A current view of the issue of rehabilitation of patients with ocular pathology
DOI:
https://doi.org/10.31288/oftalmolzh202516068Keywords:
rehabilitation, ophthalmology, eye, vision impairment, vision rehabilitationAbstract
This paper considers general rehabilitation. In addition, attention is given to prospects for advancement in rehabilitation in the field of ophthalmology. The following major aspects of further development of the vision rehabilitation system in Ukraine were determined: 1) organization of up-to-date process of rehabilitation in the field of healthcare requires forming specialty rehabilitation units/words for persons with visual impairments (PVAs); 2) a comprehensive and continuous process of rehabilitation for PVAs should be achieved through established relationships among the parties involved; 3) rehabilitation is not only for people whose visual impairment is permanent and irremediable, but is primarily for those whose visual impairment is potentially remediable; 4) increasing awareness of vision rehabilitation issues among ophthalmologists and rehabilitation specialists should be a strategic objective of the healthcare system; 5) rehabilitation of vision should not only involve measures for adaptation of low-vision patients to new life conditions, but also should consider a range of measures aimed at optimizing visual function, including postoperative rehabilitation, post-medication rehabilitation, surgical rehabilitation, esthetic rehabilitation (including prosthetics), etc, and 6) developing specialty rehabilitation care for PVIs and moving forward from empirical approaches to an era of evidence-based practice requires further research on the efficacy of measures of medical vision rehabilitation.
References
Frontera WR, Bean JF, Damiano D, Ehrlich-Jones L, Fried-Oken M, Jette A, et al. Rehabilitation Research at the National Institutes of Health: Moving the Field Forward (Executive Summary). Phys Ther. 2017 April;97(4):393-403. https://doi.org/10.1093/ptj/pzx027
Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2021 Dec 19;396:2006-17. https://doi.org/10.1016/S0140-6736(20)32340-0
Stucki G, Bickenbach J, Gutenbrunner C, Melvin J. Rehabilitation: The health strategy of the 21st century. J Rehabil Med. 2018 Apr 18;50:309-16. https://doi.org/10.2340/16501977-2200
Sokrut VM, editor. [Physical, rehabilitation and sports medicine]. Kramatorsk: Kashtan; 2019. 480 p. Ukrainian.
Waddell G, Burton K. Concepts of rehabilitation of the management of common health problems. London: The Stationery Office; 2004. 101 p.
World Health Organization. Rehabilitation. [Internet]. Geneva. World Health Organization; 2024. [updated 2024 April 22; cited 2024 Jul 15]. Available from: https://www.who.int/news-room/fact-sheets/detail/rehabilitation.
Nasios G, Messinis L, Dardiotis E, Sgantzos M. Neurorehabilitation: Looking Back and Moving Forward, 1st Edition. Healthcare (Basel). 2023 May 17;11(10):1452. https://doi.org/10.3390/healthcare11101452
World Health Organization. International Classification of Functioning, Disability and Health. [Internet]. Geneva. World Health Organization; 2001. [cited 2024 Jul 15]. Available from: https://uapt.org.ua/wp-content/uploads/docs/5210-preklad_mkf_dorosla_v_docx.pdf.
Ministry of Health of Ukraine. Classifier of Functioning, Disability and Health. [Internet]. Kyiv. Ministry of Health of Ukraine; 2022. [updated 2022 Apr 09; cited 2024 Jul 15]. Available from: https://moz.gov.ua/uploads/8/44015-nk_030_2022_klasifikator_funkcionuvanna_ obmezenna_zittedial_nosti.pdf. Ukrainian.
Verkhovna Rada of Ukraine. On rehabilitation in the health care field. Law of Ukraine 1053-IX. [Internet]. Kyiv: Verkhovna Rada of Ukraine; 2023 [updated 2023 Aug 9; cited 2024 Jul 15]. Available from: https://zakon.rada.gov.ua/laws/show/1053-IX#Text. Ukrainian.
Verkhovna Rada of Ukraine. Fundamentals of the legislation of Ukraine on health care. Law of Ukraine 2801-XII. [Internet]. Kyiv: Verkhovna Rada of Ukraine; 2024 [updated 2024 Mar 25; cited 2024 Jul 15]. Available from: https://zakon.rada.gov.ua/laws/show/2801-12#Text. Ukrainian.
Teoli D, Bhardwaj A. Quality Of Life. [Internet]. StatPearls Treasure Island (FL): StatPearls Publishing; 2024 Jan. [updated 2023 Mar 27; cited 2024 Jul 15]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK536962/.
World Health Organization. Rehabilitation in health systems. Executive summary. [Internet]. Geneva: World Health Organization; 2017. [cited 2024 Jul 15]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK552482/.
Lyseniuk VP, Samosiuk IZ, Samosiuk NI, Tkalina AV. [Rehabilitation medicine: basic concepts and definitions]. International Journal of Neurology. 2012 Jun 17;8(54):29-33. Ukrainian.
Futrell M, Rozzi SL. Principles of Rehabilitation. Prim Care. 2020 Oct 16;47(1):87-103. https://doi.org/10.1016/j.pop.2019.10.004
Stott DJ, QuinnTJ. Principles of rehabilitation of older people. Medicine. 2017;45(1):1-5. https://doi.org/10.1016/j.mpmed.2016.10.002
Burton MJ, Ramke J, Marques AP, Bourne RRA, Congdon N, Jones I, et al. The Lancet Global Health Commission on Global Eye Health: vision beyond 2020. Lancet Glob Health. 2021 Apr;9(4):e489-e551. https://doi.org/10.1016/S2214-109X(20)30488-5
World Health Organization. Blindness and vision impairment. [Internet]. Geneva. World Health Organization; 2024. [updated 2023 Aug 10; cited 2024 Jul 15]. Available from: https://www.who.int/ru/news-room/fact-sheets/detail/blindness-and-visual-impairment.
Dogramaci M, Erdur SK, Senturk F. Standardized Classification of Mechanical Ocular Injuries: Efficacy and Shortfalls. Beyoglu Eye J. 2021 Sep 27;6(3):236-42. https://doi.org/10.14744/bej.2021.01488
Négrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol. 1998;5(3):143-169. https://doi.org/10.1076/opep.5.3.143.8364
Li C, Fu Y, Liu S, Yu H, Yang X, Zhang M, Liu L. The global incidence and disability of eye injury: an analysis from the Global Burden of Disease Study 2019. EclinicalMedicine. 2023;62:102134. https://doi.org/10.1016/j.eclinm.2023.102134
Zhupan B, Lurin I, Medvedovska N, Khramov I. Prospects for predicting long-term treatment outcomes in patients with combat ocular trauma. J Ophthalmol (Ukraine). 2023 Jun;(3):34-7. https://doi.org/10.31288/oftalmolzh202333437
Jackson ML, Virgili G, Shepherd JD, Di Nome MA, Fletcher DC, Kaleem MA, et al. Vision Rehabilitation Preferred Practice Pattern®. Ophthalmology. 2023 Mar;130(3):P271-P335. https://doi.org/10.1016/j.ophtha.2022.10.033
United Nations Development Programme. Rehabilitation of people with visual impairments: analysis of the situation. [Internet]. Kyiv. United Nations Development Programme; 2023. [updated 2023 Apr 27; cited 2024 Jul 15]. Available from: https://www.undp.org/uk/ukraine/publications/reabilitatsiya-lyudey-z-porushennyamy-zoru-analiz-sytuatsiyi#. Ukrainian.
Kuhn F, Pieramici DJ. Ocular Trauma Principle and Practice. New York: Thieme Medical Publishers; 2002. 468 p. https://doi.org/10.1055/b-002-51011
National center for services and research for the prevention of blindness and rehabilitation of the visually impaired. International standards on vision rehabilitation. [Internet]. Moasca. FGE Editore; 2022. [updated 2022 Feb; cited 2024 Jul 15]. Available from: https://polonazionaleipovisione.it/wp-content/uploads/2022/07/International-Vision-Rehabilitation-Standards.pdf.
United Nations Development Programme. Rehabilitation of visually impaired people: a review of the model. [Internet]. Kyiv. United Nations Development Programme; 2023. [updated 2023 Nov 21; cited 2024 Jul 15]. Available from: https://www.undp.org/uk/ukraine/publications/reabilitatsiya-lyudey-z-porushennyamy-zoru-ohlyad-modeli. Ukrainian.
United Nations Development Programme. Overview of the rehabilitation of visually impaired people in Ukraine. [Internet]. Kyiv. United Nations Development Programme; 2023. [updated 2023 Dec 21; cited 2024 Jul 15]. Available from: https://www.undp.org/uk/ukraine/publications/ohlyad-sytuatsiyi-z-reabilitatsiyi-lyudey-z-porushennyam-zoru-v-ukrayini. Ukrainian.
Noé E, Gómez A, Bernabeu M, Quemada I, Rodríguez R, Pérez T, et al. Guidelines: basic principles of neurorehabilitation for patients with acquired brain injury. Recommendations of the Spanish Society of Neurorehabilitation. Neurologia (Engl Ed). 2024 Apr;39(3):261-81. https://doi.org/10.1016/j.nrleng.2023.04.002
Kuhn F. Ocular Traumatology. Heidelberg: Springer; 2008. 540 p.
Wild KR. Functional Rehabilitation in Neurosurgery and Neurotraumatology. Acta Neurochir. 2002 Jan; Supplement, 79. https://doi.org/10.1007/978-3-7091-6105-0
Kos N, Kos B, Benedicic M. Early medical rehabilitation after neurosurgical treatment of malignant brain tumours in Slovenia. Radiol Oncol. 2016 Apr 23;50(2):139-144. https://doi.org/10.1515/raon-2015-0004
Tao Q, Chao H, Fang D, Dou D. Progress in neurorehabilitation research and the support by the National Natural Science Foundation of China from 2010 to 2022. Neural Regen Res. 2024 Jan;19(1):226-32. https://doi.org/10.4103/1673-5374.375342
Cabinet of Ministers of Ukraine. Some issues of rehabilitation organization in the field of health care. Resolution 1462. [Internet]. Kyiv: Government Portal; 2022 [updated 2022 Dec 16; cited 2024 Jul 15]. Available from: https://www.kmu.gov.ua/npas/deiaki-pytannia-orhanizatsii-reabilitatsii-u-sferi-okho-a1462. Ukrainian.
Kumar P, Aggarwal H, Baslas V, Singh RD. A multidisciplinary approach for rehabilitation following ocular trauma. Burns Trauma. 2014 Jan 26;2(1):41-4. doi:10.4103/2321-3868.126093. https://doi.org/10.4103/2321-3868.126093
Wu KY, Mina M, Sahyoun JY, Kalevar A, Tran SD. Retinal Prostheses: Engineering and Clinical Perspectives for Vision Restoration. Sensors (Basel). 2023 Jun 21;23(13):5782. https://doi.org/10.3390/s23135782
Tuft SJ, Shortt AJ. Surgical rehabilitation following severe ocular burns. Eye (London, England). 2009 Jan 23;23(10),1966-71. https://doi.org/10.1038/eye.2008.414
Iakymenko S. Forty-five years of keratoprosthesis study and application at the Filatov Institute: a retrospective analysis of 1 060 cases. Int J Ophthalmol. 2013 Jun 18;6(3),375-80. https://doi.org/10.3980/j.issn.2222-3959.2013.03.22.
May DR, Kuhn FP, Morris RE, Witherspoon CD, Danis RP, Matthews GP, et al. The epidemiology of serious eye injuries from the United States Eye Injury Registry. Graefes Arch Clin Exp Ophthalmol. 2000 Feb;238(2):153-7. https://doi.org/10.1007/PL00007884
Makhoul KG, Bitar RA, Armstrong GW, Weinert MC, Ivanov A, Kahale F, et al. Effect of time to operative repair within twenty-four hours on visual acuity outcomes for open globe injuries. Eye. 2023 Aug;37:2351-5. https://doi.org/10.1038/s41433-022-02350-6
Zhou Y, DiSclafani M, Jeang L, Shah AA. Open globe injuries: review of evaluation, management, and surgical pearls. Clin Ophthalmol. 2022 Aug;16:2545-59. https://doi.org/10.2147/OPTH.S372011
Sather RN 3rd, Molleti S, Moon JY, Chaudhry S, Montezuma SR, Simmons M. Visual outcomes of the surgical rehabilitative process following open globe injury repair. Front Ophthalmol (Lausanne). 2024 Feb 14;4:1357373. https://doi.org/10.3389/fopht.2024.1357373
Gopalakrishnan S, Sudharshan S, Raman R, Saranya V, Majumder PD, Biswas J. Visual rehabilitation of patients with low vision in uveitis. Indian J Ophthalmol. 2019 Jan;67(1):101-4. https://doi.org/10.4103/ijo.IJO_875_18
Stelmack JA, Tang XC, Reda DJ, Rinne S, Mancil RM, Massof RW, et al. LOVIT study group. Outcomes of the Veterans Affairs Low Vision Intervention Trial (LOVIT). Arch Ophthalmol. 2008 May;126:608-17. https://doi.org/10.1001/archopht.126.5.608
Stelmack JA, Tang XC, Wei Y, Wilcox DT, Morand T, Brahm K, et al. Outcomes of the Veterans Affairs Low Vision Intervention Trial II (LOVIT II): A randomized clinical trial. JAMA Ophthalmol. 2017 Feb;135:96-104. https://doi.org/10.1001/jamaophthalmol.2016.4742
Stroupe KT, Stelmack JA, Tang XC, Wei Y, Sayers S, Reda DJ, et al. Economic evaluation of low-vision rehabilitation for veterans with macular diseases in the US Department of Veterans Affairs. JAMA Ophthalmol. 2018 May;136:524-31. https://doi.org/10.1001/jamaophthalmol.2018.0797
Barrett AM, Oh-Park M, Chen P, Ifejika NL. Neurorehabilitation: Five new things. Neurol Clin Pract. 2013 Dec;3(6):484-492. https://doi.org/10.1212/01.CPJ.0000437088.98407.fa
Dong S, Ren H, Zhang R, Wei X. Recent advances in photobiomodulation therapy for brain diseases. Interdiscip. Med. 2024 Jan 23;2:e20230027. https://doi.org/10.1002/INMD.20230027
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Katsan S.V., Morozova M.Yu., Zadorozhnyy O.S., Pasyechnikova N.V.

This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) that allows users to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author as long as they cite the source.
COPYRIGHT NOTICE
Authors who publish in this journal agree to the following terms:
- Authors hold copyright immediately after publication of their works and retain publishing rights without any restrictions.
- The copyright commencement date complies the publication date of the issue, where the article is included in.
DEPOSIT POLICY
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) during the editorial process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work with an acknowledgement of its initial publication in this journal.
- Post-print (post-refereeing manuscript version) and publisher's PDF-version self-archiving is allowed.
- Archiving the pre-print (pre-refereeing manuscript version) not allowed.