Driving an automobile is an important option for community mobility. Functional vision is a major consideration for safe driving, and age-related vision impairment may result in the loss of driving independence. Clinicians and older drivers would benefit from understanding current options for driving with low vision, including state laws, use of adaptive equipment, low-vision rehabilitation, and driver rehabilitation. This article reviews the concept of a bioptic telescopic lens system for driving with low vision, including an example of a collaborative interdisciplinary bioptic driving training program developed by the Pennsylvania Department of Transportation in conjunction with clinical experts.