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?

While spectacles are a fashion statement for some people, for others they are an uncomfortable necessity. Though contact lenses may be a little more aesthetically pleasing they too can be quite uncomfortable and cannot be worn throughout the day. Thankfully, there is a third way to correct vision. Laser surgery or LASIK, it is a popular refractive procedure that can correct common vision problems, such as nearsightedness, farsightedness and astigmatism. This procedure aims at reshaping the cornea so that light entering the eyes can be focused onto the retina for the person to have a clearer vision. 

Laser surgery is pain-free and quick in most cases. Usually, it does not take more than 15 minutes to correct vision in both eyes. The results of this surgery can be seen in as little as 24 hours. 

The first step of laser surgery to correct vision is to create a thin, circular flap in the cornea. This is then folded back to access the stroma or underlying cornea. An excimer laser is then used to remove some of the corneal tissue. For people suffering from nearsightedness, the cornea is flattened while for people suffering from farsightedness, the cornea is made steeper. In cases of astigmatism, an irregular cornea is smoothened. Once the correct gradient has been achieved the corneal flap is put back into place and the cornea is allowed to heal naturally. There are no stitches or bandages required in a laser eye surgery. You may feel a temporary burning or itching sensation in your eyes immediately after the procedure. It is important not to rub your eyes or place any pressure on them. Your vision may also be cloudy or blurred for the first few hours. A doctor will usually advise you to rest for a few days after the surgery so that your cornea can heal properly. In a few days, your eyesight should stabilize, though, in a few rare cases, it may take a little longer. You should also avoid any form of strenuous exercising for a few days after the surgery. 

Though LASIK surgery has a very high success rate, there are very rare occasions where spectacles may still be needed even after the surgery. Thus LASIK is a choice of treatment for many who seek freedom from glasses.

LASIK - Say No to Boring Glasses! 

The quality and sharpness of vision are generally measured with a Snellen chart. The Snellen chart shows letters of logically smaller size. Perfect vision is 20/20. This implies the patient or subject sees the same line of letters at twenty feet that a typical individual sees at twenty feet.

Here are a few doctor recommended tips that can be followed in order to achieve a perfect vision. These are as follows:

1. Eat right for good vision
Taking good care of your eyes begins with the food that you eat. Foods, for example, fatty acids, lutein, zinc and vitamins C and E may avert age related vision and eyesight problems, for example, macular degeneration and cataract as shown by certain studies. Eating these foods daily can lead to healthy eyesight. Following are some of the nutrients that can help us do so:

    Green vegetables, for example, spinach, kale, and collards
    Salmon and fish
    Eggs, nuts, beans, and other non-meat protein sources
    Oranges and different citrus natural products or juices
    Shellfish and pork

2. Quit smoking
Smoking makes you more inclined to get cataract, optic nerve damage and macular degeneration. The more times you attempt to stop smoking, the more probable you are to succeed.

3. Wear shades
The right sort of shades will shield your eyes from the sun's bright (UV) beams. An excess of UV exposure makes you more inclined to get cataracts and macular degeneration. Pick shades that piece ninety nine to hundred percent of both UVA and UVB beams. Wraparound lenses shield your eyes from the side. Spellbound lenses diminish the glare when driving. Some of the contact lenses come with UV protection as well. It is still a smart thought to wear shades for more protection, however.

4. Turn away From the Computer Screen
Gazing at a computer screen for a really long time can bring about eye strain, foggy vision, trouble focusing at a distance, dry eyes. The muscles around the eyes can start getting weak and painful if given too much strain. Turn down the screen brightness. You need to at present have the capacity to see, however, you should not feel like you are gazing at a very bright light. In case you are reading from the computer, use the zoom capacity to make the content bigger.

5. Pencil exercise
Take a pencil, and place it some place in the centre. Draw a letter, number or dot in on any side of the pencil. For this activity, you will concentrate on the pencil and the spot as you move it toward and far from your eyes. Pencil push-ups are rumoured to correct twofold vision and crossed eyes, yet it cannot hurt to attempt them for different issues since it is free, easy, and just includes focusing and refocusing your eyes. 

How to Have the Perfect Vision? Doctor Recommended Tips

Blurred vision is most often a sign that you need corrective spectacles for near sightedness, far sightedness or astigmatism but it could also be a sign of a bigger problem including eye diseases or neurological problems. Blurred vision involves the loss of sharpness of vision and objects appearing hazy and out of focus. It can affect one eye or both eyes simultaneously.

Whatever be your age, it is a good idea to consult a doctor as you begin to experience a blurred vision. To measure the extent of your vision problem, a doctor will do a comprehensive eye examination including spatial contrast sensitivity and a standard eye chart test. Some of the factors that trigger blurred vision are:

1. Myopia or nearsightedness
2. Hypermetropia or farsightedness
3. Astigmatism caused by an irregularly shaped cornea
4. Presbyopia - the diminished ability to focus on objects due to the hardening of the lens in the eye
5. Dry eyes or the lack of lubrication on the surface of the eyes
6. Hormonal changes during pregnancy
7. Migraine headaches
8. Temporary floaters in the eye formed by the liquefying of the gel in the eyes
9. After effects of lasik surgery
10. Eye drops or medication
11. Overuse of contact lenses
12. Diabetes

Blurred vision can also be a symptom of a serious condition such as cataract, glaucoma, macular degeneration, diabetic retinopathy and cardiovascular diseases.

Treatment for blurred vision depends on the factors triggering it. Wearing corrective glasses can cure blurred vision caused by myopia, hypermetropia and astigmatism. These conditions can also be treated by lasik surgery. For blurred vision related to diabetes, check your blood sugar and get it into its optimal range.

Exercises for the eye muscles can also help sharpen vision and lower the rate of eye muscle degeneration. Some of these exercises are:

1. Alternately focus on an object close to you and another far from you for ten seconds each.
2. Blink your eyes and hold for two seconds
3. Roll your eyes clockwise and anticlockwise. Repeat 15-20 times.
4. Rub your palms together to generate heat and place over your eyes to relax them.

A healthy diet with plenty of vitamin a can help keep your eyes healthy and prevent blurring of vision. Wearing sunglasses can also protect your eyes from harmful uv radiation and lower their rate of wear and tear. Lastly avoid reading in moving vehicles and holding a book too close to your face.

Is Your Vision Blurry? What Should You Do?

The most common vision problems are shortsightedness and farsightedness. Shortsightedness is when a person sees close objects clearly while distant objects appear blurry. It is more common than farsightedness and affects about 70% of the Asian population.

When there is a refractive issue, the prescription usually has a plus/minus with it and also a number. A  minus  symbol is used to represent shortsightedness; the greater the number of the glasses, the higher the shortsightedness. High myopia is a more severe form of shortsightedness where the power is -6.0 or higher.

Symptoms: 

As mentioned, the person will be able to see nearby objects but will have difficulty seeing far off objects.

Difficulty reading signs and boards
Squinting
Straining to reduce the strain on the eye
Tired and fatigue due to this eye strain, especially when in constant move like playing sports or travelling
How it happens?

Vision can be explained by a physical process where light passes through a lens and falls on the retina in the posterior portion of the eye where it forms an image. This is then sent to the brain where it is read and interpreted as a particular object. When the lens becomes elongated, the image that is formed is distorted in that it is formed in front of the retina and not on the retina. Though it gradually settles down with adulthood, in most cases, it progresses and requires corrective lenses. The corrective lenses ensure the image falls on the retina and visual perception is improved.

Treatment:

Corrective glasses are the most commonly used measure for nearsightedness. The lenses could be used either as spectacles or as contact lenses.
Laser surgery can also be used to correct the problem. A thin layer of the cornea is removed and the image formation is corrected.
Artificial intraocular lenses are also being used to treat this condition. They work like contact lenses and may need periodic replacement.
The most common technique, especially for high myopia is the use of surgery to correct the problem. This is a one-time correction and is a more durable solution than the earlier mentioned options.
Appropriate calculations are done to identify the lens to be used so that proper vision is restored.
Complications: 

Though not common, retinal detachment and variable postoperative refractive error can occur during the surgery.
It is very important to set realistic expectations with the patient in terms of what to expect before, during, and after surgery. If only one eye is going for repair, the chances of mismatch in vision could be present in the early stages. Being clear about what to expect will help in successful correction.

Myopia or Nearsightedness - How It Can Be Treated?

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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