People may suffer from visual impairment even though their eyes are perfectly normal. Such loss of vision may result from neurological impairment.

Vision is the combination of image formation and perception of various attributes of the image by the brain. When the brain is not able to perceive images or various attributes of images, the patient may suffer from neurological impairment of vision. Such impairment owes its origin to the nervous system.

Causes of Visual Impairment:

There are various areas in the brain that process some or the other attribute of the image that has formed on the retina. Occipital cortex, the area situated at the rear side of the brain is a very important site. It is responsible for processing visual stimuli and allowing people to make an idea about shape, distance, movement, color, etc. The severity of loss of vision depends on the extent and location of damage in the brain.

Neurological loss of vision may result from acquired brain injury, difficulties with visual perception, impairment in coordination of the eyes, etc. All these may stem from damage areas in the brain that are responsible for vision. There are many areas in the brain that are responsible for vision.

These areas can get damaged from various accidents like:

Stroke: If a person suffers a stroke, a part of his or her brain is likely to get damaged due to a haemorrhage or a blocked blood vessel.

Traumatic Brain Injury: A traumatic brain injury such as in a car accident or a violent fall can damage visual perception of the brain.

Infections: Infections such as meningitis attack the brain and may impair various areas of it.

Lack of Oxygen: People may suffer from lack of oxygen if they experience accidents like a near-drowning episode or a heart attack or something else, which has the effect of interrupting blood flow to the brain.

Diseases: Diseases such as brain tumors, multiple sclerosis etc. can precipitate neurological vision loss.

Symptoms of Visual Impairment:

Symptoms of neurological vision loss depend on the type of vision impairment and the location of damage in the brain. It may include:

Blurry vision: In Blurry vision, a person will not see things clearly or may see something in light but find it difficult to see them in dim light.

Double vision: In double vision, the patient sees a single object as two and cannot merge them as one.

Problems with depth perception of objects

Problem with bright light: In this type of problem, a person experiences difficulty seeing an object in a bright light. One may also feel pain or discomfort in the eye in bright light.

Difficulty with interpreting the object the person is looking at

Partial loss in the visual field: In this problem, half of the visual field in each eye is missing.

Treatment of Visual Impairment:

There is hardly any treatment for such vision loss since the rectification of visual acuity is of no help. Depending on the location and degree of neurological impairment, vision may improve over time. Some children with acquired brain injury or impairment in the coordination of the eyes and difficulties with visual perception also tend to improve with age.

Conclusion:

This is a type of vision loss where glasses, contact lenses, surgeries, or eye drops are not going to help. Such vision loss is usually permanent. Children with similar symptoms need to be presented with pictures, bright light, etc., which may help to form an idea about the object.

Visual Impairment Related To Nervous System!

If your eyes suddenly look reddish and feel extremely itchy, you may be suffering from allergic conjunctivitis. Allergic conjunctivitis is triggered by exposure to allergens like pollen or mold spores. An allergy to eye drops or contact lens solution can also trigger this condition. Allergic conjunctivitis is a very common health condition and more common during the hay fever season.

There are two types of allergic conjunctivitis; acute allergic conjunctivitis and chronic allergic conjunctivitis. Acute allergic conjunctivitis is characterized by the swelling of eyelids and intense itchiness and burning. Amongst the two, this is a more common condition. Chronic allergic conjunctivitis can occur during any season and has symptoms that come and go. It is a milder response to allergens such as dust, food, pollen, chemical scents etc.

On presenting the symptoms of conjunctivitis to a doctor, he may ask for an allergy skin test, a blood test or a scraping of the conjunctival tissue to understand the type of conjunctivitis you are suffering from. Allergic conjunctivitis can be treated with a combination of medication and home care.

Antihistamines are the most common form of treatment for this disease. This can reduce and block the release of histamines in the body. Artificial eye drops may also be used to create a screen over the eye and prevent the eye from coming in contact with the allergen. Eye drops may also be used to shrink swollen blood vessels in the eye. Steroid eye drops may also be used along with anti inflammatory eye drops.

Home care to treat allergic conjunctivitis focuses on preventing the trigger. Today, apps on your phone can update you n the pollen levels in the air. Close your windows every time you notice a higher than normal pollen count and keep your home as dust free as possible. You could also use an air purifier in your home. Also, avoid exposure to strong chemicals, dyes, perfumes etc.

To avoid the condition from worsening, avoid rubbing your eyes and wash your hands every time you touch your eyes. Disinfect your towels, sheets and pillowcases that come in contact with your eyes every few days with hot water. Wash eyes with cold water twice daily especially after coming home from outside. Do not share your make up or brushes with other people. This is a healthy habit to follow even when you are not suffering from this condition. While you suffer from pink eye you should also not wear contact lenses. Once the eye has healed, discard the old lenses and replace them with a new pair.

Allergic Conjunctivitis - How It Can Be Treated?

In order to see clearly, the eyes need to be constantly lubricated. This function is performed by small glands located in the eyelids known as meibomian glands. These glands secrete oil onto the surface of the cornea through tiny openings on them. Malfunctioning of this gland can create an excessive amount of oil.

When oil accumulates on the eyelids, it encourages the bacteria present in the eye and the skin around it to multiply leading to inflammation. This condition is known as meibomianitis. Adults are at a higher risk of suffering from this condition as compared to children.

Some of the factors that could trigger meibomianitis are:

Allergic reactions
Fluctuation of hormones associated with puberty and adolescence
Acne and other skin conditions
Lice or mites on the eyelashes
Unsanitary contact lens solution
Contaminated eye makeup
Certain medications such as isotretinoin for acne that increases bacteria on the eyelids
However, in some cases, a clear trigger factor may not be identifiable.
Some of the characteristic symptoms of this disease are:

Dry eyes
Constant watering from the eyes
Inflammation and reddening of the eyelids
Burning sensation in the eyes
Itchiness
Flaking of skin around the infected eye
Heightened sensitivity to light
Excessive blinking
Crusting of eyelashes
Blurred vision
Frequent formation of sties
Loss of eyelashes or abnormal growth of eyelashes
Regular cleaning of the eyes with warm water and abstaining from the use of contact lenses and eye makeup can help reduce irritation and manage the inflammation. Additionally, the doctor may also prescribe antibiotics or steroids in the form of pills, eye creams or drops. Artificial tears may also be recommended to patients exhibiting dry eye symptoms.

Meibomianitis - 8 Things That Can Trigger It!

Visual impairment is a decreased ability to see to a degree that causes disabilities or problems, not fixable by usual means, such as glasses. Loss of vision may be acquired and develop suddenly. It may affect one or both your eyes.

What Causes Loss of Vision/Disability?

Loss of vision and disability can result from the following  

Clouding of normally transparent eye structures

Abnormalities in the retina

Abnormalities in the nerves carrying visual signals to the brain from the eyes

Changes in vision may also occur due to conditions like glaucoma, macular degeneration and diabetic retinopathy. 

Can Psychological Rehabilitation Help Manage Visual Impairment?

Vision loss and disability often interfere with one s functional ability in everyday tasks. Sometimes, the disability may be so devastating that it affects a person s mental health and behaviour. Psychological Rehabilitation is designed to help such visually impaired people deal with disability or impairment. 

Psychological rehabilitation involves a wide range of methods that aims to restore functioning after loss of vision, just as physiotherapy restores functioning after an injury or stroke. The program allows patients to continue living independently and maintain their quality of life despite vision loss. 

Complete or partial loss of vision can jeopardize one s career   you may not be able to continue with your job due to the disability.  Many people suffer psychological and physical challenges, which force them to escape the outside world. Psychological rehabilitation helps in the following ways  

Helps individual understand and accept the disability, and find ways to cope with it

Motivates them in to keep trying

Cope with the pain and depression

Overcome feelings of fear or despair

Prevents the person from sinking into a state of self-pity, which may hinder recovery

Rehabilitation Psychology adopts a holistic and expansive approach to treat visual impairment. 




Loss of Vision & Disability - How Can Psychological Rehabilitation Help?

Glaucoma: An Overview
This disease can be developed or inherited; it usually refers to the accumulation of fluid inside a person's eyes leading to excessive pressure on his or her optic nerve.

How to Diagnose the Symptoms of Glaucoma-

A Fundamental Eye Examination: An experienced eye doctor will check the dilated pupils of your eyes so as to take a closer look at the optic nerve that further discerns the stage of glaucoma a patient is in. Doctors tend to keep track on the sequential progression of glaucoma and its specific mode of treatment through pictures of the optic nerve taken during an examination.

Tonometry may also be performed:Signs of Glaucoma may be spotted through the procedure called tonometry where the doctor will test a person's eye pressure and so on so forth. A visual field test might also be conducted to check if the patient can see things at the periphery of his line of vision. 

Symptoms that will help a doctor identify this condition in people:-

A loss of peripheral vision is experienced in the early stages of glaucoma.
A person may see halos when in the presence of bright lights.
Your eyes could turn red.
Hazy or blurry vision is a problem faced by young children affected with glaucoma.
Glaucoma could be accompanied by headaches and eye pain.
An affected person might repeatedly feel nauseous.
Ways to Treat Glaucoma:-

Microsurgery can effectively treat Glaucoma: Microsurgery can be performed in various ways. There is one way in which a channel is made to pump out the fluid creating extra pressure on the optic nerve. This method is referred to as trabeculectomy.

Eye Drops: Eye drops can relieve you from painful glaucoma. They are known to control the formation of excess fluid in a person's eye. In some cases, they can induce the accumulating fluid to flow out of the patient's eyes.

Laser Treatment: Laser surgeries can be undertaken to get rid of glaucoma. Laser can help in moving out fluid from the eyes of the affected person. It successfully hinders fluid blockage as well. There are different kinds of laser treatments available to cure glaucoma.

Diagnosis and Treatment for Glaucoma

Cataract can be defined as the clouding of the natural lenses in the eyes. This is caused by the clumping of protein in the eye lens. Cataract is a common eye disorder and the leading cause of loss of vision in people who are past their fortieth birthday. Cataract can occur in one or both eyes. When diagnosed properly, cataract can be treated with surgery to prevent blindness.

Depending on where and how they develop, there are many types of cataract. The most common amongst these are:

1.        Subcapsular cataract

These occur at the back of the eye lens. Diabetic patients are very susceptible to this kind of cataract.

2.        Nuclear cataract

Yellowish-brown cataract that form in the center of the lens are called nuclear cataract. This is usually seen in cataract caused by ageing.

3.        Cortical cataract

Cataract in the lens cortex are known as cortical cataract. These are wedge shaped and whitish in color. Spokes protruding out of these opaque wedges can be seen moving towards the center of the eye.

4.        Congenital cataract

Though they are not common, babies can also have cataract. Cataract formed at birth or within the first year of a baby's birth are known as congenital cataract.

5.        Secondary cataract

Cataract is one of the known side effects of diabetes and glaucoma. Some steroids and medicines are also linked to cataract.

6.        Traumatic cataract

If your vision becomes cloudy years after an eye injury, it could be a traumatic cataract. It can take several years for this to happen.

7.        Radiation cataract

Exposure to radiation can also lead to cataract. This is seen sometimes in patients who have undergone radiation therapy to fight diseases like cancer.

Though the type of cataract might differ from person to person, the symptoms are usually the same. Some of the common symptoms of cataract are:

1. Blurred vision
2. Reduced night vision
3. Increased sensitivity to light and glare
4. Seeing halos around lights
5. Colors appearing faded
6. Double vision

A reading test is the first step towards diagnosing cataracts. This is followed by tests to measure the eye pressure. Your doctor will also need to dilate the pupil to check the condition of the optic nerves and retina.

Surgery is the safest way to remove a cataract. Surgery is usually recommended when cataract begin inhibiting your daily life such as preventing you from driving, interfering with reading etc.
 
In most cases, this can be done as an outpatient procedure. The earlier it is diagnosed, the easier it is to treat. Hence, if you notice any of the symptoms mentioned above, get your eyes checked at once. The surgery is a day-care surgery only, so a person can go home the same day.

Is Your Vision Clouded? It Could Be Cataracts

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