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Hope for people with Low Vision - you're clearly not blind, but you can't see clearly

While some vision problems can be treated or corrected with spectacles, medication or surgery to restore normal vision, others persist due to permanent loss of function of certain structures of the eye. When all corrective measures have been exhausted, the remaining vision is referred to as ‘Low Vision ’. Even though you no longer have perfect or normal vision, you still have some remaining vision (Low Vision) that allows you to maintain independence.

Symptoms

Not everybody experiences Low Vision in the same way. Depending on the cause of vision loss and where the problem is in the eye, the vision may be described as:

  • Hazy or cloudy
  • Blank, dark spots or wavy lines in the centre of the vision
  • Reduced side vision, resulting in difficulty to move around
  • Reduced colour and contrast perception, resulting in poor definition of objects
  • Shadows in the visual field or patchy vision
  • Extreme sensitivity to bright light
  • An inability to function in dimmed lighting

Causes

Some babies are born with Low Vision due to birth defects or hereditary factors.  Low Vision might also be acquired later in life as a result of an injury to the eye or any number of eye related conditions such as glaucoma, retinal detachment, macular degeneration, retinitis pigmentosa and diabetic retinopathy. See panel alongside for more information on these conditions.

Regular visits to an eye care professional will ensure early identification and possible treatment of visual disorders.

Can anything be done to help?

Yes. Once the best possible medical, surgical and optometric care has been given, people with Low Vision can be helped to make the most of their remaining vision by focussing on, among others:

  • Lighting, colour and contrast
  • The size of objects
  • The distance from objects
  • Finding the right low vision device for a specific task
  • Learning new visual skills e.g. to look sideways at an object to see it better, rather than looking straight ahead
  • Learning to concentrate on the other senses e.g. hearing and touch to compensate for the loss of vision

People with Low Vision can continue to perform most of the visual tasks needed to maintain their individual lifestyles, if they have:

  • some usable vision
  • the desire to maintain their lifestyles
  • the support of their family and friends
  • the willingness to adapt (do things differently)

What are low vision devices?

Low Vision devices make images appear larger, clearer and easier to see. These may include:

  • Special reading glasses
  • Magnifiers (pocket size, stand mounted, handheld, clip-on and illuminated)
  • Telescopes to magnify objects in the distance
  • UV shields to reduce glare and increase contrast
  • Non-optical devices e.g. talking watches, signature guides and needle threaders
  • Electronic reading devices

What can I expect from a 'Low Vision Service'?

A Low Vision service provides access to a multi-disciplinary team of professionals and a range of assistive devices that will smooth the process of adjusting to the challenge of living with low vision. Low Vision Services strive to assist individuals to:

  • Understand the value and limitations of their remaining vision
  • Learn visual skills to compensate for loss of function
  • Discover the importance of lighting, colour and contrast to make objects more visible
  • Select the right low vision devices to meet their specific needs
  • Obtain practical hints and tips
  • Get emotional support for the individual and their families.

Where can I find a 'Low Vision Service’?

The Low Vision Clinic of the South African National Council for the Blind in Pretoria provides a comprehensive service, including optometric services, aimed at addressing the special needs of people with low vision: even those with profound vision loss. A component of the Eye Care Division and Bureau for the Prevention of Blindness, the Low Vision Clinic is in the process of expanding in various provinces.

For further information on services available, contact:

South African National Council for the Blind
Low Vision Clinic
P.O. Box 11149, Hatfield, Pretoria, 0028
514 White Street, Baileys Muckleneuk, Pretoria
Tel:  012 452 3811
Fax:  012 346 1177
E-MAIL: admin@sancb.org.za or arlene@sancb.org.za


Click here to download a full list of Low Vision clinics and contact numbers


Useful links
www.lighthouse.org
www.rnib.org
www.eyesite.co.za

Do you find it hard to:
Read normal print?
Do fine detailed work (e.g. sewing)?
Recognise people or see expressions of their faces?
Watch television?
See markings on appliances (e.g. microwave)?
Cross streets and move around safely in unfamiliar places?
Cope with bright or dimmed lighting?
Have you been told that nothing can be done to restore or improve your vision?

Then you could
very likely benefit from
Low Vision Care

 

 



Some eye conditions
that cause low vision
or blindness

Cataract

A cataract is the clouding of the clear lens of the eye that focuses light onto the retina. The key symptoms of cataract are reduced depth perception, diminished colour perception (especially blues and purples), annoying glare in sunlight and poor night vision. The only treatment for cataract is to remove the lens from inside the eye and replace it with an artificial lens. A cataract operation takes about 30 minutes and is done under local anaesthesia.

Glaucoma

Glaucoma is a result of insufficient draining of normal eye fluids, which causes increased pressure in the eye. This build-up of pressure can damage the optic nerve and blood vessels which nourish the retina. A slow loss of peripheral vision (side vision) ensues and blindness follows. Most people do not know that they have glaucoma until irreversible damage has been done to the optic nerve, which is why early diagnosis is essential. Glaucoma can be treated with eye drops, oral medication or surgery.

Macular degenration

Macular degeneration (MD) occurs when blood flow to the macula, the area at the centre of the retina, is disturbed leaving the macula permanently damaged. Symptoms of MD are blurred and distorted central vision, the appearance of blind spots and loss of colour vision. There is currently no cure for MD, although the progress of the condition can be slowed. People with MD retain their peripheral vision, but tasks such as reading, writing and driving and recognising faces, which requires the use of central vision, will be affected.

Diabetic retinopathy

Diabetic retinopathy is not just a disease of the retina – it's a disease of the blood vessels in the retina and it affects the walls of blood vessels throughout the body. Diabetic retinopathy causes blood vessels to leak fluids resulting in vision disturbances. Often, diabetic eye disease has no symptoms or early warning signs. If you have diabetes, it is essential that you go for a dilated eye examination at least once a year.

Contact your nearest eye specialist if you exhibit any of the symptoms mentioned above.