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How effective is low vision service provision? A systematic review

Binns, Alison, Bunce, Catey, Dickinson, Chris, Harper, Robert, Tudor-Edwards, Rhiannon, Woodhouse, Joy Margaret ORCID:, Linck, Pat, Suttie, Alan, Jackson, Jonathan, Lindsay, Jennifer, Wolffsohn, James, Hughes, Lindsey and Margrain, Thomas Hengist ORCID: 2012. How effective is low vision service provision? A systematic review. Survey of Ophthalmology 57 (1) , pp. 34-65. 10.1016/j.survophthal.2011.06.006

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Visual impairment is a large and growing socioeconomic problem. Good evidence on rehabilitation outcomes is required to guide service development and improve the lives of people with sight loss. Of the 478 potentially relevant articles identified, only 58 studies met our liberal inclusion criteria, and of these only 7 were randomized controlled trials. Although the literature is sufficient to confirm that rehabilitation services result in improved clinical and functional ability outcomes, the effects on mood, vision-related quality of life (QoL) and health-related QoL are less clear. There are some good data on the performance of particular types of intervention, but almost no useful data about outcomes in children, those of working age, and other groups. There were no reports on cost effectiveness. Overall, the number of well-designed and adequately reported studies is pitifully small; visual rehabilitation research needs higher quality research. We highlight study design and reporting considerations and suggest a future research agenda.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Optometry and Vision Sciences
Subjects: R Medicine > RE Ophthalmology
Uncontrolled Keywords: low vision; rehabilitation; review; visual impairment; outcomes; QoL; children; economic
ISSN: 0039-6257
Last Modified: 19 Oct 2022 10:18

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