Older people constitute the fastest growing sector of the driving population and are believed to represent a high risk to road safety, given their high crash rate per distance travelled. The crash characteristics of the elderly also differ from those of younger drivers and generally involve multiple vehicles and more complex driving situations. Although the reasons for this deterioration in driving performance are multi-factorial, the age-related changes in vision are likely to be a significant factor, given the important role of vision in driving. This paper provides an overview of some of the complex issues associated with older drivers and considers how the aging changes in visual function might impact on driving performance. Particular emphasis is placed on the literature linking vision to driving, with emphasis on more recent research. The implications of this research for driver licensing and self-regulation of older drivers are also discussed.