Low Vision

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Low vision is irreversible visual loss that cannot be corrected with surgeries or spectacles resulting  in reduced ability to perform many daily activities. They have visual impairment even with treatment  and or standard refractive correction and  

Clinical presentation 

Inability to: 

• Recognizing people in the streets,
• Reading black boards,
• Writing at the same speed as peers and

Investigations 

• Visual acuity
• Refraction
• Tonometry
• Playing with friends.
• Visual acuity from less than 6/18 to perception  of  light  and  a  reduced central visual field.
• Fundoscopy
• Low vision assessment
• Orthoptic Assessment

Non-pharmacological Treatment 

• Assessment of the patients’ visual function
• Accurate refraction and provision of spectacles if indicated
• Low  vision  devices  such  as  optical  devices  (magnifiers,  telescopes)  and  or  non-optical devices (reading stands and or reading slits) as per assessment results.
• Surgical intervention is indicated e.g. if a patient has cataract

Referral:  All  children  with  low  vision  should  be  referred  to  high  level  health  facility  for  proofer  assessment and management by a paediatric Eye Team