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 |