Table 5 Mobility concerns and treatment considerations.

From: Approaching rehabilitation in patients with advanced glaucoma

Common patient reported concerns

Treatment considerations

• Bumping into things or people

• Missing curbs and steps

• Reduce speed when walking

• Walk with someone for assistance

• Use of mobility aid i.e., long white cane for obstacle detection and identification

• Limiting travel to familiar areas

• Remove all clutter from floors

• Add bright markers to curb or step edges

• Reverse telescope/minifier

• Unable to read signs

• Difficulty seeing details

• Maximize distance refraction

• Consider single vision distance correction to avoid bifocal line interference

• Monocular or binocular telescope

• Difficulty in dim lighting environments

• Difficulty transitioning from varying lighting conditions

• Flashlight or add additional lighting

• Tinted filters

• Weakness/poor physical strength

• Dizziness or balance

• problems

• Non-slip mats

• White or standard support cane or walker

• Grab-bars and use of hand railings

• Physical therapy

• ENT evaluation/vestibular rehabilitation