By Masego Gloria Ramonyai, student of the Master in Clinical Optometry and Vision Therapy

Abstract

Vision impairment in students presented significant challenges that impacted not only academic achievement but also psychological well-being, social engagement, and overall quality of life. A mixed-methods approach was used, with qualitative interviews providing insights into adaptive behaviours and resilience, and quantitative measurements evaluating functional constraints and psychosocial consequences. The study was conducted among full-time students registered at the University of Limpopo’s Reakgona Disability Centre. Participants had undergone comprehensive eye examinations and had been diagnosed with irreversible vision loss. Data was collected using the validated Low Vision Quality of Life (LVQoL) questionnaire for the quantitative component and structured interviews for the qualitative component. The findings were captured in Excel and analysed using SPSS software. Students exhibited a variety of coping mechanisms, including problem-focused strategies (such as using assistive technology and following structured study schedules), emotion-focused strategies (such as seeking peer support and practising mindfulness), and meaning-focused strategies (such as reframing vision loss as a source of personal growth). To improve VRQoL and promote adaptive coping, the study emphasized the importance of institutional support networks, inclusive educational policies, and psychosocial interventions. These findings underscore the need for comprehensive frameworks that integrate psychological, educational, and medical resources to support students with irreversible vision loss in achieving academic success, developing effective coping strategies, and maintaining their overall well-being. Descriptive statistics were conducted to examine the quality of life of university students with irreversible vision loss. The sample comprised 70 participants aged 17–25 years (M = 21.3, SD = 2.4), with a nearly equal distribution of males (48.6%) and females (51.4%). The mean total LVQoL score was 99.4 (SD = 15.6), indicating a moderate level of vision-related quality of life. Participants reported the highest scores in Activities of Daily Living and the lowest scores in Adjustment, suggesting that emotional adaptation presented greater challenges than functional daily activities. The findings of the study clearly indicated that vision loss and coping mechanisms had a direct impact on one another, particularly regarding the onset of the condition. Students developed individual coping strategies based on their experiences within their surroundings, communities, and treatment received, which were ultimately shaped by their personal goals.

Keywords: Visual impairment, quality of life, coping strategies, mixed-method, vision loss.

Download the full Research Work: Ramonyai, M. G. (2026). Vision-related quality of life and coping strategies in students with irreversible vision loss at the University of Limpopo, South Africa. SAERA