Legally Blind – What’s to Know About?

April 26, 2020

#LIVE2.0 #Review

List of Contents

Legal Blindness Due to Reduced Visual Acuity | Legal Blindness Due to Visual Field Restriction | What Causes Legal Blindness? | Helpful Resources for Legally Blind

“Legally blind” may not be a totally alien term to many of you, but some of you must have wondered quite a few times about what legally blind really is, who is considered legally blind and how it differs from complete blindness? Does it have something to do with defying the law

According to a report shared by the NIH,

The number of legally blind people (20/200 vision or worse) in the United States of America was well over 1 million in 2015.

Fact of the matter is that the term can cause some confusion in the minds of those with no idea of what it’s all about, and this write-up is aimed at helping you get rid of such confusions. So, let’s get back to your query that brought you here in the first place, and a few others:

What is Legally Blind and Who Can File for It?

Why not have a look at the legally blind definition followed administratively all across the U.S? Legal blindness has been described by the U.S. Social Security Administration (SSA) at two different levels, i.e. based on receded visual acuity and limitation of the field of view (FOV).

When central visual acuity goes down to 20/200 or lower in your eye which can see better of the two, even after using the corrective lens; or…

When your field of view is limited to the extent that the widest diameter of the visual field of your better seeing eye subtends an angle no more than 20 degrees.

If you qualify the criteria mentioned above, you stand eligible to file for the visual disability benefits, but it doesn’t guarantee that you’ll get the claim certainly, as various other factors also come into play; for instance, the ones described in here.

Legal Blindness Due to Reduced Visual Acuity

Now, let’s get back to what’s meant by going legally blind due to “reduced central visual acuity of 20/200 or lower”? In majority of the cases, a measurement system referred as the “Snellen Visual Acuity” is followed all through the USA in referring to the clarity of eyesight.

This system involves your identification of letters on an eye chart getting smaller and smaller, whereby the corresponding results are reflected as a fraction standardized for viewing something at a distance of 20 feet precisely.

Having a 20/200 visual acuity means the smallest letters that you’ll identify from the chart by standing 20 feet away from it will be equal to the size of the smallest letters a person with “normal vision” would be able to identify at a distance of 200 feet from the chart.

This means that your central vision, the part of your eyesight needed to see and identify objects when you’re looking directly at them, has been deteriorated significantly – 10 times in this case – compared to that of a person with normal vision.

For you to be considered legally blind, you must have a visual acuity of 20/200 or worse in your better seeing eye with corrective lenses on it. (Center for Disease Control and Prevention 2018)

So, your inability to see properly without glasses while you get up in the morning won’t have to do much with qualifying you as a legally blind person.

Similarly, if your vision can get better than 20/200 with the help of glasses or contacts, you won’t be considered legally blind, irrespective of how much nearsightedness (myopia), farsightedness (hyperopia) or squint (astigmatism) you have.

Also, if your vision remains worse than 20/200 despite best correction in one eye, but your other eye is able to see better than 20/200 with the help of a corrective lens, you will not be considered as legally blind.

Legal Blindness Due to Visual Field Restriction

Some people are able to see considerably small letters on an eye chart, but fail to see a person standing next to them, all because of poor peripheral vision.

The significance of a broader field of vision becomes apparent especially when you consider how much of it is needed in performing various day-to-activities, such as driving a car or running through a busy street.

Testing your eyesight for visual field is totally different from testing for central visual acuity. Irrespective of the type of the device a doctor might use to test your field of vision, the objective remains to verify if you have a normal visual field without any unusual narrowing of peripheral vision or the presence of any undesirable blind spots.

The maximum lateral field of view in people with normal vision creates an angle of almost 180 degrees, which means they will be able to view objects located directly to their right or left simultaneously. However, it’s not the same case with the normal vertical field of view, which creates an angle going no farther than 135 degrees, i.e. you’re not able to view the objects directly below your feet or above your head at the same time.

If your peripheral vision is observed to be restricted drastically to 20 degrees only (creating a very limited visual field often referred as ‘tunnel vision’), you’ll be considered legally blind despite being able to see the 20/20 line on an eye chart.

What Causes Legal Blindness?

Though there can be a myriad reasons for a person to be born with a type of visual disability leading to legal blindness through their lifetime, majority of people go legally blind because of the following four main reasons:

Age-related Macular Degeneration (AMD/ARMD)

Glaucoma

Cataracts

Diabetic Retinopathy

Helpful Resources for Legally Blind

Irrespective of the cause of legal blindness, you’re eligible for certain services, privileges and special assistance when you’re legally blind. Let’s have a look at some resources that can help legally blind live a better life.

If you thought guide dogs could only help totally blind, you’re wrong – they’re equally good to assist anyone suffering from legal blindness.

There are many benefits for the legally blind by the ‘Social Security Administration’ (SSA), including relaxation in federal and state tax deductions. A host of non-governmental organizations are also dedicated in providing resources helpful for people with severe visual impairments live a better life. You can also check out this low vision directory to find such resources in your area.

If you’re a guardian or care-provider for someone suffering from the condition, make sure to consult the services of an eye doctor specialized in low vision. They are typically familiar with the latest low vision aids capable of significantly assisting low-vision persons in living a better life.