What is Low Vision?


What is Low Vision?Low vision is vision loss that makes everyday activities more challenging and cannot be fully corrected with regular eyeglasses, contact lenses, medication, or surgery. Depending on the cause, low vision may affect your central or peripheral vision or make your vision blurry or hazy. It can also make it harder to see at night or in low-light conditions.

While low vision can affect people at any age, it is more common among older adults because many of the eye diseases that cause vision loss are more common with age. Low vision is not the same as total blindness. People with low vision have remaining sight that can often be used more effectively with vision rehabilitation, assistive devices, and changes to their environment.

How Does Low Vision Affect Daily Life?

Low vision affects everyone differently. Depending on the type and severity of vision loss, you may have difficulty:

  • Reading books, menus, medication labels, or other small print
  • Recognizing faces
  • Driving, particularly at night
  • Using a computer, smartphone, or other digital devices
  • Cooking and performing other household tasks
  • Moving safely through unfamiliar surroundings
  • Seeing clearly in low light or adjusting to glare

The impact of low vision isn’t determined solely by an eye chart. Even people with some usable vision may find that vision loss significantly interferes with everyday activities.

What Causes Low Vision?

Low vision can result from many different eye diseases, injuries, and inherited conditions. Some of the most common causes include:

Age-related Macular Degeneration

Age-related Macular Degeneration (AMD) is a leading cause of vision loss among Americans aged 60 and older. It accounts for nearly half of all low vision cases. It occurs when the part of the eye that is responsible for straight-on vision – the macula – breaks down and causes loss of central vision.

Glaucoma

Glaucoma damages the optic nerve and can gradually cause permanent vision loss. It commonly affects peripheral vision first and may progress without noticeable symptoms in its early stages.

Diabetic Retinopathy

High blood sugar can damage blood vessels in the retina, potentially causing diabetic retinopathy and permanent vision loss in people with diabetes.

Retinitis Pigmentosa

Retinitis pigmentosa is a group of inherited diseases that affect the retina resulting in the progressive loss of vision. This type of visual impairment often starts in childhood with poor night vision and progresses over time.

Cataracts

Cataracts cause the eye’s natural lens to become cloudy, resulting in blurry or hazy vision. Unlike many causes of low vision, cataracts can usually be treated successfully with surgery.

There are many other causes of low vision including strokes, traumatic brain injury and other diseases such as Stargardts, and albinism.

What Are the Signs and Types of Low Vision?

Low vision can take several forms depending on its underlying cause. Common types of vision loss include:

  • Central vision loss: Difficulty seeing objects directly in front of you
  • Peripheral vision loss: Difficulty seeing objects to the sides, sometimes called tunnel vision
  • Night blindness: Difficulty seeing in low-light conditions
  • Blurred or hazy vision: Vision that remains unclear even with standard correction
  • Reduced contrast sensitivity: Difficulty distinguishing objects from backgrounds with similar colors or shades

How Is Low Vision Treated?

Treatment depends on the condition causing your vision loss. In some cases, treating the underlying eye disease may help improve vision or prevent additional vision loss. However, when lost vision cannot be restored, low vision rehabilitation can help you make the most of your remaining sight and continue performing everyday activities as independently as possible.

Low Vision Aids and Assistive Technology

Depending on your needs, low vision aids may include:

  • Handheld or stand magnifiers
  • Specialized glasses or telescopic lenses
  • Electronic or video magnifiers
  • Large-print and high-contrast materials
  • Screen magnification and screen-reading software
  • Smartphone and computer accessibility features
  • Improved task lighting and glare reduction

Vision rehabilitation goes beyond magnification. Rehabilitation specialists can help people with low vision learn new ways to read, use technology, move safely through their surroundings, perform household tasks, and continue hobbies and activities that are important to them.

Is Low Vision the Same as Legal Blindness?

No. Low vision is vision loss that cannot be fully corrected and interferes with everyday activities. Legal blindness is a specific definition used by the U.S. government to determine eligibility for certain benefits and services. Someone who is legally blind may still have usable vision, and a person can have low vision without meeting the definition of legal blindness.

When Should You See an Eye Doctor?

If changes in your vision are making it more difficult to perform everyday activities, it’s time to see an eye doctor. Sudden vision loss or a significant, unexpected change in your sight should be evaluated as soon as possible, as it may be a sign of a serious eye or medical condition. Schedule an appointment for a comprehensive eye exam with Washington Eye Physicians & Surgeons.