Information
on Blindness
THE LEADING CAUSES OF VISION
LOSS AND BLINDNESS
It is estimated that there
are approximately 10,000,000 people in the United States with some
degree of vision loss. Approximately 2,000,000 of these individuals
are considered to be legally blind, but only about 450,000 are considered
totally blind. Approximately 53,000 children are visually impaired
or blind.
As one can see from the
prevalence shown above, most vision loss occurs in adulthood. Statistically,
1 out of 6 adults over the age of 65 will be affected by some form
of visual impairment. The leading causes of adult vision loss include
the following:
Diabetic Retinopathy, the
leading cause of blindness in adults under age 60, is due to complications
of long-term diabetes. Retinopathy is an abnormal growth of fragile
blood vessels, which rupture and cause hemorrhaging in the eye. This
hemorrhaging can lead to partial or total retinal detachment, blind
spots, or loss of sight due to accumulation of blood inside the eyeball.
Macular Degeneration is
the deterioration of the macula, or central retina, of the eye. Macular
degeneration is the leading cause of legal blindness in adults over
age 60. There are two types, wet and dry, both types leading to loss
of central vision. As the macula deteriorates, the individual develops
a central blind spot, loosing detail vision and color perception.
The peripheral vision is not affected and will allow the individual
to see large shapes, movement, and some colors. While macular degeneration
causes significant acuity loss, it does NOT lead to total blindness.
Glaucoma is a group of
diseases characterized by elevated pressure inside the eye and represents
the leading cause of preventable blindness in the United States. Continued
elevated pressure damages the retina causing progressive tunnel vision,
and eventually, total blindness. Glaucoma testing is a standard part
of an eye exam and should be done at least once a year. If caught
early, treatment is available. People of African-American heritage
are at higher risk for glaucoma.
Cataract is a clouding
of the lens of the eye often occurring in older adults. This clouding
prevents light from reaching the retina of the eye, causing a dimming
of vision and loss of acuity. Cataract surgery removes the clouded
lens, and replaces it with an intraocular contact lens. Cataract surgery
is usually highly successful and often done on an outpatient basis.
Vision loss can also be
present at birth or occur in early childhood. The leading causes of
pediatric vision loss include:
Retinopathy of Prematurity
(ROP), formerly called retrolental fibroplasia, is the destructive
retinal changes that can occur when prolonged life-sustaining oxygen
therapy is given to premature infants. Abnormal blood vessels grow
in the eye, break, and cause hemorrhages leading to retinal detachment
and scarring. Most people with ROP have profound vision loss, often
total blindness.
Retinobalstoma is cancer
of the retina and is a hereditary condition usually present in both
eyes. Surgical removal of the eye is the most effective treatment
option. If left untreated, the tumor travels up the optic nerve to
the brain, causing death.
Congenital glaucoma affects
the eye in the same way as adult onset glaucoma and is sometimes present
with other ocular conditions.
Congenital cataract can
be hereditary or caused by a wide range of factors such as in utero
exposure to rubella. Many factors can affect successful medical treatment
of congenital cataract.
THE DIFFERENT
DISCIPLINES IN THE EYE CARE FIELD
An OPHTHALMOLOGIST is a
medical doctor who is specialized in the care and treatment of eye
conditions and who is licensed to perform medical procedures and surgeries
as needed.
An OPTOMETRIST(Doctor of Optometry ODs) is the primary health care professional for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.
A LOW VISION SPECIALIST
is a licensed Doctor of Optometry or Ophthalmology, who is skilled
in the examination, treatment, and management of patients with visual
impairments not fully treatable by medical, surgical, or conventional
eyewear or contact lenses. A low vision specialist can best determine
the need and appropriateness for magnification products such as hand-held
magnifiers, monoculars, telescopes, closed-circuit televisions, and
other low vision devices.
A PHYSICAL THERAPIST uses
rehabilitative treatment by mechanical means (such as massage, regulated
exercise, or water, light, electric, or heat therapy) to restore function
to maximum levels.
An OCCUPATIONAL THERAPIST
uses rehabilitative techniques to work with muscle groups to rebuild
tissue damaged through an accident, injury, or disease. Occupational
therapists often work with more refined skills and discreet motor
function than in physical therapy. Occupational therapy often uses
fine motor skills to accomplish rehabilitation by using techniques
such as stringing beads, painting, arranging objects in defined patterns,
or threading a needle. The goal of this therapy is to have the individual
do as much as possible with the eye using small assistive items until
they are no longer needed.
A BLINDNESS REHABILITATION THERAPIST works with individuals whose
vision is permanently impaired. The teacher's job is to help identify
areas of struggle, using a variety of techniques to work with and
around the disability to regain as much function as possible. Skills
are taught through learning adaptive kitchen, homemaking, and other
daily living skills. Once mastered, training is expanded to traveling
outside the home with the aid of a white cane.