Impact of dispensing optical, nonoptical, and electronic devices on the visual function of students attending the schools for the blind

Abstract

Background: Many students attending schools for the blind have some vision that can be made use of to improve their vision function. Aims: Our study aimed to assess the impact of optical, nonoptical, and electronic devices on vision function of visually impaired students. Setting and Design: This prospective interventional study was conucted in schools for the blind in western Maharashtra, India. Methods: Students attending schools for the blind were evaluated with history-taking, visual acuity tests, ocular examinations, fundoscopy, and low vision workup in 2022–2023. The LV Prasad Functional Vision Questionnaire assessed impact on vision function, before and after 3-month adaptation period. Results: Five hundred and thirty-five students aged 5–25 years with visual acuity <6/60 in the better eye from eight schools were evaluated. Among them, 172 (31.77%) received low vision aids, with 144 (84.70%) using nonoptical devices such as NoIR filters, Caps, Typo scopes, and White canes. Optical devices such as telescopes and magnifiers in 35 and electronic devices like portable video magnifier in 11 students. Forty-six received all three types. There was a significant enhancement (P < 0.001) in tasks related to distance, near vision, mobility, and outdoor lighting conditions for students using nonoptical devices alone or combined with optical aids and video magnifiers. Among the 119 (70%) students using nonoptical devices, 80 (67.22%) exclusively used them, while 42 (32.77%) combined them with other aids, showing even more substantial improvement. Conclusion: Optical, nonoptical and electronic, when used together improved vision function of visually impaired students.