High-resolution pixel LED headlamps are lighting devices that can produce high-resolution light distribution to adapt to road and traffic conditions, intelligently illuminate traffic areas, and assist drivers. Due to the complexity of roads and traffic conditions, the functional diversity of high-resolution pixel LEDs headlamps and traffic safety has come into question and is the subject of in-depth research conducted by car manufacturers and regulators. We summarize the current possible functions of high-resolution pixel LED headlamps and analyze ways in which they could be improved. This paper also discusses the prospect of new technologies in the future.