Characteristics of low-vision rehabilitation services in the United States.

Published

Journal Article

To describe characteristics of services, providers, and patients in low-vision rehabilitation entities serving adults in the United States.Entities (excluding Veterans Affairs clinics) were identified through professional associations, Web searches, and a telephone survey to retina practices. A census obtained information on entity types, provider types, rehabilitation services available, and clientele. Surveys were administered by telephone, fax, e-mail, or mail, whichever was preferred by the respondent.A total of 1228 low-vision rehabilitation service entities were identified, with 608 surveyed (49.5% response rate). Almost half (42.7%) were private optometry practices. State agencies had the highest number of clients per week (45.0 clients per week) whereas private optometry practices had the lowest (4.1 clients per week). Most (> or =88.0%) established rehabilitation goals, fit optical aids with basic training, and conducted eye examinations. Scanning, eccentric viewing, orientation and mobility, and advanced device training were less commonly offered (25%-50% of entities). Central vision impairment was the most common deficit (74.1% of clients), with age-related macular degeneration being the most common cause (67.1%). Among the clients, 85.9% had problems reading and 67.7% had problems driving; 44.9% had adjustment disorders. Almost 1 in 3 clients was aged 80 years or older.This census for the first time characterizes usual-care low-vision rehabilitation services in the United States for nonveteran adults.

Full Text

Duke Authors

Cited Authors

  • Owsley, C; McGwin, G; Lee, PP; Wasserman, N; Searcey, K

Published Date

  • May 2009

Published In

Volume / Issue

  • 127 / 5

Start / End Page

  • 681 - 689

PubMed ID

  • 19433720

Pubmed Central ID

  • 19433720

Electronic International Standard Serial Number (EISSN)

  • 1538-3601

International Standard Serial Number (ISSN)

  • 0003-9950

Digital Object Identifier (DOI)

  • 10.1001/archophthalmol.2009.55

Language

  • eng