GVW)” means the greatest of the following weights for a single vehicle or combination of vehicles:</text>
        <paragraph num="(a)">
          <text>The value specified by the manufacturer or manufacturers as the maximum gross weight;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The registered gross weight; or</text>
        </paragraph>
        <paragraph num="(c)">
          <text>The actual operating weight.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(7)">
        <text>“Knowledge test” means a written, computer-assisted, or oral test covering the Maryland rules of the road which is administered to an applicant for a Maryland driver's license.</text>
      </paragraph>
      <paragraph num="(8)">
        <text>“Skills test” means a two-part driving test given to assess an applicant's ability to drive a motor vehicle under the provisions of this chapter, with the test consisting of a:</text>
        <paragraph num="(a)">
          <text>Basic skills test conducted on a driving course; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Road test designed to test the applicant's ability to operate a motor vehicle in traffic conditions.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Minimum Visual Standards.">
    <paragraph num="A.">
      <text>An applicant using bioptic telescopic lenses meets the minimum visual standards if the applicant has the visual acuity specified in §§B and C of this regulation.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The applicant shall demonstrate:</text>
      <paragraph num="(1)">
        <text>A visual acuity of at least 20/100 in one or both eyes and a field of 150 degrees horizontal vision with or without corrective lenses; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>If the applicant has vision in one eye only, a field of at least 100 degrees horizontal vision.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>The applicant shall demonstrate a visual acuity of at least 20/70 in one or both eyes with the bioptic telescopic lenses and without the use of field expanders.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Procedures.">
    <paragraph num="A.">
      <text>The procedures in §§B and C of this regulation apply to vision tests.</text>
    </paragraph>
    <paragraph num="B.">
      <text>A vision test shall be administered by a licensed optometrist or ophthalmologist.</text>
    </paragraph>
    <paragraph num="C.">
      <text>Statement by Optometrist or Ophthalmologist.</text>
      <paragraph num="(1)">
        <text>A licensed optometrist or ophthalmologist shall submit a statement on a form furnished by the Administration.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The statement is not acceptable if the date of the examination is more than 3 months before the date of submission of the statement to the Administration.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The statement shall contain:</text>
        <paragraph num="(a)">
          <text>A patient's full name, signature, address, date of birth, and sex;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Whether the test results were obtained with or without corrective lenses;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Date of the test;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Signature and license number of the individual authorized to certify the statement;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>A statement as to whether the patient has a vision condition which is stable;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Recommendations for the:</text>
          <paragraph num="(i)">
            <text>Driving restrictions the ophthalmologist or optometrist wishes the Administration to consider, if any; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Administration's consideration relating to a vision reexamination on a 6-month or 12-month basis, if any; and</text>
          </paragraph>
        </paragraph>
        <paragraph num="(g)">
          <text>A statement as to whether:</text>
          <paragraph num="(i)">
            <text>The patient has been referred to an appropriate physician because of any underlying medical condition,</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>The patient has been fitted for bioptic telescopic lenses which the patient has had in the patient's possession at least 60 days before the patient's original or renewal application for a Maryland driver's license;</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>The patient has received instructions at least equal to the suggested instructions as set forth in Regulation .04 of this chapter; and</text>
          </paragraph>
          <paragraph num="(iv)">
            <text>In the opinion of the optometrist or ophthalmologist, the patient's vision condition would interfere with the safe operation of a vehicle upon the highways.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Additional Requirements.">
    <paragraph num="A.">
      <text>An individual who meets the minimum visual acuity standards of this chapter with bioptic telescopic lenses shall pass a skills test examination if the individual has not taken a skills test wearing the individual's bioptic telescopic lenses. Upon renewal, the Administration may waive a skills test reexamination for a bioptic telescopic lens wearer.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Instruction Requirements. Basic instruction requirements for an applicant wearing bioptic telescopic lenses shall ensure that the applicant has demonstrated the ability to:</text>
      <paragraph num="(1)">
        <text>Locate stationary objects within the telescopic field;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Locate a moving object in a large field of vision by anticipating future movement and coordinating head and eye movement to locate the moving object within the telescopic field;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Remember what has been seen after a brief exposure, with the duration of exposure diminished constantly to simulate short looking time while driving; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Differentiate varying levels of illumination such as daylight, dusk, and nighttime while wearing bioptic telescopic lenses.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Medical Advisory Board Referral.">
    <text>If the statement from the optometrist or ophthalmologist indicates that the applicant's vision loss is a result of a medical condition or the applicant's vision condition is not stable, the applicant shall be referred to the Medical Advisory Board for evaluation.</text>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Restrictions.">
    <paragraph num="A.">
      <text>If an individual applying for an original driver's license cannot meet the minimum visual requirements without the aid of corrective lenses and bioptic telescopic lenses, a license with an appropriate restriction shall be issued.</text>
    </paragraph>
    <paragraph num="B.">
      <text>An individual may qualify only for a noncommercial Class C driver's license valid for a vehicle with a GVW of 10,000 pounds or less if it is necessary for the individual to use bioptic telescopic lenses to meet the minimum visual acuity standards.</text>
    </paragraph>
    <paragraph num="C.">
      <text>A licensee may apply for a vision reexamination for the purpose of removing a vision-related restriction.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".07" heading="Renewal.">
    <paragraph num="A.">
      <text>Upon application for renewal, if an individual required to submit to a vision reexamination holds a license which is not restricted to operation with bioptic telescopic lenses, and the individual cannot meet the minimum visual requirements except with the aid of bioptic telescopic lenses, a renewal license with an appropriate restriction shall be issued if the individual passes the required skills test.</text>
    </paragraph>
    <paragraph num="B.">
      <text>If an individual's visual acuity has diminished to the extent that bioptic telescopic lenses are required to meet the minimum visual acuity, the individual shall convert the individual's Maryland driver's license to the noncommercial Class C driver's license combination, restricted to the operation of vehicles less than 10,000 pounds GVW.</text>
    </paragraph>
    <paragraph num="C.">
      <text>Upon application for renewal, if an individual required to submit to a vision reexamination holds a license which is restricted to operation with corrective lenses or bioptic telescopic lenses, and that individual can meet the minimum visual requirements without the use of these lenses, that individual is entitled to file an application to have the restriction removed from the individual's renewal license.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".08" heading="Disqualification.">
    <text>Notwithstanding any of the provisions of these regulations, if the Administration has received notification that an applicant or licensee has been certified legally blind, the certification may provide grounds for refusal to issue an original or renewal driver's license, and any current driver's license or learner's permit may be cancelled.</text>
  </regulation>
  <regulation prefix="Regulation" num=".09" heading="Learner's Instructional Permit.">
    <paragraph num="A.">
      <text>The Administration shall require an individual who is applying for a learner's instructional permit under the provisions of these regulations to:</text>
      <paragraph num="(1)">
        <text>Submit the statements required by Regulation .03 of this chapter;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Pass a knowledge test; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Pay the applicable fees.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>If an individual whose license is up for renewal, and who needs bioptic telescopic lenses to meet the minimum vision requirements, fails a skills test, the individual may obtain a learner's card.</text>
    </paragraph>
    <paragraph num="C.">
      <text>If an individual's license is valid at the time application is made for a license restricted to bioptic telescopic lenses, the learner's card shall be issued free of charge.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".10" heading="Driver's License Requirements.">
    <text>The Administration shall require an individual who is applying for a driver's license restricted to bioptic telescopic lenses under the provisions of this chapter to:</text>
    <paragraph num="A.">
      <text>Have a valid license or hold a valid learner's instructional permit; and</text>
    </paragraph>
    <paragraph num="B.">
      <text>Pass the skills test.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Transportation Article, §§12-104(b), 16-110.2, 16-113(a)(3), and 16-208(b), Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: November 1, 1979</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01 amended effective April 6, 1979 (6:7 Md. R. 578); January 23, 1981 (8:2 Md. R. 115)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter revised effective November 22, 1982 (9:23 Md. R. 2260)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .11 adopted effective December 30, 1985 (12:26 Md. R. 2546)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter, Age of Majority Identification Card, repealed effective April 4, 1988 (15:7 Md. R. 850)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.10, Use of Bioptic Telescopic Lenses, adopted effective March 2, 1992 (19:4 Md. R. 474)</annotation>
  </annotations>
</chapter>