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Treatment and Support for Vision Loss

Diagram of the eye showing ciliary muscle contraction and lens thickening for near vision focus.

A medical illustration explaining how the eye accommodates near vision, highlighting mechanisms relevant to vision loss management and treatment.

Treatment and Support for Vision Loss

Treatment and support for vision loss depends on its cause, severity, and whether the damage is reversible. Some conditions require surgery or long-term medication, while others need support strategies to help individuals adapt to vision changes.

8 Common Treatments:

1. Glasses and contact lenses

  • Correct refractive errors.
  • Affordable options available in most towns and through public programmes.

2. Cataract surgery

  • A quick, highly effective procedure where the cloudy lens is replaced with an artificial one.
  • Restores vision in most cases.
  • Public hospitals in SA offer surgery, though waiting lists can be long.

3. Medication

  • Eye drops to reduce intraocular pressure in glaucoma.
  • Steroids or anti-inflammatory drops for uveitis or allergic eye disease.
  • Antibiotics or antivirals for infections like conjunctivitis or herpes simplex keratitis.

4. Laser therapy

  • Used to treat retinal tears, diabetic retinopathy, or glaucoma.

5. Intravitreal injections

  • Anti-VEGF injections for wet macular degeneration or severe diabetic eye disease.
  • Available in tertiary hospitals and private eye centres.

6. Low vision aids

  • Magnifying glasses
  • Large-print books and software
  • Audio devices, screen readers, and mobile apps
  • Braille systems for total vision loss

7. Orientation and mobility training

  • Helps blind or visually impaired people navigate their surroundings safely.
  • Includes use of white canes or guide dogs (less common in SA).

8. Support and counselling

  • Vision loss can cause depression, anxiety, and isolation.
  • Support groups, therapy, and practical training offer emotional strength and independence.

South African resources:

  • South African National Council for the Blind (SANCB) provides rehabilitation, employment support, and advocacy.
  • Public sector eye clinics, like at Tygerberg, Groote Schuur, or Steve Biko hospitals, offer subsidised care.
  • Community NGOs supply free spectacles, eye screenings, and education outreach.

Treatment and Support for Vision Loss

Treatment success depends on early diagnosis, consistent care, and access to support tools.

👉 [Next: Living with Vision Loss – Adjustment and Independence]




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