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Some glaucoma patients have lost significant vision, making some desired activities difficult.
Too often, these patients are told that “nothing can be done” by using medical or surgical treatment to improve visual function.
But, in most of these cases, there is something that can be done. With help from a low vision specialist, you can learn new skills to compensate for your limited vision, use magnifiers to help with common tasks, and get tips on how to change your living environment.
Most patients have more visual capacity than they realize. A low vision specialist will start by evaluating how much good vision you still have. Patients who have peripheral vision loss from glaucoma can learn how to compensate for a diminished visual field, helping to get around more safely and find objects more easily.
An occupational therapist can also help you learn new ways to do daily tasks. Some examples are:
Home environments can be modified to make them safer. Occupational therapists help patients decide what type of lighting is most comfortable, adding ambient lighting to rooms to improve mobility, and using directed task lighting for detail activities.
Colors and contrast can be enhanced to make tasks easier. For example, patients may benefit from colored soap and towels that stand out from the tub and tile in the bathroom.
A home safety evaluation can identify hazards that may contribute to falls and injuries, such as electrical cords crossing walkways and staircases without handrails or adequate lighting.
Area rugs can be removed or secured with nonskid backing, and patients can benefit from grab bars or shower chairs in the bathroom.
Most importantly, people with low vision due to glaucoma can still enjoy a range of activities, independence, and an improved quality of life.
Article by Donald C. Fletcher, MD and Kimberly A. Schoessow, OTD, OTR/L.
Donald Fletcher, MD is Director of the Frank Stein and Paul S. May Center for Low Vision Rehabilitation at California Pacific Medical Center and Affiliate Scientist, Smith-Kettlewell Eye Research Institute in San Francisco.
Kimberly A. Schoessow, OTD, OTR/L is an Occupational Therapist at the Vision Rehabilitation Center, Massachusetts Eye and Ear Infirmary and an Instructor in Ophthalmology at Harvard Medical School.
Last reviewed on October 29, 2017