Approaches to Low Vision Care in Patients with Uveal Coloboma: An African Perspective
Low Vision Care for Uveal Coloboma
DOI:
https://doi.org/10.62856/djcro.v10.80Keywords:
telescope, Brachymetatarsia, coloboma, uveal coloboma, low visionAbstract
Introduction
Low vision management plays a critical role in pediatric care, significantly improving children’s daily activities and quality of life.
Case Report
This case report examines the unique challenges and interventions used in managing a 14-year-old girl of Black African descent with uveal coloboma and brachymetatarsia at ECWA Eye Hospital, Kano, Nigeria. She presented with severe vision impairment (1.8 logMAR in the right eye and 1.0 logMAR in the left eye) and minimal improvement with subjective refraction. Low vision aids, including a 6´ monocular telescope and +6.00 D spectacle magnifier, improved her distance vision to 0.0 logMAR and her near vision to 0.8M at a 13-cm distance. Non-optical interventions such as relative distance magnification, improved lighting, contrast enhancement, and ergonomic adjustments further improved comfort and functionality. Counseling on accommodative footwear and available surgical options supported management of her brachymetatarsia.
Conclusion
The therapy resulted in significant visual and quality-of-life improvements. This case contributes valuable data to the understanding of rare pediatric low vision conditions in Africa.
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