Given the body that prepared this report I didn’t read it as recommending extreme testing, or even touting for business.
The opening paragraph in the documents executive summary states
"This paper is a consensus of opinion from the eye care sector across Europe in regard to driving and visual standards. This is timely in 2017as the European Commission (EC) is establishing a work stream to examine how the Medical Annex of Directive 2009/113/EC on driving licences has been implemented in Member States. While this exercise is welcome to endeavour to harmonise this across Europe, this document highlights the lack of uniformity in how visual standards are applied. It also summarises considerable differences in the application of these standards in European countries."
This reflects the ECOO was not specifically invited to contribute to the EUs commission that is reviewing the medical annex of Directive 2009/113/EC, Instead the ECOO document is unsolicited and has been prepared to lobby the commissions deliberations.
The ECOO is a trade organisation, and their reason for existence is to act in the best interests of their members much like the NCC and the SMMT where they try to influence government's to make decisions that are likely to benefit their members, which boils down to increasing trade or profitability. Their "Consensus document" does not specifically say the ECOO is looking for stars in all boxes across the EU, but their failure to suggest a reasonable strategy is a ploy to suggest that the EU should adopt the highest standards without directly saying it.
Unlike the NCC and SMMT the ECOO leans heavily on the perception that its members are thought of as being part of the Health Care services, which many people may consider to have a higher order of honesty and credibility, but the reality is the matter of eyesight testing for driving is not driven by health care needs, but it's a great opportunity to force more people through their doors for tests, which I have no doubt will be paid for by the driver. It is in their interests to lobby for the most thorough testing.
I personally believe the UK's present eyesight test for driving does leave quite a lot to be desired, so I am not against having it tightened up, But I also have to take the more scientific view that what the ECOO stands for may be overkill, so in my mind I believe the Gov't should first review what the minimum standards of eye sight should be required for driving, and then consider what level of testing should be applied to assess a drivers eyesight.