• D.V. Varyvonchyk National Medical Academy of Postgraduate Education named after P.L. Shupyk of the Ministry of Public Health of Ukraine
  • L.I. Denysyuk Kyiv City Clinical Ophthalmologic Hospital «Center of Eye Microsurgery» of the Ministry of Public Health of Ukraine Kyiv, Ukraine
  • A.B. Mіshenіn National Medical Academy of Postgraduate Education named after P.L. Shupyk of the Ministry of Public Health of Ukraine



Blindness, disability, rehabilitation, organization of medical care


Introduction. Low vision and blindness are the main causes signifi cant limitation of human activity, which requires the implementation of complex rehabilitation of the disabled.
Purpose – to determine the impact of health welfare of visually impaired people in their quality of life and psychological status.
Material and methods. The investigation of security components of medical and social, psychological and occupational rehabilitation of patients with primary open-angle glaucoma, age-macular degeneration and senile cataract (visually impaired – 300 people; without disabilities – 300 persons) Results and discussion. Determined that in the current development of health care in Ukraine there is inadequate level of provision of visually impaired people medical and social support. There is low access disabilities to the specialized ophthalmologic centers (for the treatment of glaucoma, age-macular degeneration, cataract), to the programs of preventive treatment and medical and social rehabilitation. Signifi cantly is limited for disabled availability of to rehabilitation programs under the conditions of sanatorium and resort facilities, and in specialized rehabilitation centers. Almost no ensuring the disabled persons: (1) aids (tactile canes, clocks, telephones, books and information materials in Braille font, optical and electronic devices that increase the image, audio products); (2) guide dogs; (3) special educational programs studying Braille font; (4) programs of social and psychological correction and support services; (5) labor rehabilitation. The above mentioned is due to insuffi cient development of a network of specialized centers for the rehabilitation of visually impaired people, the lack of state funding health care, poverty disabled.
Conclusions. It is necessary to improve the rehabilitation program for the visually impaired. Rehabilitation programs should include monitoring and improving the quality of life, psychological state, to improve social and labor adaptation of patients.


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Organizing and Management of Ophthalmological Care