Hadley Presents: A Conversation with the Experts Episode: Specialists for Low Vision Release Date: July 17, 2025
Host: Ricky Yenger
Guest: Dr. Laura Miller, Low Vision Optometrist
Introduction to Dr. Laura Miller
In this insightful episode of Hadley Presents: A Conversation with the Experts, host Ricky Yenger welcomes Dr. Laura Miller, a dedicated Low Vision Optometrist. Dr. Miller shares her personal journey and professional experiences, shedding light on the vital role of low vision specialists in enhancing the quality of life for individuals with vision loss.
Dr. Miller’s Path to Low Vision Optometry
Dr. Miller provides a heartfelt account of how she became an optometrist. Her initial interest in medicine was tempered by a dislike of needles, leading her to seek a medical field without frequent injections.
“I remember going to my guidance counselor and asking, what kind of medicine can I do without needles?... I think I will go that route because I would really like to get some free green colored contacts.”
— Dr. Laura Miller [00:59]
Her true calling towards low vision emerged from a personal experience with her grandmother’s macular degeneration. Witnessing her grandmother's journey from independence to dependence and back to independence through low vision assistance deeply influenced Dr. Miller's specialization.
“...seeing this independence kind of come back back to cooking, back to reading, back to doing things that she enjoyed. And so I really thought that's the direction I want to go...”
— Dr. Laura Miller [02:17]
Differentiating Optometry and Ophthalmology
A key discussion in the episode revolves around the distinct roles of optometrists and ophthalmologists. While both are essential in eye care, their training and areas of expertise differ significantly.
“One of the biggest differences between optometry and ophthalmology is that we as optometrists cannot perform eye surgeries...”
— Dr. Laura Miller [03:43]
Dr. Miller emphasizes that optometrists like herself focus on medical eye diseases, prescribing corrective lenses, and providing specialties such as low vision care. Ophthalmologists undergo medical school and are qualified to perform surgeries, making them suitable for treating conditions that require surgical intervention.
The Comprehensive Low Vision Evaluation
Dr. Miller outlines what patients can expect during an initial low vision evaluation, highlighting its comprehensive nature compared to standard eye exams.
“We're going to do a very, very comprehensive look at glasses... We will look at things like task lighting and how it relates to enhancing contrast and reducing glare.”
— Dr. Laura Miller [07:25]
The evaluation includes:
- Assessment of Low Vision Devices: Exploring various magnifiers, telescopic lenses, and electronic vision aids tailored to individual needs.
- Specialized Testing: Conducting contrast and color tests beyond standard examinations.
- Custom Optical Solutions: Prescribing specialized glasses with higher bifocal strengths or prisms to enhance remaining vision.
- Training and Support: Providing guidance on using prescribed tools effectively in daily activities, often collaborating with occupational therapists and mobility specialists.
Customized Tools and Devices for Enhancing Vision
A significant portion of the conversation delves into the variety of tools and devices available to assist those with low vision. Dr. Miller emphasizes the importance of personalized solutions based on individual challenges.
“There is not one right answer... Everyone is different and magnifiers all have different quirks to them.”
— Dr. Laura Miller [11:12]
Key points include:
- Magnifiers: Selection based on specific tasks and vision capabilities.
- Task Lighting: Optimizing lighting to improve contrast and reduce glare, crucial for activities like reading or cooking.
- Special Filters and Tints: Enhancing visual contrast and comfort.
- Electronic Aids: Video magnifiers and other advanced devices to boost functional vision.
Finding a Low Vision Specialist
Dr. Miller acknowledges the challenges in locating specialized low vision providers and offers practical solutions for those seeking assistance.
“The best website that I found that gives great referral information is the Vision Council Foundation...”
— Dr. Laura Miller [12:58]
Resources suggested include:
- Vision Council Foundation: An excellent tool for finding low vision specialists based on zip code.
- Retina Specialists: Often have referrals to reputable low vision optometrists.
- State Divisions of Blind Services: Typically provide comprehensive resource listings for low vision assistance.
- Local Searches: Utilizing online searches to find nearby providers.
Host Ricky Yenger adds that organizational support is available through Hadley and emphasizes that individuals do not need to be fully blind to seek assistance.
Preparing for Your Low Vision Appointment
To maximize the benefits of a low vision evaluation, Dr. Miller advises patients to come prepared with specific information and materials.
“Making a list of... your challenges... bringing all types of glasses and any magnifiers that you currently might be using, even if they're not working well.”
— Dr. Laura Miller [15:48]
Preparation tips include:
- List of Daily Challenges: Identifying specific tasks that are difficult due to vision loss.
- Current Visual Aids: Bringing existing glasses, magnifiers, or other devices to assess their effectiveness.
- Health History: Providing information on medical conditions and treatments affecting vision.
- Questions for the Specialist: Preparing inquiries about condition management, available devices, and services.
- Support Person: Bringing a family member or friend to help remember information and provide support during the lengthy appointment.
Key Takeaways and Final Advice
As the conversation concludes, Dr. Miller underscores the importance of proactive engagement in managing low vision.
“Don't be afraid to ask questions and don't be afraid to keep searching to find the assistance and the help that you need...”
— Dr. Laura Miller [19:03]
Key takeaways include:
- Individualized Care: Tailoring solutions to each person's unique vision challenges.
- Comprehensive Support: Utilizing a range of tools and professional resources to enhance daily functioning.
- Active Participation: Encouraging patients to be prepared and engaged during evaluations to achieve the best outcomes.
Conclusion
This episode of Hadley Presents offers a thorough exploration of low vision optometry, providing valuable insights for individuals navigating vision loss. Dr. Laura Miller's expertise illuminates the pathways available to reclaim independence and improve quality of life through specialized care and personalized solutions.
For more information or to share your thoughts about this episode, visit podcast@HadleyHelps.org or call 847-784-2870.