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How Does Low Vision Therapy Work?

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An eye doctor performs a thorough evaluation to determine the best course of low vision therapy for their older patient.

Living with low vision can feel overwhelming, but you don’t have to navigate this journey alone. Low vision therapy offers hope and practical solutions through specialized rehabilitation that maximizes the use of remaining vision for people whose sight cannot be fully restored through surgery, medication, or corrective lenses.

If you or a loved one are dealing with conditions like macular degeneration, diabetic retinopathy, glaucoma, or other eye diseases that cause significant vision loss, understanding how low vision therapy works can be the first step toward regaining independence and improving quality of life.

What Is Low Vision Therapy?

Low vision therapy is a specialized rehabilitation program designed to help people with permanent vision loss maximize the use of their remaining sight. Unlike traditional eye care that focuses on correcting vision problems, low vision therapy teaches you how to work with the vision you have.

The World Health Organization defines low vision as visual acuity between 20/70 and 20/1000

Low vision therapy recognizes that even with reduced vision, people can learn new techniques and use specialized tools to perform tasks they once thought were no longer possible. The approach is highly individualized, focusing on your specific vision challenges and personal goals.

Goals of Low Vision Therapy

Low vision therapy aims to maximize your functional vision and help you maintain independence in your daily life. The primary goals include:

  • Enhancing visual skills: Therapists work with you to improve scanning techniques, develop more effective eye movement patterns, and strengthen your ability to use peripheral vision.
  • Teaching adaptive strategies: You’ll learn new ways to approach familiar tasks, such as reading, cooking, or navigating your home safely.
  • Optimizing lighting: Proper lighting can dramatically improve visual function, so therapy often includes guidance on selecting the best lighting solutions for different activities.
  • Building confidence: As you master new techniques and tools, your confidence in performing daily tasks can grow and lead to greater independence.
  • Improving safety: You may learn to identify potential hazards and navigate environments safely, which is a crucial component of the therapy process.

What to Expect During a Low Vision Evaluation

Before beginning therapy, you’ll typically undergo a comprehensive low vision evaluation by your eye doctor. This assessment goes beyond a standard eye exam to understand how your vision loss affects your daily life.

Things to expect during the evaluation include:

  • Medical history review: Understanding the cause and progression of your vision loss helps create an appropriate treatment plan.
  • Assessment of remaining vision: Tests measure not just how much you can see, but how well you can use your remaining vision for specific tasks.
  • Functional abilities evaluation: You’ll discuss which daily activities are most challenging and important to you, such as reading, cooking, or recognizing faces.
  • Testing with various devices: Your eye doctor may introduce you to different magnification tools and assistive technologies to see what works best for your needs.
  • Discussion of your goals: This collaborative approach ensures your therapy plan addresses what matters most to you.
An older adult uses a magnifying glass to read their credit card number.

Types of Low Vision Therapy Techniques

Low vision therapy encompasses a range of techniques tailored to your specific needs and goals. Your eye doctor will work with you on visual skills training, such as learning to use healthy areas of your retina or practicing eye tracking exercises.

Learning to use various low vision assistive devices will also typically be part of your low vision therapy. Discovering new ways to change your environment, such as adjusting lighting or using color and contrast to make things more visible, will also typically be an essential part of therapy.

The Role of Occupational Therapists

Occupational therapists specializing in low vision play a crucial role in your rehabilitation. These professionals understand how vision loss affects daily living skills and can provide targeted interventions. Their expertise typically includes:

  • Activities of daily living: Teaching modified techniques for personal care, meal preparation, and household management.
  • Safety assessment: Evaluating your home environment and recommending modifications to prevent falls and accidents.
  • Work and recreation: Helping you adapt job tasks or hobbies to accommodate vision changes.
  • Mobility training: Basic orientation and mobility skills for safe navigation.

Occupational therapists work closely with your eye doctor to provide comprehensive care that addresses all aspects of your daily life.

Benefits of Low Vision Therapy

The benefits of low vision therapy extend far beyond improved visual function. People often experience:

  • Increased independence
  • Enhanced safety
  • Improved quality of life
  • Greater confidence
  • Increased social engagement
  • Improved emotional well-being

Reclaiming Your Independence Through Low Vision Therapy

Low vision therapy represents hope for anyone whose sight cannot be fully restored through medical treatment. While the journey may seem daunting, many people have successfully learned to live independently and confidently with vision loss.

The key is taking that first step. Contact our team at Heartland Eye Consultants to learn about your options and begin the evaluation process. Remember that adapting to vision loss takes time, but with the right support and training, you can continue to enjoy a fulfilling, independent life.

Your vision loss doesn’t define your limitations. Low vision therapy can help you discover what’s still possible.

Written by Dr. Will Ferguson

Dr. Will Ferguson is originally from Hastings, Nebraska, and graduated from the University of Nebraska-Lincoln with a degree in biological sciences in 2005. He received his Doctor of Optometry degree from Southern College of Optometry in Memphis, Tennessee, in 2009. From there, he went on to earn a fellowship in the College of Optometrists in Vision Development in 2012.

He states, “there is a growing population of children suffering from learning-related visual disorders. It becomes difficult for these children to obtain information through their visual system, and it puts them at a significant disadvantage when compared to their peers. Children in these situations lose one of the most powerful tools needed to be successful in life…opportunity. Developmental vision care is rewarding to me because it offers people the ability to overcome their visual inadequacies and open the door to a future full of possibility.”

Dr. Will Ferguson is an active member of the Nebraska Optometric Association (NOA). Since graduating from the NOA’s Leadership Institute in 2014, he has served on the Board of Directors of both the NOA and the Nebraska Foundation for Children’s Vision. He is the proud recipient of the NOA’s Young OD of the Year award in 2019.

In his free time, Dr. Will enjoys spending time with his wife and 2 daughters, participating in outdoor activities, attending sporting events, and reading books.

More Articles By Dr. Will Ferguson

Vision Therapy

Vision therapy is an effective, non-surgical, doctor-supervised treatment that retrains the brain and eyes to work together more efficiently. Rather than compensate for vision problems, vision therapy aims to treat and correct the visual system itself.

Discover how we can help you or your child overcome vision problems such as strabismus and amblyopia, and build a greater sense of confidence. Take our vision therapy quiz today!

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