EASDEC European Association for the Study of Diabetic Eye Complications

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Coping with loss of vision in one eye:

Adjusting to the loss of some vision in one eye takes time and practice: the advice below may help a little. David Kinshuck & Jayne Kempster

Myths about the use of one good eye

Looking after the other eye

Tips for reading more easily

Driving

Will new glasses help?

Useful addresses

 

Myths about the use of one good eye

Using your one good eye will not damage it in any way. Sitting close to the TV, reading, or using your eye for hobbies will not harm it. In particular, it does no harm to sit close to the television, sit as close as is necessary to see adequately.

The same applies when using a computer screen.
Having only one good eye does not strain the good eye at all. When reading you may only be able to read for perhaps 15 minutes before developing tired achy eyes, or headache. It is then necessary to rest, and then start again later, over and over again if need be.

Will new glasses help if you have one healthy eye?
What can an optician do if your remaining eye is not perfect either?

For distance vision, an optician cannot fundamentally improve your sight, but new spectacles may help.

For close work, an optician will aim to provide spectacles that focus at the distance for your particular requirements. Generally the closer you hold a book to your eyes the larger the print appears, and an optician can provide glasses that focus books etc closer to your eyes. Reading is naturally easier with large print book, or using large text size on your computer.

However, it is always best to try your old spectacles first: it will do no harm to use your old spectacles. But remember, spectacles only focus at one distance. Musicians or painters for instance may need a second pair of spectacles that focus at a distance slightly further away.

Some tips for reading more easily

Hold the book or paper in front of the one good eye. Move the book or paper you are reading, rather than your eye. This takes practice, but with practice you will adjust your eye and head movements automatically. You need a good light, such as an anglepoise light. This is a desk type light, with a reflector that is not transparent. The reflector needs to shine all the light on the book or paper, and none in your eye. This is like reading with the sun behind you. Having a bright light on the ceiling is not particularly helpful. If you follow this advice, and reading is still difficult, you need to see an optician familiar with patients with poor vision. Unfortunately, the older you are the harder it is to learn new reading methods. and the longer it takes.

You really need individual advice from the optician in the eye clinic, or any another low vision expert. The options include:

  • extra strong spectacles
  • holding your object close
  • special telescopic spectacles for reading or television
  • various magnifying glasses
  • These are not ideal for reading for long periods as they are tiring to use. There are magnifying glasses specially for sewing, or reading very small print for example. Some patients may find electronic aids like special TV cameras and computers helpful.

    Computers can even 'read' books aloud, and input what you say. A large screen may help. Talking books are available: there is a service specially for people with poor sight. Ask your doctor or clinic nurse for details.

    Driving

    In the UK you are legally allowed to drive a car with only one good eye. If you have lost the vision suddenly it takes time to adjust, and three months is the accepted period. Notify the Driving Authority (the DVLA in the UK). You will need to move your head more to compensate for the loss of vision on one side.

    Looking after the other eye

    This depends on the cause of the problem in the bad eye. If you have had problems identified in the clinic, such as high blood pressure, these need to be treated by your General Practitioner. Generally the UK Department of Health recommend

    • 30 minutes exercise a day
    • no smoking
    • a diet with minimal animal fat & dairy food
    • low in salt
    • five portions of vegetables or fruit a day

    Useful addresses

    If the central part of your sight is damaged, the Macular Disease Society may help:

    Macular Disease Society, PO Box 268, Weybridge, Surrey KT13 0YW, UK,  tel: 01932 839 331

     


     

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    Last modified: April 06, 1999
    About Easdec
    EASDECs 1999
             meeting

    Easdec: joining
    Easdec list of
            members

    Abstracts x 11
    Feedback
    Patient Information
    Visual Aids etc
    Coping..one eye
    Coping with poor vision:4 pages
    Vitreous haemorrhages, traction
            detachments, etc
    Mechanisms of Retinopathy
    Types of retinopathy
    Background
    Maculopathy
    Pre-proliferative
    Proliferative
    Contents
    hot links
    Site News
    Laser
    Sore/dry eyes
    Glaucoma
    Journal Review
    Contributions
    Cataracts
    Preventing Problems
    Screening
    Screening,
          comprehensive
           review

    diabetes.uk web site= http://www.diabetic.org.uk/main1.htm
    British Diabetic Association= http://www.diabetes.org.uk
    Royal National Institute for the Blind= http://www.rnib.org.uk/info/eyeimpoi/diabetic.htm