Legal Blindness Explained

Legal blindness is a term often surrounded by questions and misconceptions. In this blog, we’ll explore what legal blindness really means, how it’s defined with the consideration of corrective lenses, its causes, and the impact it has on individuals’ lives.

Blurred bokeh city lights at night.

Photo by Maurício Mascaro

Legal blindness is a classification used primarily for determining eligibility for certain services and benefits. It’s defined by specific criteria focusing on visual acuity and visual field. According to the World Health Organization (WHO), a person is considered legally blind if their visual acuity is 20/200 or worse in their better eye, even when using corrective lenses. Alternatively, if a person’s visual field is limited to 20 degrees or less, they may also be classified as legally blind.

This classification does not imply a complete lack of sight; many individuals classified as legally blind still retain some usable vision, especially with corrective lenses.

Legal blindness can arise from various eye conditions and diseases, such as:

1. Cataracts

Cataracts cause the eye’s lens to cloud, impairing vision. While cataract surgery can restore sight for many, some individuals may remain legally blind even with corrective lenses if surgery isn’t an option or if complications occur.

2. Glaucoma

This condition involves damage to the optic nerve, often due to increased eye pressure. If untreated, glaucoma can lead to significant vision loss, with many remaining legally blind even while using corrective lenses.

3. Diabetic Retinopathy

As a complication of diabetes, diabetic retinopathy affects the blood vessels in the retina, potentially leading to severe vision loss. Some individuals may still be classified as legally blind even with corrective lenses if the damage is extensive.

4. Macular Degeneration

Age-related macular degeneration (AMD) affects central vision, making it difficult to read or recognize faces. Even with corrective lenses, advanced AMD can result in legal blindness.

5. Retinitis Pigmentosa

This genetic disorder causes progressive degeneration of the retina, often resulting in legal blindness over time, regardless of corrective measures.

Hand reading a Braille book with spiral binding.

Photo by Eren Li

Being classified as legally blind can significantly impact an individual’s life, both physically and emotionally. Many people with legal blindness face challenges in mobility, employment, and daily activities. However, with the right resources and support, they can lead fulfilling lives.

Accessibility and Adaptations

Individuals who are legally blind may benefit from various tools and adaptations to enhance daily living. Tools such as readers, magnifiers, and voice-activated devices can greatly improve access to information and communication. Orientation and mobility training can also help individuals navigate their environments safely and independently.

Emotional and Social Support

The emotional impact of legal blindness can be profound. Feelings of isolation, frustration, and anxiety are common. Connecting with support groups and organizations can provide a sense of community and understanding, making it easier to share experiences with others facing similar challenges.

Employment Opportunities

While legal blindness can present barriers to employment, many individuals find success in various fields. Employers are increasingly recognizing the value of diverse perspectives and talents. Accommodations like flexible workspaces, assistive technology, and specialized training can help legally blind individuals thrive in their careers.

Person holding a white cane, wearing a brown sweater, being guided by another person.

Photo by Eren Li

Conclusion

Legal blindness is a complex condition that encompasses a range of visual impairments, even with corrective lenses. By promoting accessibility, offering emotional support, and creating inclusive environments, we can help individuals with legal blindness lead empowered and fulfilling lives.

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Photograph of Dr. Steven Liem

Dr. Steven Liem

Dr. Steven Liem, O.D., F.A.A.O. is an optometrist based in Pasadena, California. After obtaining his doctorate from UC Berkeley’s School of Optometry, he completed his residency in Pediatrics, Vision Therapy & Rehabilitation and became a Fellow of the American Academy of Optometry. When he isn’t busy streaming or making Youtube videos about video games, Dr. Liem aims to broaden accessibility to vision health through his involvement in optometric industry and tech.