Skip to main content

Military Health System

VCE examines low vision with detection and care

Image of military health personnel wearing a mask and performing an eye exam. Navy Hospital Corpsman 3rd Class Jordan Belthrop (right) administers an eye exam on Navy Hospitalman Caleb Newbill at the Naval Support Activity Souda Bay’s, Branch Health Clinic on the island of Crete, Greece in Aug. 2020. (U.S. Navy photo by Joel Diller)

Recommended Content:

Health Readiness & Combat Support | Mobile Apps | Medical Research and Development | | Centers of Excellence | Vision and Hearing Loss Prevention

“There are many types of low vision, ranging from small to life-changing issues,” explained Dr. David Eliason, associate chief of the Department of Defense/Department of Veterans Affairs’ Vision Center of Excellence.

With February designated as Low Vision Awareness Month, Eliason, the VCE and other eye specialists within the Defense Health Agency are focused on the variety of causes and cases of low vision within the military.

“People also become low vision for a variety of reasons,” said Eliason. “Because needs and treatments are as varied as the cases, the DOD is in the unique position of having the greatest variety of low vision patients compared with other medical systems.”

Causes of low vision range from hereditary to environmental factors, but what exactly is “low vision?”

“A broad definition of ‘low vision,’ in the past, may have been anyone with vision worse than a particular level. For example, they don’t see any better than 20/70 or 20/80 in both eyes,” said Eliason. “However, most low vision specialists prefer a practical approach to defining low vision as simply a loss of vision that has resulted in a decrease in desired visual function or ability for that person.”

This usually means a loss of visual function in both eyes, added Eliason.

“We tend to be able to perform fairly well if we lose vision in just one eye, but still have normal vision in the other eye,” Eliason said.

Low vision, said Eliason, disproportionately affects older populations.

“The impacts of low vision can be felt across the patient spectrum within the DOD, from active-duty service members to retirees and dependents,” said Eliason. “Naturally, though, the majority of low vision patients are dependents and retirees simply because the demographics of the active-duty population is going to put them within the healthiest groups of the general population. That’s also not factoring in the fact that they are remaining on active duty because they obviously don’t have a disability that is limiting their function.”

But the number of service members dealing with low vision is significant. Many times, individuals find themselves continuing to serve in some capacity, even as they are separating or retiring because of low vision.

“The process may be long enough that their vision loss requires attention prior to their separation,” Eliason said. “Even though they may be in the process of leaving the DOD, that doesn’t mean that things can be put off or not addressed until they separate.”

In other cases, he said, low vision may be just one of many combat-related injuries that a patient is dealing with.

Eliason said a plan should be in place for their post-separation eyecare, whether that be with the Department of Veterans Affairs or out in the community.

Military personnel wearing a mask performing an eye exam
Air Force Airman 1st Class Hannah Schaeffer (right) performs an eye exam on fellow 911th Aeromedical Staging Squadron Medical Technician Air Force Airman 1st Class Alexis Workman at the Pittsburgh International Airport Air Reserve Station in Pennsylvania in Dec. 2020. (U.S. Air Force photo by Senior Airman James Fritz)

“The VCE [Vision Center of Excellence] was designed to evaluate the continuum of care that a DOD patient would undergo with a significant eye injury, starting at prevention and going all the way through to detection, diagnosis, mitigation, and treatment of an eye injury and what results afterward, including vision rehabilitation,” Eliason said.

Part of the mission of the VCE is also to bridge the gap between active-duty and post active-duty vision care, specifically with the VA.

VCE connects the DOD and the VA because the DOD does not traditionally offer long-term rehabilitation.

“It’s understandable why,” Eliason said. The priority of the DOD is the readiness of its fighting force, and the medical force that supports that.”

Additionally, Eliason said, in cases where low vision may be caused by damage from hazards encountered as part of one’s job, safety and prevention are key.

“Prevention measures are command- and occupation-specific,” said Eliason. “But for cases that are based on hereditary factors, some cases aren’t preventable or predictable and may surface in younger service members unannounced. Our mission is to be looking at what factors lead to eye injuries, as well as short-term and long-term impacts of vision injuries and vision rehabilitation.”

With the VA taking on responsibilities for rehabilitation, it allows military medical treatment facilities to focus on more traditional aspects of vision care like routine care, testing, and surgeries.

“The VA has a large, nationwide, robust vision rehabilitation program, and a memorandum of understanding is in place that allows the VA to see active-duty personnel for vision rehabilitation,” said Eliason. “That gives the DOD a chance to focus on other aspects of vision care.”

As a one of several centers of excellence within of the Defense Health Agency, the VCE leads and advocates for programs and initiatives with the inter-related goals of improving vision health, optimizing readiness, and enhancing the quality of life for service members and veterans. VCE promotes collaboration, facilitates integration, and serves as an advocate for vision across the DOD and VA healthcare systems. VCE also collaborates with other federal health care organizations, academia, and private sector organizations.

You also may be interested in...

Beating the Stigma: Workhorse Battalion and H2F Team Up to Improve Physical Readiness

Article Around MHS
6/24/2022
Military personnel bench pressing

To help counter that stigma of being "broken", the 10th Division Sustainment Troops Battalion “Workhorse,” 10th Mountain Division Sustainment Brigade, and the brigade’s Holistic Health and Fitness team, also known as H2F, joined forces to create the Unbreakable Warrior program, also known as UBW.

Recommended Content:

Health Readiness & Combat Support | Physical Fitness

Four-legged Major Brings Joy to Brooke Army Medical Center

Article Around MHS
6/23/2022
Labrador facility dogs at ceremony

Brooke Army Medical Center commissioned a new, four-legged staff member with a penchant for spreading joy to the rank of United States Army major during a ceremony June 6.

Recommended Content:

Health Readiness & Combat Support | Public Health

Army, Navy Public Health Officials Collect Weapon System-related Health Hazard Data in Support of Blast Overpressure Exposure Assessment

Article Around MHS
6/21/2022
Military personnel by M777 Howitzer

A team of scientists and engineers from the U.S. Army Public Health Center and the Navy and Marine Corps Public Health Center recently traveled to Fort Carson to conduct a Joint Service Member Occupational Health Assessment, also known as a JSOHA, of the M777 Howitzer—a weapon that is routinely used in military training and combat operations.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support

LRMC CNS Fuels Progression in Military Medicine

Article Around MHS
6/17/2022
military personnel in neonatal care class

Army Maj. Rebeccah Dindinger serves as a Clinical Nurse Specialists at Landstuhl Regional Medical Center in Germany.

Recommended Content:

Health Readiness & Combat Support | Women's Health

Medical Readiness Training Exercise strengthens local partnerships and skills

Article Around MHS
6/13/2022
Military personnel working together during a global health engagement

As part of the U.S. Southern Command’s enduring partnership to Central America, Joint Task Force-Bravo executed a three-day Global Health Engagement in Comayagua, Honduras, June 1-3, working side by side with local military and Ministry of Health personnel.

Recommended Content:

Health Readiness & Combat Support

Expectant Moms Have Group Option for Prenatal Care

Article Around MHS
6/10/2022
Midwife helps expectant military mom during pregnancy

The San Antonio Market offers a group obstetric model for pregnant women at Brooke Army Medical Center.

Recommended Content:

Health Readiness & Combat Support | Women's Health

DGMC Trains Medics on TCCC, Boost Readiness for Next Battle

Article Around MHS
6/9/2022
Military medical personnel in classroom

Medics at David Grant USAF Medical Center on Travis Air Force Base, California, are being trained monthly during a week-long course on tactical combat casualty care in an Air Force-wide initiative to standardize medical readiness training for all service members.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support

Medical Readiness Key to Lead-Wing Deployment

Article Around MHS
6/2/2022
2rd OMRS medical insignia patch

Air Combat Command has tasked the 23rd Wing to be Lead-Wing ready in October of 2022 and medically preparing Airmen for a Lead-Wing deployment is no small feat.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support

378th Medical Partnerships Sustain Life and Mission

Article Around MHS
6/1/2022
Military medical personnel perform mock emergency care

Air Force medical contingency response team members, with the 378th Expeditionary Medical Squadron, perform mock emergency medical care for a simulated casualty at Prince Sultan Air Base, Kingdom of Saudi Arabia.

Recommended Content:

Health Readiness & Combat Support | Warrior Care

Multiservice medical providers, medics take on dive injuries, treatments

Article Around MHS
5/31/2022
Military personnel in pool for training

A group of medical providers and medics recently spent two weeks at the National Oceanic and Atmospheric Administration’s National Dive Center here learning how to treat patients who may have suffered a dive injury.

Recommended Content:

Health Readiness & Combat Support | Warrior Care

Air Force Surgeon General eyes modernizing capabilities for joint commanders (Part 2)

Article Around MHS
5/27/2022
Military medical personnel at Patrick AFB

Since assuming his role of Air Force Surgeon General, Lt. Gen. Robert Miller has worked to advance the Air Force Medical Service’s capabilities, ensuring it is ready for an evolving joint fight.

Recommended Content:

Medical Logistics | Defense Medical Readiness Training Institute | Health Readiness & Combat Support | Total Force Fitness

39 MDG beta tests AFMS first blended TCCC and Medic-X curriculum

Article Around MHS
5/20/2022
Military medical personnel performing safety exercise

The Air Force Medical Service tasked the 39th Medical Group to test the service’s first blended curriculum, enhancing the readiness and skills of medical personnel, Soldiers, and NATO allies at Incirlik Air Base, Turkey, April 20-24, 2022.

Recommended Content:

Health Readiness & Combat Support

Expeditionary Medical Integration Course: Unified in keeping Marines in the fight

Article Around MHS
5/12/2022
Military personnel in medical training

I Marine Expeditionary Force's Expeditionary Operations Training Group on Camp Pendleton developed the Expeditionary Medical Integration Course to prepare Marines and line corpsmen for future deployments.

Recommended Content:

Health Readiness & Combat Support

Navy Hospital Ship Departs for Pacific Partnership 2022

Article Around MHS
5/9/2022
Navy Hospital Ship Departs

Military Sealift Command hospital ship USNS Mercy (T-AH 19) departed San Diego, May 3, marking the beginning of Pacific Partnership 2022 (PP22).

Recommended Content:

Readiness Capabilities | Health Readiness & Combat Support

“Buddy! Buddy! Are You Okay?” A Look Into The Marine Corps' Livesaver Course

Article Around MHS
4/19/2022
Combat Lifesaver Course practical

The Combat Lifesaver Course is a three-day course that teaches Marines lifesaving medical techniques to eliminate preventable loss of life on the battlefield.

Recommended Content:

Health Readiness & Combat Support
<< < 1 2 3 4 > >> 
Showing results 31 - 45 Page 3 of 4
Refine your search
Last Updated: December 28, 2022
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery