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https://doi.org/10.18502/wkmj.v65i4.14679
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Suresh Subramaniam
Suresh Subramaniam
Optimax Eye Specialist, Kuala Lumpur, Malaysia
Published Date
- Dec 21, 2023
The Four Elements in Low-Vision Rehabilitation Service
Abstract
This article addresses the critical issue of low-vision rehabilitation (LVR) services, focusing on the challenges faced by visually impaired patients, particularly those with central visual field limitations and visual acuity of 3/60 or worse in the better eye. Glaucoma, a chronic progressive optic neuropathy, poses a significant threat to vision and quality of life. Despite the absence of a definitive cure, various treatment modalities aim to control and slow down its progression. However, the impact of glaucoma-related structural and functional vision loss on patients’ quality of life is profound. Visual rehabilitation plays a pivotal role in guiding patient-centered therapeutic decisions, yet it remains underutilized for glaucoma patients. Understanding the available LVR is crucial in developing new tools and approaches. This article provides an overview of LVR options for visually impaired individuals and emphasizes the importance of comprehensively assessing and addressing their needs, both in terms of visual function and overall well-being.
Keywords:
low-vision rehabilitation, glaucoma, visual impairment, vision-related quality of life, medical management
References
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[11] Kaleem, M. A., Swenor, B. K., West, S. K., Im, L., Shepherd, J. D. (2019). Low-vision services and the glaucoma patient. Ophthalmol Glaucoma. 2019; 2(3), 127–129. https://doi.org/10.1016/j.ogla.2019.01.012
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[14] Khachatryan, N., Pistilli, M., Maguire, M. G., Chang, A. Y., Samuels, M. R., et al. A review of studies of the association of vision-related quality of life with measures of Visual Function and Structure in Patients with Glaucoma in the United States. Ophthalmic Epidemiol. 2021; 28(3), 265–276. https://doi.org/10.1080/09286586.2020.1863992
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[19] Khimani, K. S., Battle, C. R., Malaya, L., Zaidi, A., Schmitz-Brown, M., et al. Barriers to low-vision rehabilitation services for visually impaired patients in a multidisciplinary ophthalmology outpatient practice. J Ophthalmol. 2021; 6122246. https://doi.org/10.1155/2021/6122246
[20] Waisbourd, M., Ahmed, O. M., Newman, J., Sahu, M., Robinson, D., et al. The effect of an innovative vision simulator (OrCam) on quality of life in patients with glaucoma. J Vis Impair Blind. 2019; 113(4), 332–340. https://doi.org/10.1177/0145482X19869797
[21] Azoulay-Sebban, L., Zhao, Z., Zenouda, A., Lombardi, M., Gutman, E., et al. Correlations between subjective evaluation of quality of life, visual field loss, and performance in simulated activities of daily living in glaucoma patients. J Glaucoma. 2020; 29(10), 970–974. https://doi.org/10.1097/IJG.0000000000001597
[22] Burmedi, D., Becker, S., Heyl, V., Wahl, H.-W., Himmelsbach, I. (2002). Emotional and social consequences of age-related low vision. Vis Impair Res. 2002;, 4(1), 47–71. https://doi.org/10.1076/vimr.4.1.47.15634
[23] Horowitz, A., Reinhardt, J. P., Boerner, K., Travis, L. A. The influence of health, social support quality and rehabilitation on depression among disabled elders. Aging Ment Health. 2003; 7(5), 342–350. https://doi.org/10.1080/1360786031000150739
[2] Subramaniam, S., Jeoung, J. W., Lee, W. J., Kim, Y. K., Park, K. H. Three dimensional neuro-retinal rim thickness and retinal nerve fiber layer thickness using high-definition optical coherence tomography for open-angle glaucoma. Jpn J Ophthalmol. 2018; . 62(6): 634–642. https://doi.org/10.1007/s10384-018-0620-7
[3] Harwerth, R. S., Wheat, J. L., Fredette, M. J., Anderson, D. R. Linking structure and function in glaucoma. Prog Retin Eye Res. 2010; 29(4): 249–271.
[4] Quigley, H. A. The number of people with glaucoma worldwide in 2010 and 2020. Br J Ophthalmol. 2006; 90(3), 262–267. https://doi.org/10.1136/bjo.2005.081224
[5] Tham, Y.-C., Li, X., Wong, T. Y., Quigley, H. A., Aung, T., et al. Global prevalence of glaucoma and projections of glaucoma burden through 2040. Ophthalmology. 2014;, 121(11), 2081–2090. https://doi.org/10.1016/j.ophtha.2014.05.013
[6] Bourne, R. R. A., Flaxman, S. R., Braithwaite, T., Cicinelli, M. v, Das, A., Jonas, J. B., et al. Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: A systematic review and meta-analysis. Lancet Glob Health. 2017; 5(9), e888–e897. https://doi.org/https://doi.org/10.1016/S2214-109X(17)30293-0
[7] Schuster, A. K., Erb, C., Hoffmann, E. M., Dietlein, T., Pfeiffer, N. The diagnosis and treatment of glaucoma. Dtsch Arztebl Int. 2020; 117(13), 225.
[8] Lee, D. A., Higginbotham, E. J. Glaucoma and its treatment: A review. Am J Health Syst Pharm. 2005; 62(7), 691–699.
[9] Jeon, S. J., Jung, Y., Jung, C.-S., Park, H.-Y. L., Park, C. K. Visual function evaluation for low vision patients with advanced glaucoma. Medicine. 2020; 99(7), e19149. https://doi.org/10.1097/MD.0000000000019149
[10] Enoch, J., Jones, L., Taylor, D. J., Bronze, C., Kirwan, J. F., et al. How do different lighting conditions affect the vision and quality of life of people with glaucoma? A systematic review. Eye. 2020; 34(1), 138–154. https://doi.org/10.1038/s41433-019- 0679-5
[11] Kaleem, M. A., Swenor, B. K., West, S. K., Im, L., Shepherd, J. D. (2019). Low-vision services and the glaucoma patient. Ophthalmol Glaucoma. 2019; 2(3), 127–129. https://doi.org/10.1016/j.ogla.2019.01.012
[12] Knight, L. S. W., Ridge, B., Staffieri, S. E., Craig, J. E., Prem Senthil, M., et al. Quality of life in adults with childhood glaucoma. Ophthalmol Glaucoma. 2022; 5(3), 325–336. https://doi.org/10.1016/j.ogla.2021.09.007
[13] Siswoyo, S., Kushariyadi, K., Sukma, B. A. Relationship of Family Support with Quality of Life in Glaucoma Patients. NurseLine J. 2021; 6(2), 89. https://doi.org/10.19184/nlj.v6i2.19847
[14] Khachatryan, N., Pistilli, M., Maguire, M. G., Chang, A. Y., Samuels, M. R., et al. A review of studies of the association of vision-related quality of life with measures of Visual Function and Structure in Patients with Glaucoma in the United States. Ophthalmic Epidemiol. 2021; 28(3), 265–276. https://doi.org/10.1080/09286586.2020.1863992
[15] Dandona, L., Dandona, R. Revision of visual impairment definitions in the International Statistical Classification of Diseases. BMC Med. 2006; 4(1), 7. https://doi.org/10.1186/1741-7015-4-7
[16] Gazzard, G., Kolko, M., Iester, M., Crabb, D. P., Educational Club of Ocular Surface and Glaucoma (ECOS-G) Members. A scoping review of quality of life questionnaires in glaucoma patients. J Glaucoma. 2021; 30(8), 732–743. https://doi.org/10.1097/IJG.0000000000001889
[17] Luu, W., Kalloniatis, M., Bartley, E., Tu, M., Dillon, L., et al. A holistic model of low vision care for improving visionrelated quality of life. Clin Exp Optom. 2020; 103(6), 733–741. https://doi.org/10.1111/cxo.13054
[18] Deemer, A. D., Goldstein, J. E., Ramulu, P. Y. Approaching rehabilitation in patients with advanced glaucoma. Eye. 2023; 37(10), 1993–2006. https://doi.org/10.1038/s41433-022-02303-z
[19] Khimani, K. S., Battle, C. R., Malaya, L., Zaidi, A., Schmitz-Brown, M., et al. Barriers to low-vision rehabilitation services for visually impaired patients in a multidisciplinary ophthalmology outpatient practice. J Ophthalmol. 2021; 6122246. https://doi.org/10.1155/2021/6122246
[20] Waisbourd, M., Ahmed, O. M., Newman, J., Sahu, M., Robinson, D., et al. The effect of an innovative vision simulator (OrCam) on quality of life in patients with glaucoma. J Vis Impair Blind. 2019; 113(4), 332–340. https://doi.org/10.1177/0145482X19869797
[21] Azoulay-Sebban, L., Zhao, Z., Zenouda, A., Lombardi, M., Gutman, E., et al. Correlations between subjective evaluation of quality of life, visual field loss, and performance in simulated activities of daily living in glaucoma patients. J Glaucoma. 2020; 29(10), 970–974. https://doi.org/10.1097/IJG.0000000000001597
[22] Burmedi, D., Becker, S., Heyl, V., Wahl, H.-W., Himmelsbach, I. (2002). Emotional and social consequences of age-related low vision. Vis Impair Res. 2002;, 4(1), 47–71. https://doi.org/10.1076/vimr.4.1.47.15634
[23] Horowitz, A., Reinhardt, J. P., Boerner, K., Travis, L. A. The influence of health, social support quality and rehabilitation on depression among disabled elders. Aging Ment Health. 2003; 7(5), 342–350. https://doi.org/10.1080/1360786031000150739