Prescribing patterns of low vision devices in patients with cone-related dystrophies

Indian J Ophthalmol. 2023 Jan;71(1):195-201. doi: 10.4103/ijo.IJO_1198_22.

Abstract

Purpose: The aim of this study was to elucidate the type of low vision devices (LVDs) prescribed for patients with cone dystrophy, cone-rod dystrophy, and rod-cone dystrophy and to analyze the visual improvement with the devices.

Methods: A retrospective review of 300 electronic medical records of patients with cone dystrophy, cone-rod dystrophy, and rod-cone dystrophy referred to the low vision care (LVC) clinic for the first time between 2014 and 2016 at a tertiary eye care center was done. Collected data included the demographic profile of patients, details of LVDs, and best-corrected vision.

Results: Out of 300 patients, 62.6% (n = 188) were male and 37.3% (n = 112) were female. Of the cases, 50% (n = 150) had cone-rod dystrophy, 45% (n = 135) had cone dystrophy, and 5% (n = 15) had rod-cone dystrophy. The most commonly prescribed LVD was SEE-TV binocular telescope (n = 6, 2.0%) for distance and dome magnifier (n = 60, 20%) for near. ET-40 dark grey tint (20.6%) was preferred for managing photophobia. There was a statistically significant difference in both distance and near visual acuities with LVDs (P < 0.05) in all categories, except rod-cone dystrophy.

Conclusion: Early diagnosis with appropriate prescription of LVDs including tints helps in achieving good quality of vision in patients with cone-related dystrophies.

Keywords: Cone dystrophy; cone–rod dystrophy; low vision devices; rod–cone dystrophy; tints.

MeSH terms

  • Cone Dystrophy*
  • Cone-Rod Dystrophies*
  • Electroretinography
  • Female
  • Humans
  • Male
  • Photophobia
  • Vision, Low* / epidemiology
  • Visual Acuity