Efforts to assess visual deterioration with increasing age, coupled with new mechanisms proposed to limit the exposure of visually impaired drivers to driving risks, have emerged in response to the increase in older drivers. Visual functions discussed in this context include static acuity (photopic, mesopic, and in the presence of glare), dynamic visual acuity, visual field, contrast sensitivity, and motion perception. Exposure control mechanisms discussed include alternative periodic vision testing strategies, visual training, and environmental and vehicular modifications to accommodate the older driver. Finally, relevant research needs are addressed.