Because if someone has a perfect sight he is not allowed to do exams in Braille?
The relevant law in the US, the Americans with Disabilities Act, does not require the admin to allow it unless the exam taker provides a letter from a health-care professional asserting a disability and reimburses the admin for any extra costs in accommodating the disability.
Many types accommodations add extra burden or cost on the service provider, so if someone with e.g. perfect sight asks for a vision-related accommodation, they are allowed to refuse.
Higher Standard Deduction for Blindness
...
1. You can't see better than 20/200 in the
better eye with glasses or contact lenses, or
2. Your field of vision is 20 degrees or less.
See https://www.irs.gov/pub/irs-pdf/p501.pdfI believe 20/200 means you can read only the top letter, E, on vision charts.
The eye is a remarkably complex organ and thus it can fail in many different ways. There are many people with eye disorders who do not fit the legal definition. Either their condition is correctable (not curable), or their usable vision is above 20/200. Since many conditions are degenerative a person with an eye condition may become legally blind over time.