- A person with Low vision is one who has impairment of visual functioning even after treatment and/or standard spectacle correction, and yet the vision is still poor.
- Low vision patient needs a device to function effectively.
- A low vision device (LVD) is any device which enables the patient to improve visual performance. Many people confuse low vision optical device with standard eye glasses.
There is a difference- LVDs provide magnification while standard glasses only focus the image for the eye and in some patients provide a weak/smaller magnification.
By using magnification, some distortion may remain but the image is enlarged, making it easier to see.
- This new device allows people with severely poor vision to use their remaining vision effectively and become more independent.
- The device(s) must allow the patient to do task him/her wants to do.
- The patient must be able to appreciate the advantages of accepting a given device rather than look at its disadvantages.
- Low vision devices are the tools of trade in low vision care.These devices help the low vision patients to attain functional vision for the practical purposes like reading and writing.
- Learning how to use the device is very important.
- Low vision patients' needs and vision may change over time. Follow up visits should be continued on a regular basis and ongoing concerns should be reassessed as needed.
- Frequency of follow up care depends on: Stability of eye condition.
Patient response to therapy and visual devices.
In addition, with age, certain health issue increases in prevalence. Some of these diseases are also associated with eye disease, such as:
- Hypertension, which is associated with retinal vein occlusion
- Arthritis, which is associated with dry eye
- Diabetes, which is associated with glaucoma, cataracts, and diabetic retinopathy.
Vision can often be improved or maintained by regular eye check for evaluation and proper treatment, even when patients are asymptomatic, since many of these conditions can be prevented or treated before vision loss will occur. Health issues that affect the visual path can best be managed by a team effort.
- Consume a diet rich in antioxidants. This includes water melon, paw-paw; fresh fruits such as: berries (Cherry, blackberry, strawberry, raspberry, crowberry, blueberry, bilberry/wild blueberry, black currant), mulberry, grape, orange, pineapple, grapefruit, guava; vegetable: broccoli, cauliflower and green peppers.
- Our native soup: Edikang Ikong soup and bitter leave soup.
- Dry Fruits high in antioxidants are almonds, apricots, pecans, walnuts, hazelnuts, ground nut or peanuts, prunes, dates from raffia palm, sunflower seeds are good sources of antioxidants.
- Roasted peanuts are far richer in antioxidants than apples, beets and carrots.
- Antioxidant Legumes are broad beans, pinto beans, soybeans are high in antioxidants.
- Antioxidant Cereals are barley, millet; oats, corn are rich in antioxidants.
- Antioxidant Spices are cloves, cinnamon, and oregano.
- Antioxidants are responsible for removing free radicals, molecular fragments that trigger chemical degradation in the body, including the eyes.
- Antioxidants are also prepared in a capsule or tablet forms that are sold in our pharmacy.
- CONJUNCTIVA AND CORNEAL FOREIGN BODY
Evert lids, irrigate with clean water (over a running tap), and referto the hospital as soon as possible.
- CORNEAL LACERATION
Pad and refer for repair as soon as possible.
- PENETRATING INJURY
Do not remove object. Pad and refer for surgery as soon as possible.
- RUPTURE GLOBE
Pad the eye and refer for surgery as soon as possible.
- ACID/ALKALI (CHEMICAL INJURY)
Alkali penetrates, more dangerous- immediate copious irrigation with clean water- frequently, over 30minutes. Refer to the hospital as soon as possible
- PAINFUL RED EYES
This calls for an urgent attention. So please refer immediately to the eye hospital
- SUDDEN PAINFUL OR PAINLESS LOSS OF VISION
What are you waiting for? Hurry to the hospital.
- SEVERE PAIN IN THE OPERATED EYE
Make sure your eye drops are still available Call the hospital number and get ready to go to the hospital immediately.
High quality frames and lenses are considerably expensive, which makes eyeglasses quite an investment. It also takes time and effort to find the perfect eyeglasses according to prescription and requirements.
Owing to these reasons, it feels like a tremendous loss when a pair of eyeglasses is damaged beyond use. Simple maintenance and care tips can prolong the life of the eyeglasses and make sure that they serve you for long.
1) Do not clean the glasses when they are dry. Cleaning the lens while they are dry can leave marks and scratches on the surface, which gets worse with time. Lens cleaning solutions are easily available in our optical section for this purpose, but even simple water can do the job.
The cloth used to clean the glasses should not be a rough one.
We provide microfiber cloths which are very soft and are purpose made. Keep this piece of cloth in the casing of the glasses and use it to clean them frequently to remove dust and marks. In any case do not use your shirt sleeve, jacket or paper towels to clean them.
2) While commercial eyeglass cleaners do a splendid job, a soap and water solution can also be used to wash and clean glasses. Dip the microfiber cloth in the solution, clean the glasses and rinse them with clean water. Let them dry well before use.
3) When the glasses are not in use, keep them in a casing. Most eyeglasses come in their own pouches and cases. These are helpful in protecting them from impact and dust collection when not in use.
Hardcover cases are better than soft pouches as they provide protection from any falls and crashes. Do not keep the glasses on places like the sofa and bed where
- Have your eyes checked regularly and measure your eye pressure if you have the disease.
- Check your eyes at least once every year if you don’t have it.
- Understand how your medication works and the best methods for using them.
- Use your medication at the same time each day.
- Let your medical doctor know that you have glaucoma and what medications you are taking.
- Take your medications as prescribed by your eye doctor.
- Do not stop taking your eye medication without discussing with your doctor.
- If you experience any change with your vision or eyes, call your eye doctor immediately.
- Join St Joseph Glaucoma Club for more education on your condition. Visit www.stjosephglaucomaclub.com
1) Do not lie down with the operated eye.
2) Do not lift up any heavy load or carry heavy load on your head.
3) Do not chew any hard food. Your food must be soft
4) Do not drink alcohol or smoke cigarette.
5) Do not play with little children, so as to avoid their fingers poking into your eyes accidently.
6) Avoidstrenuous activities like sports.
7) Avoid smoke or dust.
8) Clean your face with your face towel after birth. Avoid soap entering your eyes.
9) Always clean your eyes with cotton wool when they are wet with eye drops or discharging.
10) If you experience any pain on the operated eye, report immediately at the hospital
11) Always remember your appointment days, and come along with your medications.
12) Wishing you a speedy recovery in Jesus name Amen.
Stroke is the most common cause of adult disability. Most strokes happen to people who are over the age of 65 but it can occur in all age groups.
Strokes occur when a part of the brain is starved of oxygen. Oxygen is found in our blood and travels throughout all parts of the body including the brain. Blood travels around the body through blood vessels which include arteries, veins and capillaries. The two common causes of stroke are blood clots and bleeding.
A blood clot prevents oxygen from being delivered to a part of the brain. Bleeding can occur where a part of the blood vessel wall is weakened causing it to burst and bleed into the brain.
The effects of a stroke are dependent on what part of the brain was affected or starved of oxygen. Every stroke is different and the symptoms and degree of damage are very individual.
Some people are mildly affected by the stroke for a short time while others may suffer long term disabilities from the stroke. Some of the common effects of stroke include difficulty or problems with walking, language or speech, mental processes, swallowing, paralysis and eyesight. As seeing involves not only the eyes but the brain as well, stroke-related vision problems can be very complex to understand and treat.
Effect of stroke on vision
Visual problems are more common in people who have suffered a stroke affecting the right side of their brain. The damage the stroke does in the brain impacts the visual pathways of the eye which can result in visual field loss, blurry vision, double vision and moving images.
When stroke affects the areas of the brain that processes the information we see, it can cause 'visual neglect' (lack of awareness to one half of the body or space) as well as difficulties with judging depth and movement.
In a few cases, visual problems caused by stroke can improve on their own with time.
Some of the vision problems that occur as a result of a stroke include loss of part of vision or loss of visual field. Visual field is the term used to describe the whole of our vision, from the centre to the periphery.
It refers to everything we can see in the periphery (around the edges of our vision) as well as what we are directly looking at (central vision). Strokes can cause whole sections of the visual field to be missing.
Other visual problems that may occur as a result of stroke include eye muscle and nerve problems which can result in double vision and moving images as well as other effects such as sensitivity to light.
What to do
- There are various techniques that can be used to try to help or compensate for the various visual effects of stroke. These include glasses, prisms, patching, magnifiers and scanning information to name a few.
- Visit to the Low Vision Clinic is one the stroke team, should be assessed during the course of treatment and rehabilitation.
- Some people may see some improvement in their vision up to four months following a stroke. Again, this is highly dependent on where the damage in the brain occurred as well as the type of stroke suffered and other existing health problems. Unfortunately for many people, especially those with loss of visual field, sight loss may be permanent.
- Optical aids may be used to help increase a person's field of view and must be fitted by an eye care professional. These may be in the form of prisms which can either be temporary or permanent and applied on the affected side.
- Reading can also be a very frustrating experience for someone with field loss (hemianopia). A person with right hemianopia misses the end of words or end of the line. Missing the end of words will result in changing the meanings of words and sentences.
Sometimes using a marker at the end of the sentence or a post it note to indicate where the end of the line is can be helpful for some.
- Eye muscle and nerve problems (Diplopia).A stroke may lead to problems with eye movements which result in both eyes not working together as a pair.
- Visual neglect is more common in people who suffered from a stroke in the right side of the brain affecting the left side of the body. Unfortunately, a person with both visual field loss and neglect are less likely to respond to scanning techniques or compensate for the defect.
People suffering from neglect may ignore food on one half of their plate, avoid shaving or applying make-up to one side of their face as well as being unaware of objects and people that are on the affected side resulting in the person ignoring or bumping into objects that are on that side of them.
Treatment for neglect can include prisms or occlusion but most often people are advised on scanning and awareness strategies to cope with their neglect.
- A common effect of stroke-related vision problems is an increased sensitivity to light. The brain seems to have difficulty adjusting to different levels of light.
- Another problem which can follow stroke is dry eye. The rate of blinking may slow following a stroke and /or there may be incomplete eye closure with a partial blink which will cause a part of the cornea to dry resulting in the eye feeling uncomfortable.
- If you experience any visual difficulties following a stroke, it is important that you have your eyes examined by eye care specialists.
• Other field that will Support your recovery are:
This can make it difficult to focus on specific things because of blurred vision as well as diplopia (or double vision) which impacts on reading, walking and performing everyday activities. People may also experience problems with their fast (saccades) or slow (pursuit) eye movements, making it very difficult for the person to focus visually.In addition, their eyes may wobble (nystagmus) or they may not be able to move both eyes together in a particular direction (gaze palsy).
However, recognizing this problem can help the person affected by stroke and their careers to understand what is going on. Treatment can involve prisms, exercises and occlusion, which we take care of in St Joseph’s eye hospital Mgbirichi.
- Maintain a healthy weight.
- Be physically active.
- Follow a healthy eating plan.
- Eat foods with less sodium (salt).
- Drink alcohol only in moderation.
- Take prescribed drugs as directed.
- Check with your health care team to see if you need to lose weight.
- If you do, lose weight slowly using a healthy eating plan and engaging in physical activity.
- Engage in physical activity for a total of 30 minutes on most days of the week.
- Combine everyday chores with moderate-level sporting activities, such as walking, to achieve your physical activity goals.
- Set up a healthy eating plan with foods low in saturated fat, total fat, and cholesterol, and high in fruits, vegetables, and low-fat dairy foods such as; whole grain, poultry and fish.
- Write down everything that you eat and drink in a food diary. Note areas that are successful or need improvement.
- If you are trying to lose weight, choose an eating plan that is lower in calories.
- Choose foods that are low in salt and other forms of sodium.
- Use spices, garlic, and onions to add flavor to your meals without adding more sodium. Drink alcohol only in moderation
- In addition to raising blood pressure, too much alcohol can add unneeded calories to your diet.
- If you drink alcoholic beverages, have only a moderate amount—one cup a day for women, one drink a day for men. Take prescribed drugs as directed
- If you need drugs to help lower your blood pressure, you still must follow the lifestyle changes mentioned above.
- Use notes and other reminders to help you remember to take your drugs. Ask your family to help you with reminder phone calls and message.
- What is my blood pressure reading in numbers?
- What is my goal blood pressure?
- Is my blood pressure under adequate control?
- Is my systolic pressure too high (over 140)?
- What would be a healthy weight for me?
- Is there a diet to help me lose weight (if I need to) andlower my blood pressure?
- Is there a recommended healthy eating plan I shouldfollow to help lower my blood pressure (if I don’t needto lose weight)?
- Is it safe for me to start doing regular physical activity?
- What is the name of my blood pressure medication?Is that the brand name or the generic name?
- What are the possible side effects of my medication? (Be sure the doctor knows about any allergies you haveand any other medications you are taking, includingover-the-counter drugs, vitamins, and dietarysupplements.)
- What time of day should I take my blood pressuremedicine?
- Should I take it with food?
- Are there any foods, beverages, or dietary supplementsI should avoid when taking this medicine?
- What should I do if I forget to take my blood pressure medicine at the recommended time? Should I take it assoon as I remember or should I wait until the nextdosage is due?
Remember—You Can Do It! Maintain a healthy weight
Be physically active
Follow a healthy eating plan
Reduce sodium (salt) in your diet
Questions to ask your doctor if you have high blood pressure
7am – 8am
IN BETWEEN MEAL
1pm – 2pm
7pm – 8pm
½ cup of washed beans with vegetable soup
1cup of akidi and vegetable soup
Fish pepper soup with vegetable/mushroom
I finger of unripe plantain with vegetable
1 cup of wheat $ onugbu soup
Chicken pepper soup with vegetable/ mushroom
Moi-moi with steamed vegetable
½ cup of brown rice and vegetable
Pepper soup with enough vegetable e.g. ugu
2 to 3 slices of wheat bread with vegetable and tea
1 cup of dawhet fufu with onugbu soup
Salad- alternatives anara, cucumber, onions, steamed vegetable
½ cup of washed beans with vegetable
1 cup of wheat with okro soup
Rich soup with plenty of vegetables, ugu, onugbu, okro.
Moi-moi with steamed vegetable
1cup of akidi with okro soup
Chicken/fish pepper soup with vegetable/mushroom
2 to 3 slices of wheat and steamed vegetable with tea
½ cup of brown rice and vegetable
Salad- Comprising anara, cucumber, onions, steamed ugu or green, small fish/chicken.
Chopped Cucumber, Carrots, Anara, Cabbage
-Snacks: pies, buns, biscuits , burger
- All nuts: peanuts ground nuts cocoanut, cashew nut e.t.c.
- Potash(Akamu), Magi
-Beans( remove the back)
-Vegetables e.g. ugu, green, anara leave, okro, onugbu
• Willingness to serve the common Mission
• Prophetic stance
Values that relate to self and community
Values that influence our relationship with wider community
Values that influence our moral stance
Christian Blind Mission, (CBM) Australia.
St.Joseph Glaucoma Club.
Kayhelt Pharma LTD Jos, Nigeria.
Bankole Ezebuilo Foundation.
Divine Okwara Charity Foundation.
: (234) 803 6738 506, 803 7605 622
0706 313 0156