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?

Are you losing your sight day by day? Does it make difficult to see you at night? Is this the onset of Blindness? Get to know about Retinitis Pigmentosa with these tips.

What actually is Retinitis Pigmentosa? 
Retinitis Pigmentosa (RP) refers to a group of diseases, which causes a slow, but progressive vision loss. It is a genetic disorder that affects the ability to respond to light.This inherited disease causes a slow loss of vision, beginning with decreased night vision and loss of peripheral (side) vision and eventually results in blindness.

Causes:
Retinitis pigmentosa is often hereditary (runs in families). If you or your partner has retinitis pigmentosa, there may be up to a 50 percent chance that you will pass it on to your children. Ask your ophthalmologist about genetic counseling if you are planning to have children.

Symptoms:
1. Slow loss of vision
2. Beginning of decreased night vision
3. Loss of peripheral vision
4. Difficulty in identifying colours

Diagnosis:
If you have poor night vision or a loss of side vision or if there is a history of retinitis pigmentosa in your family, your ophthalmologist will conduct a comprehensive eye exam to determine if you have retinitis pigmentosa. Your ophthalmologist will dilate your eyes to look at the back of them for signs of disease.

Treatment:
Currently there is no known cure for retinitis pigmentosa. However, research has shown that vitamin A palmitate may slow the progression of certain forms of RP. Your ophthalmologist can advise you about the risks and benefits of vitamin A palmitate and how much you can safely take. Taking too much vitamin A palmitate can be toxic, and evidence of vitamin A palmitate effect on RP progression is not substantial.
Another recommendation for slowing vision loss from RP is to wear sunglasses to protect your retina from harmful ultraviolet (UV) light.

Retinal prosthesis is also an important area of exploration because the prosthesis, a man-made device intended to replace a damaged body part, can be designed to take over the function of the lost photoreceptors by electrically stimulating the remaining healthy cells of the retina.

Retinitis Pigmentosa: What You Should Know About It?

Eye twitching, tics in the eyelids and spasms in the eye are pretty common. In case of eye twitching, usually the lower eyelid becomes involved. The upper eyelid may also twitch in certain cases. Twitches are not permanent in nature, and they leave after some time. In some cases, eye twitching may last for long durations of time such as weeks or months.

Eye twitching is not a critical medical condition. It is a temporary prickling and irritation in the eyes, which ceases after some time. Common twitching of the eyes is not related to any neurological disorder.

Here are some reasons which cause eye twitches-

Stress
Every individual goes through some amount of stress, and the body reacts differently in different people as a result of stress. An eye twitch may be caused due to stress, especially related to strain in the eyes.
In order to reduce stress you should practice yoga, meditation, perform breathing exercises and take a break. Reducing the stress would also cease the twitching in the eyes.

Tiredness
Eye twitching can appear when you are fatigued or very tired. Lack of proper sleep makes your body tired, and this might trigger eye twitching.
You should improve upon your sleeping hours and sleep more.

Eye strain
Vision problems and any issue related to the eyes can cause stress, which may result in constant twitching in your eyes. Whenever too much stress is imposed upon your eyes, they tend to react and twitching occurs. Any problem would make the eyes put in more effort, which results in strain.
You should have an eye check up if you experience an eye strain accompanied by twitching sensation in your eyes.

People who use computers, laptops, tablets and smartphones for a profuse period of time experience pain and twitching in the eyes. There is a 20-20-20 rule to be followed while using such devices, which reduces eye strain and reduces itching or twitching. You can also avail special eyeglasses for people who spend a lot of time on computers.

Caffeine
Intake of an excess amount of caffeine leads to eye twitching. Cut down your doses of coffee, tea, dark chocolates and soft drinks in case of eye twitching and you may observe an easing in the twitching.

Alcohol
Alcohol also leads to eye twitching so you must abstain from alcohol in case you are having twitching in the eyes.

Dry eyes
This disorder develops in people who have crossed the age of 50. People who use computers a lot also develop dry eyes, which leads to eye twitching.

Our eyes twitch because of a lot of reasons. You should know the facts right and avoid situations that lead to eye twitching.

Why Our Eyes Twitch?

Eyeglasses and contact lenses are both used for vision correction. Both of the options have their advantages and disadvantages but a number of factors like lifestyle, comfort and age etc. are important while deciding which one to choose. Here is a list of the fundamental differences between using spectacles and using contact lenses:

1. Distance from the cornea
Lenses are worn directly on the eye and are in constant physical contact with the cornea while glasses are worn over the eyes. Contact lenses may cause infections in the eye because the user has to touch the eye in order to wear them and to take them off.

2. Difference in vision
Since the lenses of spectacles are a little distance away from the eye, vision can be slightly distorted but contact lenses can provide natural and accurate vision. Also, side vision is not improved by glasses as you have to turn your head to see what is beside you. The contacts move around with your eyeballs and the peripheral vision is in focus.

3. Ease of use
Some people find eyeglasses difficult to use because of the constant weight on the face and the obstruction caused by the frames of the glasses. There may also be a constant need to adjust the frames. Often eyeglasses slip down the nose when you sweat or engage in rigorous physical activity. Contact lenses are free from all these hassles - they are not distracting or obstructive and so they are extensively used by dancers and athletes. Spectacles is very uncomfortable to wear during the rains or in humid weather because they fog up.

4. Infections and complications
Contact lenses can get displaced inside the eye and they can be difficult to reposition. They also cause the eyes to itch and water if you wear them for a very long time at a stretch or if tiny dust particles enter your eyes. The use of eyeglasses is far more flexible in this respect - they can be removed in case your eye itches or burns, but regular use of glasses causes dark circles and bags under the eyes.

5. Aesthetic differences
People often prefer contact lenses as they do not change the physical appearance - they help you look natural and you can also use colored lenses to change the color of your eyes. Glasses may look slightly unnatural but some people also prefer them for the fashion quotient.

Lens Vs Specs

A red eye is one of the first and most common symptoms of conjunctivitis. Conjunctivitis is the inflammation of the tissue that lies over the white part of the eye and lines the inner side of the eyelid. It is usually the result of a viral infection and can easily spread from one person to another. Conjunctivitis can also be a symptom of STDs like Gonorrhea or Chlamydia. In newborns, conjunctivitis can be vision threatening, while in grownups it is not considered a serious health risk. The symptoms of conjunctivitis differ according to the cause of the infection. 

Some common symptoms of conjunctivitis are:
1. Green or white discharge from the eye
2. Redness of the white part of the eye
3. Inflammation of the eyelid
4. Waking up to crusted yellow discharge
5. Itchiness and burning in the eyes
6. Increased sensitivity to light
7. Blurred vision

An eye examination and testing a sample of the fluid secreted by the eye can be used to diagnose conjunctivitis.  It can easily be treated at home and does not require hospitalization. Antibiotics are often given in the form of eye drops and ointments to treat conjunctivitis. These usually need to be applied 3 to 4 times a day for a period of 5 to 6 days. Wash your eyes before putting the eye drops. Once applied, close your eyes and roll the eyeball around to distribute the medicine and keep it from overflowing out of the eye. Wash your hands immediately after applying the eye drops.

Viral conjunctivitis is highly contagious. If you are suffering from it, you should take a few days off work and restrict your social interactions. Wash your hands frequently as you may unconsciously rub your eyes. This is especially important with regards to meals and finger foods. Also, avoid sharing towels, pillowcases, etc. to minimize the transmission of the disease from one person to another.  

Avoid using makeup while being treated for conjunctivitis. With conjunctivitis, the eye is more sensitive to irritants and thus, a speck of makeup can worsen the situation. Also avoid contacts. If you wear contacts regularly, dispose the current set and start using a fresh set after your doctor gives you a clean chit. 
Artificial tears or non prescription eye drops can also be used to relieve the itchiness and burning in the infected eye. If only one eye had been affected by conjunctivitis, do not use the same eye drop bottle for both eyes.

Managing the Acute Red Eye

There are many common measures people take to improve their eyesight or to improve their vision, including wearing glasses, lenses, and many more. Here are some effective exercises, which can prove to be highly beneficial to improve your eye health:

1. Stretching
This is the most common and also one of the easiest to do. It requires you to just look up, hold for two seconds, look down, hold for two seconds and then repeat this procedure for each corner of your eye, which means top-left, top-right, bottom-left and bottom-right corners.

2. Flexing
This is simply rotating your eyes in circles. Roll your eyes in the clockwise direction for one minute and then roll your eyes in the anticlockwise direction for one minute.

3. Focus switching
This particular eye exercise is probably the most useful one to improve eye health. In this eye exercise, you have to hold something at a reading distance and cover the other eye. You then have to find something that is at least twenty feet away and trace its shape with one eye closed. With one eye closed, trace more shapes, which are twenty feet away.

4. Palming
This exercise is also very simple to perform. All you have to do is cover your eyes with your palms. Once you have done this, just wait and see that there are no bright flashes of light. If you see that there is a bright flash of light, just wait till they go. This is used primarily to distress the eyes.

5. Deep blinking
This is also an incredibly useful exercise for distance vision. What you have to do is to place some large letters are at a fair distance and then sit on a chair. You have to then close your eyes and tighten all your muscles for 5 seconds. After 5 seconds are over, you have to open your eyes and then you have to see the letters for a second or two. The more number of times you do this, the more clearly you will be able to see the letters after reopening your eyes.

However, these eye exercises are not universally accepted by all doctors.

Exercises to Improve Eye Health

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