Assessment of Level of Awareness and Barriers to Low Vision Rehabilitation Among Optometrists in Pakistan

Abstract

Introduction: Low vision rehabilitation provides strategies to substitute for visual impairment and the resultant limitations of low vision by enhancing remaining vision and other sensory or motor abilities in individuals. The purpose of this study was to evaluate the level of knowledge of and perceived barriers to providing low vision rehabilitation by optometrists in Pakistan. Methods: In this qualitative, cross-sectional study, a convenient sample of 100 participants was included and a structured, validated, self-administered questionnaire was provided to collect demographic information and to identify the level of knowledge, awareness, and perceived barriers regarding low vision rehabilitation. Data was analyzed using frequency distribution and Pearson's chi-square test to understand the significance of barriers to low vision care provision. Results: A total of 100 participants completed the study questionnaire (59 males, 41 females) with a mean age of 26 (±6.1 SD) years. Eighty-two participants (82%) had an adequate understanding of low vision as per WHO's criteria. However, 47% of participants failed to identify the steps of low vision rehabilitation. Newly graduated practicing optometrists (i.e., those with less than 3 years’ experience) had a significantly better understanding of low vision definition and low vision rehabilitation steps, as compared to more experienced optometrists ( p < .05). Also, those working in private practices were more likely to consider low vision rehabilitation as less profitable ( p = .025, odds ratio = 2.56, CI = 1.1–5.8), compared to those working in hospitals. Discussion: Lack of training and unavailability of low vision devices are major barriers, as perceived by optometrists in Pakistan. Rigorous attempts are needed to educate eye care practitioners specifically optometrists about the availability and usage of low-cost, improved-quality, and up-to-date low vision devices in the country. Implications for practitioners: Continuous professional development through refresher courses is crucial to enhance knowledge of low vision rehabilitation. Educating optometrists to adopt a multidisciplinary and empathetic approach toward patient management may improve patients’ satisfaction and success with rehabilitative services.