Understanding Low Vision: When Glasses Aren’t Enough

What Is Low Vision?

Have you noticed that you need more light to read than you used to? Do you struggle to recognize faces, even of people close to you? Maybe you've lost your place while reading, or you're having trouble matching clothes or seeing street signs clearly.

If these experiences sound familiar, you might be dealing with low vision, a condition where your sight can't be fully restored with glasses, contact lenses, medication, or surgery.

Low vision isn't about being "legally blind." People with low vision still have some useful sight, but everyday activities become increasingly difficult. You might find yourself avoiding activities you once enjoyed or feeling frustrated by tasks that used to be simple.

Common Signs You or a Loved One May Have Low Vision:

  • Difficulty recognizing faces, even up close

  • Trouble reading or seeing clearly in low light

  • Losing your place when reading

  • Trouble watching TV

  • Struggling to match clothes or distinguish colors

  • Needing much more light than usual for everyday tasks

  • Trouble seeing street signs, curbs, or steps while walking

  • Avoiding driving, especially at night

If these challenges sound familiar, you're not alone. According to the National Eye Institute, low vision affects approximately 3 million Americans, a number expected to double by 2050.

What Causes Low Vision?

Low vision isn't a disease itself, it’s the result of eye conditions that damage parts of your visual system. The most common causes include:

  • Age-related macular degeneration (AMD)—affects central vision

  • Diabetic retinopathy—damages blood vessels in the retina

  • Glaucoma—affects peripheral vision

  • Advanced cataracts

  • Retinitis pigmentosa—affects night and peripheral vision

  • Eye injuries or inherited retinal diseases

Understanding the cause is important because it helps determine which rehabilitation strategies will work best for you.

There Is Help: You Don't Have to Struggle Alone

Here's the important news: low vision rehabilitation can help you regain independence and confidence. While we usually can't restore your vision completely, we can help you maximize what sight you have.

Low vision specialists can provide:

  • Magnifiers and high-powered reading aids

  • Electronic devices that enlarge text or read aloud

  • Special lighting and contrast-enhancing tools

  • Training to use your remaining vision more effectively

  • Mobility strategies to navigate safely

The sooner you start using these adaptive strategies, the more effective they become.

How We Can Help

At Biltmore Eye Physicians, we understand that living with reduced vision affects every part of your life. Our comprehensive evaluations go beyond checking if you need glasses, we help identify what's causing your vision challenges and create a plan to help you live more independently.

Don't wait to get help. If you recognize yourself in these descriptions, schedule a low vision evaluation with our optometrist, Dr. Bethany Wong. Together, we can find solutions that work for your specific needs and lifestyle.

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