What is Vision Impairment? | Department of Ophthalmology (2024)

Vision impairment means that a person’s eyesight cannot be corrected to a “normal” level.

Vision impairment may be caused by a loss of visual acuity, where the eye does not see objects as clearly as usual. It may also be caused by a loss of visual field, where the eye cannot see as wide an area as usual without moving the eyes or turning the head.

There are different ways of describing how severe a person’s vision loss is. The World Health Organization defines “low vision” as visual acuity between 20/70 and 20/400, with the best possible correction, or a visual field of 20 degrees or less. “Blindness” is defined as a visual acuity worse than 20/400, with the best possible correction, or a visual field of 10 degrees or less.

Someone with a visual acuity of 20/70 can see at 20 feet what someone with normal sight can see at 70 feet. Someone with a visual acuity of 20/400 can see at 20 feet what someone with normal sight can see at 400 feet. A normal visual field is about 160-170 degrees horizontally.

Vision impairment severity may be categorized differently for certain purposes. In the United States, for example, we use the term "legal blindness" to indicate that a person is eligible for certain education or federal programs. Legal blindness is defined as a visual acuity of 20/200 or worse, with the best possible correction, or a visual field of 20 degrees or less.

Visual acuity alone cannot indicate how much a person's life will be affected by vision loss. It is important to also assess how well a person uses the vision they have. Two people may have the same visual acuity, but one may be able to use his or her vision better to do everyday tasks.

Most people who are "blind" have at least some usable vision that can help them move around in their environment and do things in their daily lives. A person's functional vision can be evaluated by observing them in different settings to see how they use their vision.

A functional vision evaluation can answer questions such as these:

Can the person scan a room to find someone or something?
What lighting is best for the person to do different tasks?
How does the person use his or her vision to move around in a room or outside?

Vision Impairment in Children

Vision impairment changes how a child understands and functions in the world. Impaired vision can affect a child’s cognitive, emotional, neurological, and physical development by possibly limiting the range of experiences and the kinds of information a child is exposed to.

Nearly two-thirds of children with vision impairment also have one or more other developmental disabilities, such as mental retardation, cerebral palsy, hearing loss, or epilepsy. Children with more severe vision impairment are more likely to have additional disabilities than are children with milder vision impairment.

References

Batshaw ML. Children with disabilities (4th edition). Baltimore, MD: Paul H. Brookes Publishing Co.; 1997.

Day S. Normal and abnormal visual development. In: Taylor D, editor. Paediatric ophthalmology (2nd edition). Malden, MA: Blackwell Science; 1997, p 13-28.

Holbrook MC (Editor). Children with visual impairments: a parents' guide. Bethesda, MD: Woodbine House; 1996.

Kaminer RK, McMahon E. Blindness and visual impairment. Pediatrics in Review 1995;16:77-8.

Puckett CD. The educational annotation of ICD-9-CM (4th edition). Reno, NV: Channel Publishing, Ltd., 2001, p. 641.??

Sonksen PM, Petrie A, Drew KJ. Promotion of visual development of severely visually impaired babies: evaluation of a developmentally based programme. Developmental Medicine and Child Neurology 1991;33:320-35.Date: October 29, 2004 ?Content source: National Center on Birth Defects and Developmental Disabilities

Courtesy of Centers for Disease Control and Prevention (CDC).

What is Vision Impairment? | Department of Ophthalmology (2024)

FAQs

What is Vision Impairment? | Department of Ophthalmology? ›

Vision impairment means that a person's eyesight cannot be corrected to a “normal” level. Vision impairment may be caused by a loss of visual acuity, where the eye does not see objects as clearly as usual.

What is visual impairment of eyesight? ›

Vision impairment occurs when an eye condition affects the visual system and its vision functions. Everyone, if they live long enough, will experience at least one eye condition in their lifetime that will require appropriate care. Vision impairment has serious consequences for the individual across the life course.

What describes vision impairment? ›

Impaired vision can range from poor vision to blindness. People whose vision cannot be corrected by ordinary glasses, contact lenses, medication, or surgery have visual impairments. People with visual impairments have difficulty with routine tasks, such as reading a newspaper, even with glasses or contact lenses.

What is the legal definition of visual impairment? ›

Legal definition

In North America and most of Europe, legal blindness is defined as visual acuity (vision) of 20/200 (6/60) or less in the better eye with best correction possible.

Who visual impairment definition? ›

The World Health Organization defines “low vision” as visual acuity between 20/70 and 20/400, with the best possible correction, or a visual field of 20 degrees or less. “Blindness” is defined as a visual acuity worse than 20/400, with the best possible correction, or a visual field of 10 degrees or less.

Does having glasses count as visual impairment? ›

Is wearing glasses a disability? Wearing glasses is not considered a disability, regardless of the prescription strength.

Is vision impairment a disability? ›

A vision impairment constitutes a visual disability if it meets one of the three definitions of disability (“actual,” “record of,” or “regarded as”). Title I, the employment provision of the ADA, covers employment by private employers with 15 or more employees, as well as state and local government employers.

How to classify visual impairment? ›

Mild – presenting visual acuity worse than 6/12. Moderate – presenting visual acuity worse than 6/18. Severe – presenting visual acuity worse than 6/60. Blindness – presenting visual acuity worse than 3/60.

What is the federal definition of visual impairment? ›

Defines visual impairment as visual activity of 20/40 or worse in the better-seeing eye with correction, excluding blindness. Whereas, blindness is defined as visual acuity of 20/200 or worse in the better seeing eye with correction.

How bad does your vision need to be to be legally blind? ›

If you're legally blind, your vision is 20/200 or less in your better eye or your field of vision is less than 20 degrees. That means if an object is 200 feet away, you have to stand 20 feet from it in order to see it clearly. But a person with normal vision can stand 200 feet away and see that object perfectly.

Is it OK to say visual impairment? ›

AP style: Included in its “Disabled/Handicapped” entry, the stylebook describes blind as “a person with complete loss of sight” and suggests using the terms “visually impaired” or “person with low vision” for those who have some sight.

Is blurry vision a visual impairment? ›

Low vision may involve a variety of different types of visual impairment; not just nearsightedness or farsightedness, but also peripheral vision loss, a blind spot or blurred vision.

What are the worst eye diseases? ›

Other, more serious conditions also happen as you age. Eye diseases like macular degeneration, glaucoma, and cataracts, can cause vision problems. Symptoms vary a lot among these disorders, so keep up with your eye exams. Some vision changes can be dangerous and need immediate medical care.

What eyesight is visually impaired? ›

First: What does it mean to be "legally blind?" In most states, if you have distance visual acuity less than 20/200 that is not correctable with glasses/contact lenses, you are legally considered to be "severely visually handicapped" (which used to be called "legally blind").

Is visually impaired the same as blind? ›

What is the difference between visual impairment and blindness? The definition of visual impairment is “a decrease in the ability to see to a certain degree that causes problems not fixable by usual means, such as glasses.” Blindness is “the state of being unable to see due to injury, disease or genetic condition.”

What do visually impaired see? ›

Most blind people have some level of vision, but what they can see differs from person to person. Some may only see light. Others may see blurry shapes, figures, or colors. People with total blindness cannot see anything, but it is a misconception that they only see black or darkness.

What are three characteristics of visual impairment? ›

not be able to see objects at a distance, like on a whiteboard or blackboard. having trouble reading (or learning to read) and participating in class. not be able to focus on objects or follow them, may squint often and rub their eyes a lot, have chronic eye redness or sensitivity to light.

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