The efficacy of low vision device training in a hospital-based low vision clinic.
OBJECTIVE
Hospital-based low vision services in the UK typically involve one consultation with an optometrist. In this study we investigated the effect of adding further low vision device training.


METHODS
Participants were recruited from those attending their first low vision assessment (LVA). Participants completed the Mass of Activity Inventory (MAI) questionnaire by telephone before their appointment. After LVA, participants were randomised to an intervention group (who received a further appointment to review device handling) or a control group. The MAI was readministered 1 and 3 months after the initial LVA. MAI data were converted to Rasch scores for goal difficulty.


RESULTS
Ninety-six participants completed the study. Both groups experienced a significant improvement in goal difficulty following low vision intervention (p<0.0001), equivalent to a visual acuity improvement of approximately 0.55 logarithm of the minimum angle of resolution (logMAR). There was no significant difference in improvement between the group randomised to the training visit and those in the control arm (p=0.80).


CONCLUSIONS
Self-perceived difficulty with daily visual tasks decreases following a low vision appointment. An additional visit for device handling training resulted in no further improvement. This could be due to the relatively simple nature of the devices prescribed in this clinic.


BACKGROUND
ISRCTN05434212.
Pearce
Elizabeth
E
Department of Optometry, Moorfields Eye Hospital, 162 City Road, London EC1V 2PD, UK. lizzzpearce@googlemail.com
Crossland
Michael D
MD
Rubin
Gary S
GS
D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D011788:Quality of Life / Q000523:psychology; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D006113:United Kingdom; D015354:Vision, Low / Q000534:rehabilitation*; D014792:Visual Acuity / Q000502:physiology; D019987:Persons with Visual Disabilities / Q000523:psychology / Q000534:rehabilitation*