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!

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?

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?

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

LASIK stands for Laser In-situ Keratomileusis. This is a common eye surgery that helps in correcting vision problems. During this procedure, the cornea of the eye is cut across by a medical expert to raise the tissues and reshape them to correct vision. LASIK is suitable for patients who have shortsightedness, long sightedness or who suffer from astigmatism.

Here are the 5 benefits that a LASIK surgery offers:

1. Improved vision

A study reveals that 95% of the people who underwent this surgery achieved uncorrected visual acuity of 20/40 and 85% of the people achieved 20/20 vision. This procedure ensures that a patient achieves enhanced vision.

2. Quick results and recovery

This surgery enables you to return to your normal schedule immediately the day after the surgery. You can have clear and improved vision within a day.

3. Long- lasting outcomes

A minimum timeframe of 3 months is required for the eyes to adjust, after which LASIK results are permanently noticeable in a patient. No follow up procedures are required unless something wrong went with the surgery. The patient will continue to have improved vision unless there is any normal loss due to illness or aging.

4. No need of glasses

You no longer require glasses as your vision turns to normal post-LASIK surgery.

5. Goodbye contact lenses

LASIK surgery will help eliminate the need for contacts. You will be able to avoid all the problems pertaining to wearing a contact lens, including lens solution.

5 Benefits of Lasik Surgery

Night blindness is also called nyctalopia.It's a type of vision impairment. People with night blindness experience poor vision at night or in dimly lit environments. It is not a disease in itself, but rather a symptom of an underlying problem, usually a retina problem.

What Causes Night Blindness?
A number of eye conditions can cause night blindness, including:
1. Nearsightedness or blurred vision when looking at faraway objects.
2. Cataracts or clouding of the eye's lens.
3. Retinitis pigmentosa, which occurs when dark pigment collects in your retina and creates tunnel vision.
4. Vitamin A Deficiency
5. Zinc Deficiency
6. Dry Eyes
7. Diabetes

Are the Symptoms of Night Blindness?
The sole symptom of night blindness is difficulty seeing in the dark. You're more likely to experience night blindness when your eyes transition from a bright environment to an area of low light, such as when you leave a sunny sidewalk to enter a dimly lit restaurant. You're likely to experience poor vision when driving due to the intermittent brightness of headlights and streetlights on the road.

How can I Prevent Night Blindness?
You can't prevent night blindness that's the result of birth defects or genetic conditions, such as Usher syndrome. You can, however, properly monitor your blood sugar level and eat a balanced diet to make night blindness less likely. 

Orange colored foods are excellent sources of vitamin A, including:
1. Cantaloupes
2. Sweet potatoes
3. Carrots
4. Pumpkins
5. Butternut squash
6. Mangoes

What are the Treatment Options for Night Blindness?
The treatment will depend on its causes.
1. Nutrient deficiency (Vitamin A and Zinc) is the easiest to treat. 
2. If the cause is cataract, you can go for cataract surgery to remove the clouded lens and replace it with artificial intraocular lens. Vision is usually dramatically improved after surgery. 
3. For dry eye syndrome, lubricate your eyes with artificial tear drops as they provide instant relief. Just make sure that they are without preservatives. 
4. Diabetic retinopathy can be prevented with tight control over blood sugar, active lifestyle and good dietary habits.
5. As for retinitis pigmentosa, unfortunately there are no treatments available. Thankfully, new research is showing that vitamin A might have a slowing effect on the progression of this eye disease.

Night Blindness: Causes and Symptoms

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