Assessment of Barriers to the Utilization and Acceptance of Low Vision Devices



  • Wardah Afzaal
  • Irum Riaz Superior University: Lahore, Punjab, PK
  • Ubaidullah Jan
  • Shahid Noor
  • Ahmed Sohail


Purpose:  To assess barriers to the utilization and acceptance of Low vision devices (LVDs).

Study Design:  Cross sectional study.

Place and Duration of Study:  LRBT Hospital, Lahore from February 2022 to June 2022.

Methods:  The study included 117 patients who noticed an improvement in the LVDs trial but were still reluctant to use LVDs. Patients with best-corrected visual acuity (BCVA) of < 1/60 or a remaining visual field of less than 5˚around central fixation were not included. Patients with lower cognitive levels or psychiatric impairments were also excluded from participating. Self-structured questionnaire was used. Data on age, gender, occupation, diagnosis, preferred LVDs, patient’s impression of visual loss, and the main cause of LVDs rejection were analyzed. The Chi-square test was used to determine association. A value of (P < 0.05) was considered significant.

 Results:  The highest non-acceptance rate (45.2%) was seen in patients > 60 years of age. Leading causes for non-acceptance of LVDs were social stigma in patients aged < 40 years (29.7%), fear of losing a job in patients aged 41-60 years (26.1%), and low necessity in patients aged > 60 years (30%).The rate of non-acceptance was highest for retinitis pigmentosa (71.4%) and lowest for diabetic retinopathy (12.5%). Handheld magnifiers had the lowest non-acceptance rate of all the devices (45%).Non-acceptance rates were higher for telescopes and non-optical devices (77.8% and 73.3% respectively).

Conclusion:  The reasons for limited LVDs utilization go beyond affordability or availability. Understanding these barriers can facilitate in devising content for the patient, healthcare professionals, and general public awareness campaigns.




How to Cite

Afzaal W, Irum Riaz, Jan U, Noor S, Sohail A. Assessment of Barriers to the Utilization and Acceptance of Low Vision Devices: 10.36351/pjo.v39i1.1518. pak J Ophthalmol [Internet]. 2022 Dec. 31 [cited 2024 Apr. 21];39(1). Available from:



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