Blindly Research Articles

Clinical Outcome of Manual Small-incision Cataract Surgery in Patients with Phacolytic Glaucoma

Abstract Aim and Objective: To study the clinical outcome of cataract surgery in patients with phacolytic glaucoma. Materials and Methods: This is a hospital based prospective interventional study done on 50 eyes of 50 cases of phacolytic glaucoma conducted over one year. Following initial medical management, patients underwent lens extraction through manual small incision cataract surgery (SICS). Clinical examination, best corrected visual acuity and intraocular pressure were noted preoperatively as well as postoperatively. Result: A total of 50 patients were enrolled in this study with female to male ratio of 1.5:1. The mean age of presentation was 62.48 years. Preoperative vision in the affected eye was only perception of light in all of them and IOP measured at presentation was <30 mm Hg in 11 (22%), 30-40 mm in 17 (34%), 40-50 mm in 14 (28%) and >50 mm in 8 (16%). Thirty patients (60%) had good vision in fellow eye due to pseudophakia. The average duration between the first and second eye surgery was 1-3 years. 94% of our patients were from rural areas. All patients presented within one week of the onset of symptoms. All patients underwent manual small incision cataract surgery with rigid IOL implantation in 35 patients (70%), whereas 15 cases (30%) were left aphakic and planned for secondary IOL at a later date. Intraoperative complications noted were zonular dehiscence in 38%, anterior capsular calcification which led to difficulty in anterior capsulorhexis in 32%, peripheral rhexis runoff in 20%, subluxated lens in 12% and posterior capsular rupture in 14%. BCVA at the end of 1 month was >6/12 in 21 patients (42%), 6/12-6/18 in 14 patients (28%), and <6/18 in 15 patients (30%). Among the 15 patients with vision <6/18, 14 had low vision due to aphakia, and 1 had cystoid macular edema which was treated with systemic and oral steroids and topical non-steroidal anti-inflammatory agents. Conclusion: We concluded that lens-induced glaucoma is a cause of preventable blindness, particularly in elderly patients. Factors such as ignorance, socioeconomic challenges, lack of awareness, absence of an escort, and good vision in the other eye contribute to delayed presentation. Early diagnosis and treatment, along with sequential cataract surgery, are crucial for achieving better visual outcomes and preventing complications like lens-induced glaucoma.

TO EVALUATE THE SELECTION PROTOCOL OF CATARACT PATIENTS ADMITTED THROUGH OUTREACH PROGRAMS (EYE CAMPS) UNDERGOING SURGERY IN A TERTIARY CARE CENTER OF CENTRAL INDIA

Aim: To evaluate the selection protocol of Cataract patients admitted through outreach programs (EYE CAMPS) undergoing surgery in a tertiary care center of Central India Study design: It is a prospective descriptive study conducted on camp patients at a charitable tertiary eye care hospital (Central India) from January 2023 to june2023. Wirtten informed consent was taken from patients for participation in this study. Setting:A prospective observational study was performed of all cataract patients admitted through outreach program (EYE Camp) for small incision cataract surgery in the department of Ophthalmology, Sri Aurobindo institute of medical sciences, Indore from January 2023 to june2023. Material and Methods: During the study period 332 patients were screened ..all patients above 40 years of age having senile cataract were included and Patients with age less than 40 years of age, Congenital cataract, complicated cataracts like traumatic, uveitic, subluxated or dislocated cataracts, patients having undergone previously any ocular surgery in the selected eye, patients not giving written informed consent were excluded from the study. Results: Out of 332 camp patients 306 (92%) patients under went small incision cataract surgery and the surgeries of 26 patients (8%) were postponed, as the patients were unfit due to ocular and systemic reasons out of 26 patients, 5 patients had uncontrolled blood sugar, 7 patients had uncontrolled blood pressure, 2 patients had cardiac problems, 1 patient was asthmatic. Conclusion:In our study, increasing age and female gender were commonly associated with cataract. Most of the patients had bilateral cataract and low vision at presentation. Hypertension and type 2 diabetes mellitus were commonly associated systemic disorders with cataract. This study highlights that high quality cataract surgery with a low intra-operative complication rate and good visual outcome can be attained even in camp patients operated in the base hospitals with standard protocols.

EVALUATION OF DEMOGRAPHIC PROFILE AND VISUAL OUTCOMES OF CATARACT PATIENTS OPERATED IN A CHARITABLE CAMP HOSPITAL IN CENTRAL INDIA

Aim: To Study the Demographic Profile and visual Outcomes of Cataract Patients Operated in a Charitable Camp in Central India Introduction Cataract is a leading cause of preventable blindness globally. Developing countries account for three quarters of cataract blindness worldwide. Despite the large number of corrective surgeries being performed globally cataract blindness is believed to be increasing by1–2 million/year. The present study was conducted in the patients residing in a peripheral rural area of Indore division (central India) to study the demographic and clinical profile of patients with cataract. This study supplements to understand the outcomes of such patients who were operated in camp at a tertiary care center. Study Design: It is a prospective descriptive study conducted on camp patients at a charitable tertiary eye care hospital (Central India) from December 2019 to February 2020.Wirtten informed consent was taken from patients for participation in this study. Setting: Department of Ophthalmology Choithram Netralaya, Indore from December 2019 to February 2020. Material and Methods: During the study period 139 surgeries were performed by the surgeon. All patients above 40 years of age having senile cataract with stable systemic condition were included. Patients with age less than 40 years of age, uncontrolled systemic condition, Patients with other ocular comorbidities, undergone previously any ocular surgery in the selected eye or not giving written informed consent were excluded.All the patients were screened for cataracts in the camps in the periphery by the trained optometrist and referred to the base hospital. Detailed pre-operative ocular examination of all the patients was performed and medical checkup with routine pre-operative profile was also done. Patients medically fit for cataract surgery underwent small incision cataract surgery with Posterior capsular IOL implantation (PCIOL) under local anesthesia. All the cataract surgeries were performed by a single surgeon using the same technique to avoid any bias. Results: It was observed that the mean age of presentation was 61.5 years with female preponderance of nearly (56.8%) . out of 139 patients 63 patients (45.3,%) had systemic comorbidities, which included ,33 patients (23.74%) with hypertension and 28 patients(20.14%) with Diabetes mellitus. Majority of patients i.e.101 (72.66%) patients had onset of ocular symptoms between 3 to 6 months . In this study bilateral immature nuclear cataract was commonly encountered cataract in 88.48% of patients and only 8 patients had mature cataract and 7 patients presented with hyper mature cataract respectively .On post-operative day one, 19 patients and 8 patients had blood clot in anterior hamber,5 patients had cortical matter in Anterior chamber On follow up at one week, majority of patients i.e 110 (79.13%) had visual acuity between 6/9-6/12.Patients after re-surgery had visual acuity of minimum up to 6/24 with possibility of getting better on further visits. Conclusion: In our study, increasing age and female gender were commonly associated with cataract. Most of the patients had bilateral cataract and low vision at presentation. Hypertension and type 2 diabetes mellitus were commonly associated systemic disorders with cataract.This study highlights that high quality cataract surgery with a low intra-operative complication rate and good visual outcome can be attained even in camp patients operated in the base hospitals with standard protocols.

YOLOv3 Based Smart Assistive Navigation System for Visually Impaired Individuals

Abstract: Nowadays, some people suffer from blindness or vision impairment, either from childhood or due to other causes. These individuals frequently face difficulty to move from source to destination precisely, resulting in difficulties in their daily routines. Currently, people are using normal walking sticks, that is not useful for all the time, especially in outdoor environments, resulting in accidents and other difficulties. This paper aims to focus on improving the quality of life for blind people or visually impaired individuals by providing a suitable solution to enhance navigation and manage their needs in indoor and outdoor environments through the use of wearable devices. One proposed solution involves the method of voice assistant technology, which allows users to easily communicate and receive clear instructions. The Raspberry Pi camera module, that allows to capture images and video streaming with the Raspberry Pi, where the Ultrasonic sensor is commonly used for distance measurement to detect obstacles. Furthermore, incorporating a Neo 6m GPS module offers precise location data and navigation guidance, aiding users in reaching their destination safely and efficiently.

CPD: Low vision: A quick guide for busy optometrists and dispensing opticians

We invited specialist optometrist, Cirta Tooth, to put together a simple to follow guide for ECPs wishing to improve their offerings for low vision patients

Intraocular lenses for patients with age-related macular degeneration

Purpose. Age-related macular degeneration refers to a retinal disease that induces the loss of central vision and is the most common cause of blindness in people over 65 years of age in the western world. Today’s technology offers various intraocular lenses, which are used to support conventional low vision aids such as collimating and non-collimating magnifiers. Material and Methods. Within the scope of this thesis, three different intraocular lens systems are presented, which are based on the principle of beam deflection and/or magnification. Results. Following a patent and literature search, the systems were simulated using ray trace software in order to reconstruct their functional principle and compare it with each other. Conclusion. With the help of a theoretical model, different fictional retinal defects were simulated and the efficiency of each lens system was evaluated according to their respective properties. Keywords Intraocular lenses, age-related macular degeneration, eye model, Liou & Brennan

Prevalence and Causes of Visual Impairment and Blindness Among Students of Blind Schools of Bihar, India

Aim: Visual impairment and blindness are serious public health issues, especially in developing countories, like India. Data on causes of childhood visual impairment and blindness in Bihar are limited. The aim of this study was to determine the leading causes of visual impairment and blindness in blind schools of Bihar Study design: A cross sectional study was done in seven blind schools of Bihar Methods: Seven blind schools were visited after taking permission from principal. Written informed consent from parents was taken. Detailed ocular and systemic examination was done for all 218 students. Comprehensive eye examinations were performed, including distance visual acuity, anterior and posterior segment examinations, refraction, color vision, and visual field testing. Anatomical and etiological categorization of causes of visual impairment/Blindness was done. Results: A total 218 students were examined. 90.82% of students were blind and 9.17% severely visually impaired. Major anatomical causes of visual impairment and blindness were Microphthalmos (24.31%), Anophthalmos (23.39%), Optic Atrophy (9.63%) and Corneal Scar (7.80%). Etiologically the most common cause was of unknown etiology followed by postnatal factors. Preventable or treatable causes, such as glaucoma, cataract, and refractive errors, represented 22.48% of the cases Conclusion: Blindness and Low vision due to congenital ocular conditions affecting whole globe was the most common cause, further population based studies are needed to know the exact magnitude of problem and to make strategies to decrease the incidence. There is a need to strengthen current primary preventions strategies while tertiary referral centers, Low Vision setups, awareness program regarding Low Vision, special education, rehabilitation, ocular disability benefits and many more things need to be set up in the different health zones of the state to manage childhood preventable and avoidable blindness.

The Failure Of The Political Struggle For Recognition Of Indonesian Muslim Blind People In Serang District

The Failure Of The Political Struggle For Recognition Of Indonesian Muslim Blind People In Serang District

The FreiBurger: a new optotype for P300-based acuity estimation.

Accurate objective assessment of visual acuity is crucial, particularly in cases of suspected malingering, or when the patient's inability to cooperate makes standard psychophysical acuity tests unreliable. The P300 component of the event-related potentials offers a potential solution and even allows for the use of standard optotypes like the Landolt C. However, low-vision patients with large eccentric visual field defects often struggle to locate the Landolt C gap quickly enough for a P300 to be reliably produced. Addressing this challenge, we introduce a novel optotype (the "FreiBurger") with a critical detail that extends through the optotype's center. Two experiments, with 16 and 12 participants, respectively, were conducted. In the first, psychophysical acuity estimates were obtained with both the FreiBurger and the Landolt C. In the second, we tested the performance of the FreiBurger, relative to the Landolt C, in eliciting a P300 with undegraded vision, simulated low vision, and in a simulated combination of low vision and visual field constriction. Comparable psychophysical acuity values (average difference 0.03 logMAR) were obtained for both optotypes. In the P300 recordings, both optotypes produced similar P300 responses under conditions of undegraded vision and low vision. However, with the combination of low vision and constricted visual field, the P300 could only be reliably obtained with the FreiBurger, while the amplitude was drastically reduced with the Landolt C (9.1µV vs. 2.2µV; p < 0.0005). The new optotype extends the applicability of P300-based acuity estimation to the frequently encountered combination of low vision and constricted visual field, where Landolt C optotypes fail. Although impairments were simulated in the present study, we assume that the advantages of the new optotype will also manifest in patients with such impairments. We furthermore expect the advantages to apply to time-sensitive psychophysical examinations as well.

Are your apps accessible? A GCN-based accessibility checker for low vision users

Context:Accessibility issues (e.g., small size and narrow interval) in mobile applications (apps) lead to obstacles for billions of low vision users in interacting with Graphical User Interfaces (GUIs). Although GUI accessibility scanning tools exist, most of them perform rule-based check relying on complex GUI hierarchies. This might make them detect invisible redundant information, cannot handle small deviations, omit similar components, and is hard to extend. Objective:In this paper, we propose a novel approach, named ALVIN (Accessibility Checker for Low Vision), which represents the GUI as a graph and adopts the Graph Convolutional Neural Networks (GCN) to label inaccessible components. Method:ALVIN removes invisible views to prevent detecting redundancy and uses annotations from low vision users to handle small deviations. Also, the GCN model could consider the relations between GUI components, connecting similar components and reducing the possibility of omission. ALVIN only requires users to annotate the relevant dataset when detecting new kinds of issues. Results:Our experiments on 48 apps demonstrate the effectiveness of ALVIN, with precision of 83.5%, recall of 78.9%, and F1-score of 81.2%, outperforming baseline methods. In RQ2, the usefulness is verified through 20 issues submitted to open-source apps. The RQ3 also illustrates the GCN model is better than other models. Conclusion:To summarize, our proposed approach can effectively detect accessibility issues in GUIs for low vision users, thereby guiding developers in fixing them efficiently.

Playfulness as a pedagogical strategy: game to educate about the rights of blind people and the role of guide dog

Since 1990, there has been a concern, in the most varied countries, with external public policies for inclusive education, however, still has a long way to go. There are several ways of promoting the rights of the blind to society, and one of these ways is games. This research characterized, in terms of nature, as applied research, as its interest is practical, and it is hoped that the results are used in solving real problems. This study adopts a methodology qualitative and has an exploratory character, advancing by deepening the understanding of the problem under study. Based on pre-existing literature on the rights of blind people and the reactions to the guide dog, the research is categorized as both bibliographic and documentary. The central purpose game theory is used to facilitate the dissemination of the rights of blind individuals and specifically the role played by the guide dog. Through a playful approach, the aim is to investigate why way the design of games can help in the development of effective pedagogical strategies external activities to raise awareness about the rights of blind people and the role played by guide dogs, preceding their effective implementation in the social context.

Library Anxiety Among Undergraduate Students with Visual Disabilities

Library anxiety, a phenomenon characterized by discomfort, fear, or other negative emotions associated with navigating libraries, is a significant issue for many undergraduate students. This study, which examined the library anxiety reported by 37 visually disabled undergraduate students across seven state universities in Indonesia, sheds light on this critical topic. The measurement of library anxiety was based on the Malay Version of Bostick's Library Anxiety Scale, as adapted by Karim and Rashid (2016), which includes three factors: barriers with service providers, affective boundaries, and comfort with library technology. The research also explores library anxiety as a variable itself. The findings, derived from a descriptive quantitative research method using purposive sampling, reveal that visually disabled students experienced low levels of library anxiety. However, the anxieties experienced involved navigating the library facility and engaging with library technology. Notably, library anxiety, as its culminating variable, showed that male students experienced a higher level of library anxiety than female students. This study underscores the importance of applying the Bostick scale to explore more disabled students’ experiences with library anxiety, providing valuable insights for educators, policymakers, and researchers.

The role of self-esteem on motivational aspects of Greek blind athletes competing in individual and team sports

Physical activity and sports can be considered important sources of motivation for people with visual impairments; however limited attention has been given to blind peoples' involvement in sports and to the intra-personal variables such as self-esteem and motivation that affect their sport participation. The purpose of the present study was a) to explore the relationship between self-esteem and intrinsic motivation in blind athletes, and b) to assess the levels of self-esteem and intrinsic motivation and identify differences in intrinsic motivation and self-esteem as a function of gender and sport type (individual-team sports). Participants were 78 (27 females) Greek blind athletes (30.29 ± 1.18 years of age) competing in team (N = 44) and individual (N = 34) sports. Participants completed the Intrinsic Motivation Inventory questionnaire (IMI) and Rosenberg Self-Esteem Scale (RSES) questionnaire. The findings revealed that high values on self-esteem could predict blind athletes' perceived competence (p = .001) and strengthen their intrinsic motivation while enabling them to regulate pressure and tension (p < .05). However, female athletes appeared to be more pressured than males (p < .05), and interestingly, team sport athletes scored higher in intrinsic motivation than individual sports athletes (p < .05). The findings provide useful insights regarding the role of self-esteem in blind athletes' motivational profiles and draw attention to the role of perceived competence in blind athletes' sporting experiences, emphasizing that team sport context may serve as a fertile ground for enhancing intrinsic motivation.

Feasibility of telerehabilitation to address the orientation and mobility needs of individuals with visual impairment: perspectives of current guide dog users

Orientation and Mobility (O&M) training, including guide dog services, is crucial for individuals with low vision and blindness to attain independent travel. While teleassistance has proven effective for navigation and communication, telerehabilitation in O&M remains unexplored. Objective To assess guide dog users’ perspectives on the feasibility of telerehabilitation for their O&M needs. Method An online survey gathered insights from 56 guide dog (GD) users (Mean age = 59, Mean GD used = 4, Mean duration of use = 22 years). Thirteen GD users further participated in interviews or focus groups to explore survey responses. Data were analyzed using content analysis. Findings Most (40) were blind, and 16 had low vision, with intermediate (25) and advanced (25) communication technology proficiency. Most GD users (46) underwent residential training, and 10 received one-on-one visits. Qualitative analysis revealed acceptance of telerehabilitation services, citing accessibility as an advantage. However, GD users expressed concerns about safety, potential loss of behavioral observation, and social contact loss. Success depended on the type of technology, service type, and personal attributes. Conclusion While feasible, telerehabilitation services may not be universally suitable for all training stages. Flexibility and applicability in service design are necessary to accommodate individual preferences and experience levels.

Radio Udaan: Empowering India’s Visually Challenged through Sound

Radio Udaan: Empowering India’s Visually Challenged through Sound

Low vision aids provision in an urban setting in Germany between 2014 and 2017: a regional population based study with healthcare claims data.

Little is known about the utilization of low vision services (LVS) in Germany. To understand which persons and how often these services would be utilized, this study aimed to investigate low vision aids (LVAs) provision in an urban setting and to describe user characteristics and trends in their characteristics. A retrospective study based on a population-based healthcare claims database in Cologne (N = ~ 500,000), Germany. The study population comprised individuals, who were continuously insured at four large statutory health insurers and who redeemed a prescription for visual aids or aids for blindness between January 2014 and December 2017. We examined their socio-demographic and clinical characteristics. Trends in characteristics were examined with logistic and linear regression models over time. Out of ~ 500,000 persons, 781 unique individuals (~ 0.2%) redeemed an LVA prescription. They were mainly female (68.7%), 60 years or older (75.3%) and had macular degeneration (50.6%) and/or glaucoma (25.9%). In the working-age subgroup, 33.8% were employed. Visual aids were most often prescribed (74.1%) and of all types of LVAs, individuals most commonly redeemed a prescription for magnifiers (35.8%), screen readers (34.3%) and/or canes (17.1%). Of the entire study population, 75.4% received their prescription from an ophthalmologist, 5.3% from a general practitioner and 7.1% from other medical specialists. Significant trends in characteristics of individuals who redeemed an LVA prescription were not found. Between 2014 and 2017, 781 individuals in Cologne redeemed an LVA prescription. They had characteristics which mostly can be explained by the epidemiology of VI. Results indicate that individuals that redeemed LVAs have a magnification requirement of ≥ 1.5-fold and ≥ 6-fold. Furthermore, next to ophthalmologists, general practitioners and other medical specialists seem to play a role in LVA provision as well, which should be taken into account by policy makers when planning interventions for increasing LVS provision. Our findings provide a starting point to examine LVS provision in Germany.

Sighpost Assistant Prototype Design: A Wayfinding Application to Assist The Independence of The Visually Impaired in Mobility Through Understanding The Concept of Space

This research presents a study related to the creation and design of direction applications to help blind independence in mobility through understanding the concept of space. This research aims to help blind independence in carrying out daily activities by understanding the concept of space in their environment. This research uses a development method, namely the prototype development model. However, this research is limited only to the development of the Signpost Assistant application design. It is hoped that this research will be continued and will produce a finished product. Based on the results of data collection and prototype development carried out, it can be concluded that Signpost Assistant is an application that is quite easy to use and is needed by blind people.

Access to low vision rehabilitation services in Australia: practitioner perspective

ABSTRACT Clinical relevance The burden of vision loss is both personal and economic. Having reduced vision can restrict access to education, job opportunities, and other activities, and patients can require substantial government funds for treatment and rehabilitation. An in-depth investigation of barriers and enablers is required to improve access to low vision rehabilitation services. Background Several clinical trials have demonstrated the effectiveness of low vision rehabilitation services, leading to improved clinical and functional abilities. However not all patients make use of these resources. Methods A purposive sample of primary eyecare practitioners (optometrists and orthoptists who held a variety of roles in clinical practice, academia and low vision specific organisations) were invited to participate in focus groups that were audio-recorded and transcribed verbatim. The resulting data were de-identified, cleaned, independently coded by two researchers and compared. Data were analysed using an interpretative phenomenological approach that included inductive thematic analysis. Results Of the 21 practitioners attending the five focus groups, 67% were female and 33% were male. The participants were optometrists and orthoptists with a wide range (4 to 20+ years) of clinical experience in eyecare service delivery. Four major themes emerged from the analysis: three themes focus on identifying barriers, while one theme highlighted potential enablers. These themes encompassed barriers impacting referral frequency, practitioner knowledge, patient experience, and enablers that suggest improvement options for enhancing low vision services. Conclusion Miscommunication between service providers, miscommunication between patients and clinicians, late referral, cost of services and social stigma were major barriers preventing patients from receiving low vision services. Most practitioners admitted limited knowledge of the scope of services provided by low vision organisations, suggesting there is a need for enablers such as professional development, improved communication between service providers, enhanced referral guidelines and increased public awareness.

Assessment of refractive errors, amblyopia, strabismus, and low vision among hearing-impaired and deaf students in Kermanshah

Background and AimRefractive errors, amblyopia, strabismus, and low vision are more common among children with hearing impairments in comparison with their hearing peers. Neglecting visual disorders can pose educational and social problems for these children. The present study aimed to assess the prevalence of refractive errors, amblyopia, strabismus, and low vision among hearing-impaired and deaf students in Kermanshah.Materials and methodsA total of 79 deaf and hearing impaired students within the age range of 7–20 years (mean age of 15.01 ± 2.72) underwent optometric examinations, including autorefractometry, retinoscopy, ophthalmoscopy, slit lamp, visual acuity measurement, and cover-uncover test. Those who needed further evaluation were referred to the Ophthalmology Clinic of Imam Khomeini Hospital.ResultsRegarding the prevalence of refractive errors, 32 (40.5%) subjects had one or a combination of refractive errors, the most common of which was astigmatism (36.7%), followed by amblyopia (15.1%). The most common type of strabismus was latent strabismus (heterophoria) (88.6%), followed by exophoria (81%). Moreover, 3 (3.7%) cases had nystagmus. A significant difference was observed between the prevalence of amblyopia and the degree of hearing loss (P = 0.026), and no significant difference was detected in other cases.ConclusionAs evidenced by the obtained results, refractive errors, amblyopia, strabismus, and low vision are more prevalent among deaf and hearing-impaired children compared to normal children because deaf and hearing-impaired children are not able to convey their vision problems and need to compensate for their poor hearing with an enhanced sense of sight, inattention to these disorders can present these children with serious educational and social problems. Therefore, eye screening examinations are of paramount importance in deaf and hearing-impaired children.

Translating in the Dark: Introspective Insights into the Work of the Blind and Low Vision Translators

This study aims at exploring and describing translation process (TP) as carried out by blind and low vision translators (BLVTs) compared to peer sighted translators (PSTs). The peculiarity of TP by the visually impaired has not been examined before in translation studies. For this end, we seek to find evidence for difference in processing texts between BLVTs and PSTs, impact of blindness and low vision on performing the task, and how such knowledge can help in structuring process-oriented model of translation assessment. Three hypotheses are proposed: first, there is a difference in performing the task in mainly three aspects; reciprocity, anxiety and speed between the visually impaired and the sighted translators; second, BLVTs tend to be more verbose in their translation; and third, a process-oriented model of translation along product-oriented model assessment can be a more impartial mechanism to assess performance of translation trainees as well as the final product. Introspective reports (2242 minutes of think-aloud audio recordings) are used to collect data from semi-professional translators (15 BLVTs and 10 PSTs). Triangulation is also used in form of pre-reports about the task and post-reports and interviews with the participants. The data are codified using multi-level bookmarking for recordings. The results show that BLVTs are slower, more anxious, and uncertain, more verbose, and self-reflective compared to PSTs. Further, BLVTs and PSTs have suffered from Hawthorne effect and have been optimistic about time of completion. Any contribution into this field can be useful in many ways, and future research can build on the findings of this study to provide better support to BLVTs in their work.