What is the standard of care for patients with permanent vision loss that assesses visual goals, evaluates visual function, maximizes functional vision, and includes counseling?

• A. Primary care
• B. Low vision rehabilitation
• C. Refractive surgery
• D. Vision therapy

Answer: (B)

Care for permanent vision loss is centered on low vision rehabilitation, a structured approach that helps a person adapt to daily life with reduced vision. It starts by working with the patient to set meaningful visual goals based on what matters most to them in daily activities and independence. The team then evaluates residual visual function and how vision limits activities, so they can identify practical ways to improve functioning. A core aim is to maximize the use of remaining sight through training with optical and nonoptical devices, strategies, and environmental modifications tailored to the individual. Counseling and psychosocial support are integral, helping the person adjust to the change, stay motivated, and plan for safe and independent living. This combination—goal-setting, functional assessment, strategies to optimize functioning, and counseling—defines the standard of care for permanent vision loss.