Assistive technology and other accommodations can help you manage vision loss from wet AMD in the workplace. Knowing your rights can help you advocate for your needs.
Age-related macular degeneration (AMD) is a common eye condition that most often affects adults over the age of 50. Wet AMD is the most serious subtype, as it often leads to rapid and sudden vision loss.
Sudden blurriness, distortion, or blind spots in your vision can be frightening, especially if you’re working and concerned about whether you can maintain your job despite wet AMD.
While you might need to make changes at work, having a wet AMD diagnosis does not mean that you need to quit your job.
In addition to anti-VEGF treatments to help slow the progression of vision loss, your ophthalmologist may recommend rehabilitative services and assistive devices to help you with your everyday tasks, including work.
Here’s what you need to know about managing vision loss at work and what rights and resources are available to you.
Wet AMD impacts your central vision, which helps you see objects, people, and text straight in front of you. Your vision might also become blurry or distorted, making it harder to see details. This type of vision loss impacts the images you see far away and those up close.
Some of these effects on vision are traced back to macular scarring, which is caused by leaking from blood vessels in the retina, and macular edema, fluid buildup in the retina. Early treatment via anti-VEGF injections can shrink these abnormal blood vessels and stop the further progression of vision loss.
Vision loss causing blind spots can also result from geographic atrophy, in which the retinal cells in a particular area of the eye atrophy and die.
The overall impacts of wet AMD at work can depend on the type of job you have.
For instance:
- You may have difficulty reading on screens if you work frequently with computers. Reading difficulties may also translate to words and numbers on paper.
- If your job requires operating a motor vehicle or heavy machinery, you may find that changes to your vision lead to concerns about safety.
It’s up to you to determine when and how to share information about your diagnosis and related needs with your employer.
Keep in mind that your employer can’t ask questions about your diagnosis, but they can ask you what reasonable accommodations you need if you disclose your condition.
They may also have the right to ask questions about your vision if they believe you can no longer perform your job safely.
Learn more about your rights at work through the informational service VisionAware and the U.S. Equal Employment Opportunity Commission.
Vision loss doesn’t always mean you need to leave your job. Talk with your employer or doctor about the following resources that make it possible to keep working with wet AMD.
Vision rehabilitation services
Your ophthalmologist may recommend additional vision rehabilitation services when diagnosed with wet AMD. Such therapies help you learn how to see better generally, and you may also learn techniques that can help you do your job better.
For example, since wet AMD only affects central vision, you may learn techniques to help you use your peripheral or side vision more effectively.
In addition to your ophthalmologist, your vision rehabilitation team may include:
- an occupational therapist
- a low-vision specialist
- a mobility specialist
If you have medical insurance through your employer, you may be able to ask your HR representative whether such services are covered.
Some employers may also offer in-house counseling services that you can use at little to no cost to you. A professional counselor is another potential member of your vision rehabilitation team who can help you learn how to manage changes from wet AMD.
Reading assistive devices
Reading is an important everyday activity, and depending on the type of job you have, you might work with texts and numbers regularly. Wet AMD can
The first thing you may discuss with your employer is access to low-vision assistive devices. Options might include:
- reading lamps
- brighter lights for your office/workspace
- larger texts on paper and screens
- audiobooks
- computer programs that read texts aloud
- smart tablets
- keyboards and phones with larger buttons
- portable, handheld magnifying glasses
- video magnifiers
- bold, thick markers for taking notes so you can read them more easily
- a desktop or portable closed-circuit television (CCTV) to assist with reading printed materials
Aside from assistive devices, you may need more time to read materials, whether they’re on a computer screen or on paper. Talking with your employer about this accommodation ahead of time can help prevent frustrations down the line.
Alternative transportation or role
Wet AMD may also make driving a car on your own challenging. Dark spots and blurriness in your vision could make it hard to see other vehicles in front of you, and you might find it more difficult to drive to work in the early morning hours or at night due to less natural light.
If you usually drive yourself to work, you may consider other modes of transportation. Depending on where you live, public transportation may be an option, as well as carpooling with a co-worker. Other possibilities include nonprofit services to support transportation.
But if your job requires you to drive a vehicle and you can no longer do so, talk with your employer about the possibility of taking on another role.
Time off for critical appointments
In addition to how wet AMD may impact your job, you’ll also need to consider how to manage your condition and prevent further vision loss overall.
Standard anti-VEGF injections work best when administered early in your condition. This treatment usually involves a series of injections. Depending on how advanced your wet AMD is, you may need to repeat your treatment sooner.
Depending on your job, you may need to take paid or unpaid time off to make these critical appointments with your ophthalmologist. Your employer must allow you the time to do so without the risk of losing your job.
Wet AMD is a lifelong condition, but medications like anti-VEGF injections can help prevent further vision loss. Treatment, regular checkups with your doctor, and modifications at your workplace can also help you maintain your job.
It’s important to understand your rights as an employee so that reasonable accommodations may be made at your workplace. These include items to help you read better and give you extra time to complete your tasks.
If you feel you can no longer conduct your job safely, talk with your employer about potential other roles. You may also consider applying for Social Security disability benefits, per your doctor’s advice.