Service guidance
  • Community ophthalmology
  • Wider practice/cross-cutting

Low Vision: the essential guide for ophthalmologists

  • Last updated or reviewed: 1 July 2021
  • First published: 1 July 2021
Low-vision-essential-guide (PDF)

Practical guidance for ophthalmologists on identifying, referring and supporting patients with low vision. Covers rehabilitation, service pathways and multidisciplinary care to improve independence and quality of life.

This guidance supports ophthalmologists in recognising and managing low vision as part of routine clinical care. It sets out when to refer patients, how to assess functional vision, and the role of early intervention in preventing avoidable loss of independence. 

Low vision is defined not simply by visual acuity, but by the impact of sight loss on everyday life and function. The document emphasises that patients may need support well before they meet criteria for certification, and that timely referral to low vision and social support services is essential to improve outcomes and maintain autonomy. 

It reflects a shift from a narrow focus on magnifiers to a broader rehabilitation model. Effective care requires multidisciplinary working across ophthalmology, optometry, rehabilitation services and social care, tailored to individual patient needs. It also highlights the role of ophthalmologists in coordinating access to services, supporting certification where appropriate, and ensuring patients are not overlooked during ongoing treatment pathways.