Indian Journal of Clinical and Experimental Ophthalmology 2019;5(4):422–425
Content available at: iponlinejournal.com
Indian Journal of Clinical and Experimental Ophthalmology
Journal homepage: www.innovativepublication.com
Original Resesrch Article
Prospective study to evaluate the effectivity and acceptance of optical low vision
AIDS
Akash Belenje
1
, Shankargouda Patil
1,
*
1
Dept. of Ophthalmology, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India
ARTICLE INFO
Article history:
Received 20-09-2019
Accepted 22-09-2019
Available online 27-11-2019
Keywords:
Effectivity and acceptance of optical
low vision AIDS
ABSTRACT
Objective: Prospective study to evaluate the effectivity and acceptance of optical low vision aids.
Materials and Methods: This is a prospective study which included 50 patients with low vision satisfying
the inclusion criteria. The cases were divided in to 3 groups less than 20 years (group1), 20 to 60 years
(group2) and more than 60 years (group 3). These patients were counseled and trained to us e the low
vision aids in our low vision aid clinic. They were followed up for 6 months regularly and during follow
up the reason for acceptance and non acceptance of these devices were found out.
Results: In this study patients with better contrast sensitivity greater than or equal to 0.3 on Pelli-Robson
contrast sensitivity chart had better acceptance (p value 0.0 23). Younger patients less than 20 years of age
have good acceptance for both near vision aids & distance vision aids when compared to elder patients
more than 60 years of age who had good acceptance for near vision aids and poor acceptance for distance
vision aids (with p value of 0.001). Taking Initial best corrected visual acuity (BCVA) in to account it was
seen that patients falling under economic blindness group had better acceptance (p value 0.042).
Conclusion: Prescription of low vision aids (LVA), adequate training and addressing the comorbidities can
improve the acceptance level. Similarly economic blindness group more readily accepted the low vision
aids since it helped their academic and professional development. Patients with better contrast sensitivity
had better acceptance. Addressing the expectation by proper counselling before prescripti on of low vision
aids is a must.
© 2019 Published by Innovative Publication. This is an open access article under the CC BY-NC-ND
license (https://creativecommons.org/licenses/by/4.0/)
1. Introduction
Visual impairment & the need for its rehabilitation are
becoming more important because of the increase in life
expectancy & better standard of living.
1,2
The challenges
faced by patients of different age groups are different in
their daily life.
3
Pediatric patients have to adapt fast to
the constantly developing world around them, midleaged
adults have to work to lead an independent life, whereas
elderly patients want to lead a quality life by engaging
with their favorite hobbies.
4,5
Hence it is very important
to tackle the problems of each of these sectors of patients
carefully. In a developing country like India in spite of a
rise in irreparable ocular problems like age related macular
degeneration, chronic diabetic macular oedema and many
* Corresponding author.
E-mail address: shpatil10@yahoo.com (S. Patil).
other causes, not many people are using low vision aid
devices.
3,4,6
It may be due to social stigma, financial aspect,
cumbersomeness or any other factor. Through this study we
want to find when we offer these patients with Low vision
aids what made them to accept and what made them not to
accept.
2. Materials and Methods
This was a prospective study conducted in ophthalmology
department, SDM college of/Medical Sciences and Hospital
Dharwad, Karnataka state, from November 2016 to April
2018. 50 Patients with low vision were included in the study
after taking informed consent. Ethical clearance was taken
[Letter No: SDMIEC: 0863/2016, dated 28.10.2016]. The
study was conducted in accordance with the Declaration of
Helsinki.
https://doi.org/10.18231/j.ijceo.2019.102
2395-1443/© 2019 Innovative Publication, All rights reserved. 422