February 24, 2014

Low Vision: What to Do When “There’s Nothing More That Can be Done”


Low Vision: What to Do When “There’s Nothing More That Can be Done”

Reprinted with permission from Outlook, the electronic newsletter of the National Eye Health Education Program (Winter 2014)

“I’m sorry, but there’s nothing more that can be done. There is no cure for your eye condition.”
It’s likely you’ve been on the receiving end of this devastating news.
When an eye care provider says, “There’s nothing more that can be done,” what he or she likely means is, “There’s nothing more I can do for you surgically.” But instead of saying, “There’s nothing more that I can do,” the discouraging message delivered to the patient is, “There’s nothing more that can be done.”
Thus, in many cases, the discussion ends there. Patients will either exhaust their resources searching for an elusive cure or become resigned to a life that is restricted and defined by incurable vision loss.
When receiving a diagnosis of vision loss, many adults who have managed to overcome a host of obstacles in their lives may now believe they are facing an obstacle with no viable solution. A natural, and understandable, initial reaction is to focus instead on the devastating losses that are seen as an inevitable accompaniment to blindness and low vision such as:

  • Loss of independence: “How will I prepare meals, clean my home, or shop? Will I become a burden to my family and friends?”
  • Loss of confidence and self-worth: “All my life I’ve been physically active and self-reliant. Has my life as an independent person come to an end?”
  • Loss of privacy: “I won’t be able to handle my finances independently. Will I have to surrender control of my life to someone else?”
  • Loss of employment: “I’ll have to quit my job. How will I earn a living?”

It’s important to know that there is indeed hope—and life—after vision loss. A wide range of vision rehabilitation services enable adults who are blind or have low vision to continue living independently. The term “vision rehabilitation” includes highly trained professionals and comprehensive services that can restore function after vision loss, just as physical therapy restores function after a stroke or other injury.
Vision rehabilitation professionals include:

  • Low vision therapists, who teach the use of residual vision with optical devices, non-optical devices, and assistive technology, and help determine the need for environmental modifications in the home or workplace.
  • Vision rehabilitation therapists, who teach adaptive independent living skills that enable adults to perform a wide range of daily activities, including cooking, reading and writing, braille, home repair, personal self-care, financial management, and leisure activities.
  • Orientation and mobility specialists, who teach safe and independent indoor and outdoor travel skills, including the use of a long cane, electronic travel devices, public transportation, and service dog guide, human guide, and pre-cane skills.

Additional vision rehabilitation services can include:

  • Peer support and counseling: talking with peers, sharing common concerns and frustrations, and finding solutions to vision-related problems
  • Vocational rehabilitation: vocational evaluation and training, job training, job modification and restructuring, and job placement
  • Veterans’ services: vision rehabilitation and related support services for blinded veterans of all ages.

To find low vision services near you, see Locating a Low Vision Specialist.

We offer resources and free materials for those living with low vision.

View Resources