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Living With Low Vision

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February is Low Vision and Age-Related Macular Degeneration awareness month.  

Low vision describes a set of conditions in which there is significant visual impairment which can not be corrected with traditional means such as glasses, contact lenses, medication or eye surgery.   Low vision includes a loss of visual acuity which can’t be corrected to better than 20/70, significant visual field loss such as tunnel vision or blind spots, legal blindness (20/200 or less visual acuity in the better eye) and almost total blindness.

While it  can affect both children and adults, low vision is most common in the elderly. Since vision is significantly impaired and can’t be corrected the condition requires significant adjustments to daily life. Here are some facts about the condition and tips for coping with it on a daily basis.

What causes low vision? 

  • Eye diseases such as: glaucoma, macular degeneration, cataracts, diabetic retinopathy, and retinitis pigmentosa
  • Eye injury
  • Heredity

How does low vision affect daily life?

While people with low vision are not considered to be totally blind, often the poor quality of their vision makes it incredibly challenging to complete common daily tasks including reading, writing, cooking and housework, watching television, driving or even recognizing people. The adjustment can be especially for those who suddenly lose their vision.

The good news is there are numerous resources and products available to assist individuals with low vision often by enhancing the small amount of vision that is intact.

Visual Aids

Visual aids enable millions of people who suffer from low vision to be able to function and live relatively normal lives, by maximizing their remaining eyesight. An optometrist can do a low vision eye exam and provide specialized glasses or tints to optimize vision, or recommend quality magnifiers with appropriate magnification and working distance.  Full spectrum lighting or magnifiers with an attached light source are often used to aid individuals with low vision. You can also get special lens tints, which are used to enhance contrast and reduce glare, with special coatings for specific conditions.  Other low vision aids act as guides to help the person focus on non-visual cues, such as sound or feel.

Many people unfortunately try a “trial and error” or "dollar store" readers or magnifiers when it comes to vision aids which can lead to frustration. In fact, there is a systematic approach

to finding the right visual aid, which is a matter of consulting with a professional to determine what works for each individual and his daily needs. Speak to your optometrist about the best place to obtain quality, optical and non-optical aids to assist with your low vision.

If you or a loved one suffers from low vision, here are some ways to make life with low vision easier

  1. Adjust Lighting. Ensure that your home is well lit. This may require some trial and error with different lights and voltages to determine what works best for you.
  2. Use a magnifier. There is a vast selection of magnifiers available, ranging from hand-held to stand magnifiers. Binoculars and spectacle mounted magnifiers are also an option.
  3. Your optometrist or low vision specialist can recommend specialized lens tints for certain conditions such as retinitis pigmentosa or cataracts, which enhance vision or reduce light sensitivity.
  4. Use large print books for reading. Alternatively, try digital recordings or mp3s.
  5. Make use of high contrast for writing. Try writing in large letters with a broad black pen on a white piece of paper or board.
  6. Add a high-contrast stripe on steps (bright color on dark staircase, or black stripe on light stairs) can prevent falls in people with low vision, and may enable those who suffer to remain independent in their home.
  7. Find out what other technology is available to help make your life simpler.

If you or a loved one has low vision, don’t despair. Be sure to consult with your eye doctor about the best course of action to take to simplify life with low vision.

Further Resources:

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Dear Northwood Vision patient,

COVID-19 has the potential to cause grave harm to many of the citizens in our population. According to Harvard epidemiologist Dr. Mark Lipsitch it is likely that at least between 40-70 % of the population will become infected with COVID-19. This virus is twice as contagious as the flu. About 80 percent will not have severe concerns, but based on the current data, 20% of the infected will become severe or critical, needing some form of hospital care to do well. Currently, about 30 % of those who become classified as severe based on WHO classification, will not survive. These are the unfortunate realities at the moment.

Meanwhile, at Northwood Vision, we want to do as much as possible to minimize this risk, to prevent mortality and long term side effects, while doing our best to provide the services our patients need. We are convinced you care about these same things. (Read more)

Here is what we are asking you to do to make a smaller exposure footprint:

  1. If you have any symptoms of a cold or flu (coughing, fever, difficulty breathing, running nose, etc), please reschedule your appointment for at least one month from now.
  2. Try not to touch any surfaces in the office you do not have to touch.
  3. If you are trying on glasses, DO NOT put the frames back on the shelf. Rather, we will collect them from you for proper cleaning before they are returned to the shelves.
  4. If you are ordering contact lenses, a year supply (and some 6 month supplies) order can be direct shipped to your home at no cost. Please take advantage of this so you don’t have to come into the office more than necessary.
  5. If you do need to come into the office for an adjustment, please call the office at 727-725-5558 when you arrive in your vehicle. We will let you know if there is a wait and will put you on a list so we can call or text you to come therefore minimizing the time you are in the enclosed space of our office.
  6. Please come to your appointment with the least number of people possible to reduce exposure to them and to others at the office.
  7. If you have any loved ones that have been exposed to the virus or certainly if they have symptoms of a respiratory illness, please wear a mask in case you are an asymptomatic carrier, or if possible, wait at least 4 weeks before coming in for non-essential care.

In an effort to protect you, here is what we are doing to help lower your risk:

  1. All surfaces in the office will be cleaned several times per day with antiviral/antibacterial cleaner. Surfaces in the exam room will be cleaned thoroughly in between each patient.
  2. No sick or symptomatic staff will be permitted to work while sick with a known viral respiratory infection or symptoms, or while directly caring for a sick relative/friend.
  3. For your safety, payments can be done ahead of time over the phone if you call ahead. This will decrease the amount of time you are in the store and your exposure risk in our enclosed space.
  4. No glasses frames other patients try on will be put back on display until the frames are cleaned with an antiviral cleanser.
  5. We are actively asking patients to reschedule for 4 weeks later if they have any symptoms themselves or in their family/ social network.
  6. We are giving options for patients to acquire goods by mail rather than coming into the store.
  7. We altering our schedule to decrease the number of patients that might be in the office at the same time to maximize social distancing.
  8. We are practicing frequent hand washing at our office to protect you and each other.
  9. We will ask patients to reschedule if they present to our clinic with a cough or other COVID-19 symptoms.

Thank you for your patience and understanding during this stressful and trying time. Let us all work together to lower risk of the spread so that less people die and less people have permanent side effects from COVID-19. Each of us can do our part. May God bless each of you and keep you well. Thank you for your understanding and care for your fellow humans.

Dr. Christopher K. Keats, OD