Who is eligible for visual impairment?
This raises a number of questions: what do professionals pay attention to before making a decision about disability? Under what conditions is it possible to obtain a group? What documents need to be collected to take advantage of this opportunity? In conclusion, it is worth paying attention to the moments in which disability can be lost. You need to know how to appeal the commission's decision. It is possible that repeated examinations and examinations may be ordered to establish the fact of vision loss. And if the results convincingly indicate the need for outside help or special living and working conditions, by a court decision the person is given a disability of a certain group.
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Hello, I am writing for my husband - 1.49 years old; 2. gender male; 3. education – construction, always worked in leadership positions in construction. Now he works as a TECHNICAL director in a construction organization on agricultural projects. The working day is 10 hours, 6 days a week. Spends half of the working time in offices with documents, half at sites in the field. 4. I was on sick leave from 01/26/2015 to 03/07/2015, incl. in the hospital for surgery for 5 days for enucleation of the left eye. 5. has not received inpatient treatment for the last 15 years. 6. Height 184cm, weight 125kg. The diagnosis was made on November 19, 2014, and on January 27, 2015. at MNTK MG im. Fedorov in Moscow, he underwent surgery - enucleation of the left eye for a choroidal neoplasm (diagnosis code according to MBK-10-C 69.3) of juxtapapillary localization (Mbl, T2aNoMo) with endoprosthetics. Right eye - vision -5.0, macular degeneration, dry form. The histological result is melanoma of the choroid of the perinanillary region, non-pigmented, predominantly spindle cell type A, with moderate corte. After 2 months After the operation, I was examined about the endoprosthesis (now I will wear a temporary prosthesis for up to a year, and then they must make an individual one), the result is that everything is fine. After 3 months, he was examined at the regional oncology clinic - chest x-ray and ultrasound of the abdominal cavity, no data for mts were revealed. Upon discharge after the operation, the recommendations were written to avoid increased, direct exposure to the sun, and also to refer to the bureau of medical and social examination to establish a group disability (due to general illness). I have a question: does my husband have a disability group (probably 3rd)? If it is required, then it is advisable to link to the article of the law, otherwise in our district hospital they don’t know, because There were no cases of such a disease, and the Fedorov MNTK is still a specialized institution. Thank you in advance!
The information provided is not sufficient to answer the question posed. To answer the question posed, additional information is needed about VISUAL ACUITY with correction (with glasses) for the remaining eye. This phrase: Quote Right eye - vision -5.0
shows only the refraction of the eye (dioptres), but not visual acuity.
Visual acuity ranges from: 0.0 - complete blindness; up to 1.0 - normal visual acuity. Those. visual acuity can be: 0.0 - 0.1 - 0.2 - 0.3 - 0.4 - 0.5 - 0.6 - 0.7 - 0.8 - 0.9 - 1.0.
The prospects for establishing disability due to visual pathology depend on visual acuity with correction (with glasses) in the better seeing eye. If corrected visual acuity (with glasses) in the better-seeing (or single) eye is 0.4 or higher, then this is regarded as a mild degree of low vision, in which disability is not established.
Let's look at your case in more detail. Currently, the main document, guided by which the experts of the ITU bureau decide the presence (or absence) of signs of disability in a patient, is the one that entered into force on December 23, 2014. Order of the Ministry of Labor of Russia No. 664n dated September 29, 2014.
There is an Appendix to this Order in the form of a table, which provides a quantitative (in percentage) assessment of the severity of various pathologies (diseases).
Disability is established at a percentage of 40% and above (with the simultaneous presence of disability in the established categories). The specific disability group depends on the amount of interest. 10-30% - disability is not established. 40-60% correspond to the 3rd disability group. 70-80% correspond to the 2nd disability group. 90-100% correspond to the 1st disability group.
As follows from the provisions of the Methodological Letter of the FB ITU dated 04/17/2015 No. 2720/2015 on topical issues of the practice of applying the Order of the Ministry of Labor dated 09/29/2014 N 664n: in order to establish a disability for a patient, it is necessary to SIMULTANEOUSLY fulfill 2 conditions: 1. Availability of the Appendix to the Order 664n percent of sizes from 40% and above. 2. Availability of railway transport in the categories established by Order 664n. Fulfillment of only one of the above conditions is not a sufficient basis for establishing disability.
In relation to malignant neoplasms of the eye, the Appendix to Order 664n contains the following paragraphs: 14.4 Malignant neoplasms of the eye, brain and other parts of the central nervous system C69 - C72
14.4.1 Oligodendroglioma, ependymoma, astrocytoma II C71
14.4.1.1 If radical tumor removal is not guaranteed - 50%
14.4.1.2 With radical removal of the tumor, depending on the existing degree of impairment of body functions (slightly expressed, moderately expressed, expressed, significantly expressed), the presence of complications and (or) concomitant diseases - 10-90%
14.4.2 Astrocytoma III, glioblastoma, medulloblastoma C71, C72.0, C72.1, C72.8, C72.9
14.4.2.1 If radical tumor removal is not guaranteed - 80%
14.4.2.2 With radical removal of the tumor, depending on the existing degree of dysfunction of the body (slightly expressed, moderately expressed, expressed, significantly expressed), the presence of complications and (or) concomitant diseases - 10-90%
Let's consider your diagnosis: T2aN0M0. N0 - means that there are NO regional metastases; M0 - means that there are NO distant metastases. That is, the tumor was completely localized INSIDE the eyeball. The patient underwent an eyeball enucleation operation, i.e. the eyeball was COMPLETELY removed. Accordingly, the tumor was also removed COMPLETELY (RADICALLY). Examination of the patient in the postoperative period did not reveal any signs of tumor relapses or metastases.
Therefore, paragraph 14.4.2.2 of the Appendix to Order 664n applies to your case (since melanoma can be equated to glioblastoma in terms of malignancy). That is, after RADICAL removal of an eye tumor, the prospects for the possible establishment of disability will depend on the severity of functional disorders of the visual apparatus, which I wrote about above: If visual acuity with correction (with glasses) in the better-seeing (single) eye is 0.4 or higher , then this is regarded as a mild degree of low vision, in which disability is not established.
Medical and social examination and disability in cases of visual impairment (general issues)
8 minutes Irina Smirnova 2247
- Visual functions and assessment of their impairments
- What do you pay attention to when registering for a visual disability?
- Degrees of disability and ITU criteria
- What diseases lead to disability?
- Preparation of documents and sending to ITU
- Rehabilitation activities
- Benefits for disabled people
- Video on the topic
The organs of vision are responsible for communication with the outside world. It is through this analyzer that a person receives more than 80% of the information. Complete or partial dysfunction leads to difficulties in movement, communication, learning, work, and performing everyday tasks. Social isolation sets in.
Diseases of the visual analyzer arise for various reasons. If the function is severely impaired, they talk about being diagnosed as visually disabled. It is necessary to know the main criteria on which the ITU (medical and sanitary expert commission) relies when resolving the issue, the specifics of working with patients of different ages, and the list of benefits for persons recognized as disabled.
Procedure and rules for registering visual disability
- a person has a health disorder, which is characterized by a disorder of certain body functions. Regarding this disability, we are talking about complete or partial loss of vision;
- citizens are completely or partially unable to move independently and navigate in space. Moreover, a person cannot study normally due to the lack of opportunity to read the educational material;
- a person who has vision problems is in dire need not only of government support, but also of rehabilitation.
Having collected all the necessary documents and attaching an application of the established form to them, you must contact the federal bureau at your place of residence and submit this entire list. After accepting the application and documents, they will set a date to appear at the commission.
Some statistics about blind people
Hearing about various diseases or, for example, blindness, many people deny the possibility of developing them themselves.
Of course, when the problem concerns others, it seems that all this is so far away and will not affect you. But the statistics on the number of blind people in the country are not the most rosy. Every year, more than 45 thousand Russians are registered as disabled due to poor vision or blindness (the ratio is approximately 50 to 50). Elderly people are most susceptible to blindness and vision impairment. This is where age comes into play. Cataracts often develop in adults, which is one of the most common causes of blindness.
The age of blind people is gradually decreasing. Today, half of patients go blind before they retire. The following factors contribute to this:
- obesity;
- lack of vitamins and essential microelements;
- bad ecology;
- ultra-violet rays.
The presence of even a number of factors can provoke vision loss, so you need to be very careful about your health at a young age.
Is there a disability status if one eye is missing?
Hello, Alexander! As far as I know, according to the order of the Ministry of Health and Social Development, a person is not assigned a disability if one of the paired organs (in your case, the eye), despite the absence of the second eye, works perfectly and copes with all the necessary functions, taking over the work of the missing organ. I think it will also be quite difficult for you to prove to the members of the ITU (medical and social examination) the reasons why you lived for a large number of years without an eye and did not seek medical help. After all, it will become clear to them that you coped well with life and work responsibilities, despite the absence of one eye. It’s another matter if, at present, the vision in the other remaining eye has deteriorated significantly. It is clear that visual impairment has an adverse effect on almost all manifestations of life, however, the degree of this effect varies. The main characteristic that reflects the severity of the pathology of the organ of vision and determines its impact on a person’s life activity and social impairment is the state of visual functions, the main ones being: acuity and field of vision. When conducting a medical and social examination, the severity of the disorder is assessed taking into account the International Classification of Visual Disorders (ICD 10th revision. WHO. Geneva), according to the state of functions of the better-seeing or only eye under conditions of tolerable (optimal) correction (spectacles or contact). Thus, according to the International Classification of Visual Disorders, the majority of people with anophthalmos or monocular blindness, including children, with a structurally and functionally intact second eye, do not have limitations in the main categories of life activities associated with their health status, and, therefore, do not have grounds for establishing disability.
What to do in case of refusal
If a person believes the committee made the wrong decision, they can appeal. His case will be re-examined. He will undergo additional medical examination. But if the second organ of vision has fully retained its function, there will be no disability.
If a person is missing one eye, but the other is in a healthy condition and the medical commission has not given a disabled group, the person may lose his job. This is due to the fact that some activities require binocular and lateral vision. A patient with an absent eye does not have such functions. In this case, the person will need to mentally and physically prepare to look for a new job. He must get used to living with only one eye.
Obtaining disability in the absence of one eye is a rather difficult process. This is due to the fact that the functionality of the second organ of vision can be completely preserved; the medical commission considers not the absence of one eye, but vision as a whole. In case of refusal, the person can demand from the medical commission an explanation of why this verdict was made. You can appeal it to higher authorities or court. To do this, you need a written application to the organization that conducted the medical examination.
Disability is granted if there is no eye
Yes, they should give group 3 (working). I know for sure, because... We had a one-eyed girl at work (she lost her eye as a child). She did an excellent job and as a person was quite adequate, and her eye looked like she was simply closed; in addition to her salary at work, she also received a disability pension. But she was also nearsighted in the other eye and wore a contact lens. In addition to the lack of an eye, the old man is clearly full of other diseases. Go to the clinic at his place of registration and negotiate (money, gifts), they draw up the documents and submit them to the commission for medical and social examination, which determines the disability. Emphasize that the grandfather needs constant outside care and supervision and cannot move or care for himself.
Who can get it?
Visual disability is assigned based on a whole set of criteria. However, in general terms we can say that they assign it:
- absolutely blind people;
- citizens who see (even if poorly), but cannot serve themselves and do not have the opportunity to work (or have restrictions in this regard).
You can often come across the question of whether it is possible to apply for disability if one eye cannot see? Unfortunately, specialists conducting MSE do not consider this a sufficient defect. The result will depend on the condition of the second eye. If he sees well and allows himself to independently take care of himself in everyday life and work (even in a limited number of positions and professions), then the person will be denied a disability. Only in case of poor eye condition will the answer be positive.
Link to document: “On social protection of disabled people in the Russian Federation”
Why is it not given a disability group if you lose one eye?
Hello, Denis. You need to familiarize yourself with the “Regulations on recognizing a person as disabled (approved by Decree of the Government of the Russian Federation of August 13, 1996 N 965) (as amended on September 21, October 26, 2000), Rules for recognizing a person as disabled (approved by Decree of the Government of the Russian Federation dated February 20, 2006 N 95), etc. Hello, my name is Denis about a year ago, I lost sight in my right eye in the army during conscript service, after some time I made prosthetics for my eye, in the future I wanted to apply for disability, I collected all the medical certificates and submitted them to VTEK Glaznoy for consideration. About 2 weeks passed. , after that, I myself decided to go and find out. By the way, I was told that we cannot give you a Disability Group, as it is not written in our law that people with one eye have the right to disability, my question is this: what law or art. Can I find out this and do I have the right to appeal this decision to a higher authority, thank you.
Deadlines for obtaining status
Permanent disability is assigned only to those whose visual acuity is no higher than 0.03. Also, lifelong disabled status can be obtained by patients who undergo examination for 10 years and each time the diagnosis is confirmed or worsened - in this case, an indefinite group will be established for the 11th year.
For all others, an annual re-examination is required, where it is necessary to document stable and irreversible changes in the visual system. A disabled child must also undergo re-examination after reaching adulthood.
Who is eligible for visual impairment?
When receiving urgent disability, the re-examination procedure is carried out once a year. And if the commission members saw an improvement in their condition, the opportunity to live financially independently and take care of themselves, then the decision can be revised. Depending on the nature or intensity of the changes, a transition to another group or removal of disability is possible.
- A person who experiences worsening vision should first consult a doctor. It is necessary to determine the diagnosis and undergo the appropriate course of treatment. If the situation has not improved, and the disease interferes with leading a normal lifestyle and leads to disability, it’s time to start preparing documents for obtaining disability. Visual acuity at this moment should not be more than 0.1 diopter.
- The attending physician will give a referral for a medical examination. This is a necessary procedure, even if no diseases were previously identified. If another illness is detected, an additional examination is prescribed.
- The results will be sent to your doctor, who, after carefully studying the materials and agreeing with the head physician, will issue a referral for medical examination.
- Now it's time to collect documents for the commission. In addition to the referral, you will need an application for examination, a copy of your passport and work record book (along with the originals). You must take an outpatient card and information about the treatment provided from the clinic. If the loss of vision was the result of an injury at work, you must attach documents confirming this.
- After providing everything you need, you will be able to find out how long you should wait before setting the commission day.
- In conclusion, all that remains is to get your hands on a solution.
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Receipt criteria
Disabled status is granted to people with complete or partial loss of vision if they meet the following criteria:
- The patient is unable to move without assistance.
- The patient cannot read or study educational materials independently.
- A person needs to systematically undergo a course of therapy and rehabilitation.
- Due to loss of ability to work, the patient needs financial support from the state.
In addition, the causes of loss of vision are taken into account - congenital pathology or injury, as well as age at the time of the disease.
In each specific situation, it would be best to contact your treating ophthalmologist so that he can explain what type of vision is required, with what disadvantage, and also in what cases a disability can be assigned.
When is a visual disability granted?
- First. Receive to people who have confirmed serious damage to the optic nerves beyond the possibility of recovery. Loss of visual acuity is more than 86% or vision is completely absent (two eyes). It is also envisaged to provide disability for this group to people who have decreased visual acuity (one eye), but at the same time the person does not have the ability to independently maintain a normal standard of living, and he needs help from outsiders.
- Second. To qualify for this group, a person must have a visual acuity of 1.0 to 0.05 and significant loss of eye function. If people have very poor vision and need significant social support, then the commission decides to grant this disability group.
- Third. To obtain the group, a person must have visual acuity (meaning one healthy eye) of 0.3 to 0.1. In this case, there is moderate vision loss, people can care for themselves only to a certain extent, and the help of others is not required. For example, for myopia with a vision indicator of 10.0-15.0 diopters, the third group is given.
- a referral signed by the head physician of the medical center for the ITU;
- a person’s written application for certification of rights to receive a group;
- passports (original and photocopy);
- photocopies of the work record book (must be notarized);
- outpatient medical record with all necessary extracts and stamps;
- an act that confirms an injury received during work.
Pension and additional payments for visually impaired people of groups 1, 2, 3 in 2020
Visual disability groups are given depending on the degree of myopia in inverse proportion. Myopia comes in three degrees. The first degree is weak, when vision is -3 diopters. The next, second degree, is considered average, with vision from -3.25 to -6 diopters. The third high degree, or strong, when the reading is over -6.25 diopters. Accordingly, with the third degree of myopia, disability of the first group is assigned, with the second - of the second group, with the first degree - of the third group. Let's consider each group separately and the conditions that must be met in case of its registration.
The status of a visually disabled person must be confirmed every year for ten years. After the 11th and final examination, you no longer need to undergo an examination. Disabled status is assigned until the end of life.
Patients who have visual acuity of less than 0.03 units do not need to confirm their disability every year. With such a violation, lifelong incapacity is immediately assigned.
Let us add that a patient with myopia can be referred to a commission not only by an ophthalmologist, but also by a pension fund or social security service. This happens in cases where a person needs government help.
The commission's decision to assign the status of a visually disabled person may be negative. The candidate has the right to challenge such a decision, as well as the disability group. For example, the ITU has established a third one, but the patient thinks that a second one is due. To appeal the conclusion, you must send an application to the main bureau. When the examination was initially carried out at the main bureau, the appeal is sent to the federal one.
As mentioned above, the commission’s decision to assign a group is influenced not by the form of the disease, but by a person’s ability to take care of himself and restore vision. Diagnosis options can be very different, for example, glaucoma, age-related dystrophy, cataracts, including eye refractions - hypermetropia, astigmatism. Sometimes myopia and astigmatism are combined. It all depends on whether vision can be corrected.
Most often, for astigmatism, a group is not assigned. But it’s a completely different matter if the pathology has acquired serious forms, the disease progresses, and intervention is contraindicated or does not produce results. In such circumstances, you should seek a referral from your doctor.
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Disability is granted if there is no eye
In addition to the lack of an eye, the old man is clearly full of other diseases. Go to the clinic at his place of registration and negotiate (money, gifts), they draw up the documents and submit them to the commission for medical and social examination, which determines the disability. Emphasize that the grandfather needs constant outside care and supervision and cannot move or care for himself. Yes, they should give group 3 (working). I know for sure, because... We had a one-eyed girl at work (she lost her eye as a child). She did an excellent job and as a person was quite adequate, and her eye looked like she was simply closed; in addition to her salary at work, she also received a disability pension. But she was also nearsighted in the other eye and wore a contact lens.
Useful videos
According to WHO estimates, there are about 40 million completely blind and 250 million visually impaired people in the world. In general, approximately 4% of the world's population experiences vision problems. The main reasons for registration of primary disability in Russia are glaucoma (37%), diseases of the retina and optic nerve (34%), myopia (12%), problems with the lens and cornea (8%).
Am I eligible for disability?
I have a severe contusion, an infected penetrating corneoscleral wound with prolapse of the membranes of my right eye. (criminal trauma in everyday life). The left eye sees well. right nothing. Am I entitled to some degree of disability? or what privileges or help can I expect from the Ministry of Health? First, you need to be on sick leave or in the hospital for 4-5 months (which is the same thing). then you will be referred to the VTEK (the commission that determines disability). If you are given disability for a year or two (Now it seems that for the first time disability is given for 4 years, but I don’t know for sure).. During the period of disability, you need to visit a doctor several times a year and stay in the hospital. Then re-collect all the documents (tests, etc.), take a referral to VTEK and again go through a commission that will decide whether you deserve disability or not. I experienced all this on my own skin. For five years, every year, I passed the VTEK. Only in the fifth year I received lifelong disability - group 3, 1st degree. True, I don’t know what this means.
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Groups
During the meeting, the medical and social commission (MSC), when considering each individual case, takes into account various factors, taking into account the degree of visual impairment. Important indicators include visual acuity - it is checked every time at an appointment with an ophthalmologist and visual fields - they show the space that is visible to the eye with a fixed gaze.
Judging by these and some other medical parameters, the patient is assigned one of three disability groups.
Installed for patients who need outside help due to the loss of the ability to care for themselves. As a rule, this is associated with blindness - at best there is minimal visibility of silhouettes, and at worst there is complete blindness in both eyes. Visual acuity in such patients does not exceed 0.05, and the visual fields are narrowed to 10 degrees.
This group involves the emergence of restrictions in work and the creation of special living conditions. Sometimes people with this level of visual impairment may need help from others. This also includes cases of hemorrhage in one or both eyes and retinal detachment. The maximum visual acuity here is 0.1, and the visual field is narrowed to 20 degrees.
The mildest degree of eye problems, in which people can take care of themselves and work in jobs that do not require high concentration. The majority of patients with group 3 have moderate low vision, visual acuity does not exceed 0.3, and bilateral visual fields range from 20 to 40 degrees.
Do they provide disability for cataracts and what group?
Disability of the first group is established for patients who have mature or almost mature cataracts on both eyeballs or the eye that sees better, regardless of its type, if it has led to practical blindness in both eyes. Also, the basis for assigning disability group 1 is the combination of cataracts of any degree of maturity with existing changes in other structures of the eyeball, which cause blindness in both or the better-seeing eye. If a patient suffering from cataracts is subject to surgical treatment, then the issue of his ability to work should be resolved after surgery, provided that there are no changes in other tissues of the eyeball that are a contraindication to surgical treatment.
Visual functions and assessment of their impairments
When describing the state of vision, the following parameters (or functions) are analyzed:
Characteristic name | Description |
Central vision | Designed to distinguish small objects and parts. Characterizes visual acuity, designation - Vis, usually the interval is from 0 to 1, the normal value is 1. When measuring Vis, a certain number of diopters (Dopters) corresponds. |
Peripheral vision | Characterizes the space that is located on the sides of the point at which the gaze is fixed (field of vision). Normal values (in degrees) are: up to 90 outward, up to 50 upward and inward, up to 70 downward. |
Color vision | The ability to perceive different colors, their saturation and brightness. |
Binocular vision | Describes the coordinated work of both organs of vision, due to which a correct picture of the world is formed in the cortical part of the analyzer. This parameter helps to clearly determine the localization of an object, its three-dimensionality, and affects the acuity and width of the visual field. |
Light perception | Associated with the ability of the eye to perceive light, distinguish between its degrees of brightness, adaptation to different conditions - darkness and light. |
Disturbances in each of the functions can be caused by damage to various components of the eye and analyzer: muscles, retina, cornea, tumor growth, hemorrhage, trauma, hereditary pathology.
There are several types of diseases of the visual analyzer:
- congenital pathologies;
- age-related visual impairment;
- industrial and military injuries;
- various diseases of the eyeball.
Cataracts and visual impairment - is it possible to get
It is advisable to decide the degree of work ability of persons with cataracts who are subject to surgical treatment after performing the operation - cataract extraction, in the case when there are no contraindications to its implementation from other eye structures and general health (if the operation does not contradict the worldview or person's desire). 1) causes of cataracts, their type, degree of lens opacity; 2) the degree of functioning of the remaining media of the eye; 3) visual functions: visual acuity and fields, IOP level; 4) results of EPI - electroretinography, determination of the sensitivity threshold, lability of the optic nerve (on request); 5) individual characteristics during the cataract process, the rate of development of blindness and the time of its onset; 6) in the case of complicated cataracts - information about the prognosis of the underlying disease, the nature of its course; 7) data from examinations of the person by a therapist, neurologist and psychiatrist (in the case of congenital cataracts); age, education, field of work of the citizen, his work experience, data on the nature of work and its conditions.
Why might vision deteriorate?
There are several reasons that influence the human visual apparatus.
Biological factors
Firstly, biological background and diseases play a big role.
- For example, a mutation in the organs of vision that is passed on from generation to generation. As well as mutation processes resulting from the action of the environment;
- The presence of chromosomal abnormalities;
- Changes that have occurred in the structure of the cornea of the eye;
- Injuries received during childbirth;
- Impaired functioning of the visual apparatus can be caused by various anomalies and pathologies that occur during fetal development;
- The eye muscles may have congenital defects;
- Curvature of the lens of the eye, as well as its clouding, can also affect vision;
- When the homogeneity of the vitreous body is disrupted, distortion of visual perception occurs;
- Various abnormal changes are possible that spread to the retina of the eyes;
- Problems may also be associated with age-related changes in the visual system;
- Problems with the musculoskeletal system can lead to impaired blood circulation in the brain, which directly affects the organs of vision;
- Fluctuations in blood pressure can also cause the development of vision-related diseases. As well as numerous stresses, overwork and lack of sleep;
- The development of diseases of the visual organs can be caused by brain injury;
- An unbalanced diet and, as a consequence, a deficiency of essential vitamins can have an adverse effect;
- Visual impairment is possible with acute microbial infections, blood diseases, diabetes mellitus;
- Irreversible changes in the structure and functioning of the visual organs can occur due to diseases of the cervical and shoulder region.
Environmental factors
The so-called environmental factors have a great influence on the human visual apparatus and on the entire body in general.
- This could be, for example, working in poor lighting;
- Incorrect body position while working at the computer or while reading;
- Long-term visual load without breaks;
- Deterioration of vision can be a consequence of intense work activity with the presence of harmful factors;
- Serious injury to the visual system can result from using a damaged computer monitor;
- In some cases, bad habits can have an impact on the organs of vision.
Social factors
The third factor affecting vision can be identified as various social reasons. This is more true for children, as it is associated with embarrassment when wearing glasses. Due to their reluctance to wear them and fear of ridicule, many children exacerbate the existing problem.
The reasons for visual impairment are different in each individual case. Often a number of reasons lead to problems with the visual apparatus.
Disability due to visual impairment
The decision to establish a medical and social examination is mandatory for execution by the relevant government bodies, local government bodies, as well as organizations, regardless of organizational, legal forms and forms of ownership. Since the main role of a remote analyzer for the blind and visually impaired is hearing, which compensates for the visual defect and facilitates the orientation of the visually impaired and blind, production noise should, if possible, be completely eliminated. When lighting a workplace, the most rational way is to use individual lamps that allow you to regulate the luminous flux. Considering the low functional activity of the visual-nervous apparatus, these individuals can perform visual work of rough precision with an object no less than 5 mm in size. Disabled people who have a pronounced and significant limitation in their ability to live due to a decrease in visual acuity to the point of only being able to orient themselves in the workplace are able to perform work tasks without the use of vision (using the blind method). They were shown a job placement in the system of the All-Russian Society of the Blind.
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Privileges
For people with visual impairments, the same list of benefits is provided as for all other disabled people.
Thus, pension payments depend on the type of pension, disability group and the presence of any special statuses. The maximum payments are due to disabled children and disabled children of group 1. For those who have the opportunity to work, special places are provided in the Russian Society of the Blind. 8 out of 23 thousand of all employed blind people work there today. They are engaged in the assembly and packaging of various products. Among other professions, there are economic, medical, scientific and creative professions.
Among the benefits for visually impaired people are tax (exemption from property tax, reduction of land), medical (dispensing free prescription medications, free stay in sanatoriums and travel to them), social (free travel, assistance from nurses and other social services, reduction in fees for housing and communal services). The final list depends on the disability group.
Read: Benefits and rights of group 3 disabled people in Russia