Envisioning the Future: How AI is Transforming Low Vision Care

An image of an older woman squinting, indicating vision loss
Photo Credit: Getty Images

Vision loss affects millions worldwide, often limiting independence, mobility and the ability to perform daily tasks. While traditional low vision aids like magnifiers, telescopes and high-powered lenses have long been staples in low vision care, they come with limitations. The integration of artificial intelligence (AI) into wearable and digital assistive technologies is now reshaping how low vision patients interact with their environments. AI is not just assisting vision—it is creating adaptive solutions that enhance accessibility, real-time navigation, object recognition and communication.

 

In this article, we explore how AI-powered technologies are redefining low vision care, offering new possibilities for patients and clinicians alike.

 

How AI is Enhancing Low Vision Care

The role of AI in low vision care goes beyond simple image magnification. Machine learning, computer vision, and natural language processing are driving a new generation of assistive devices that analyze, interpret and provide real-time feedback to users. Here’s how AI is advancing the field:

 

AI-Driven Scene and Object Recognition

One of the most significant challenges for individuals with low vision is identifying objects, people and environmental cues. AI-powered visual recognition systems now allow smart devices to process and describe the surrounding world in real time.

  • How it Works: AI analyzes camera input to detect and categorize objects. Advanced algorithms recognize people, faces, text, colors and even specific landmarks.
  • Practical Use: A user can point their device at a street intersection, and AI will describe the layout, identifying traffic lights, pedestrian crossings and obstacles.

AI-Powered Text-to-Speech and Document Accessibility

Reading books, signs, menus and printed documents can be a major challenge for individuals with low vision. AI-based text recognition is enabling real-time text-to-speech conversion to improve accessibility.

  • How it Works: Optical Character Recognition (OCR) combined with AI extracts and reads aloud printed or handwritten text, adjusting for context and clarity.
  • Practical Use: Users can scan a document with a smartphone or wearable device, and AI will read it out loud, adjusting for formatting, language and content complexity.

AI-Assisted Navigation and Mobility

Traditional mobility tools, such as white canes and guide dogs, are invaluable. However, AI-assisted navigation solutions are bringing real-time spatial awareness and obstacle detection to low vision patients.

  • How it Works: AI processes LIDAR, GPS and camera data to map the user’s surroundings and provide voice or haptic feedback for safe movement.
  • Practical Use: A user walking in an unfamiliar city can receive turn-by-turn spoken directions and alerts about upcoming hazards like curbs, poles or moving vehicles.

AI for Real-Time Language Translation

For individuals with low vision, accessing information in different languages is an added barrier. AI-powered language translation tools are making global navigation and communication more seamless.

  • How it Works: AI translates printed or digital text into a user’s preferred language and reads it aloud.
  • Practical Use: A traveler with low vision can hold their device over a foreign-language menu or sign, and AI will translate and read the information instantly.

AI-Powered Personal Assistants for Low Vision Patients

With advances in natural language processing, voice-controlled AI assistants are becoming increasingly sophisticated. These tools allow users to access information, set reminders and even request guidance on tasks.

  • How it Works: AI assistants integrate with smart devices to provide context-aware assistance based on spoken commands.
  • Practical Use: A user can ask their AI assistant to check the weather forecast, read their calendar, describe an object in their hand or identify a nearby store.

The Future of AI in Low Vision Care

While today’s AI-driven tools are already enhancing accessibility, the future holds even more potential as AI continues to evolve.

 

Enhanced Augmented Reality (AR) for Low Vision

AI-powered augmented reality (AR) overlays could soon help low vision patients see enhanced visual representations of their surroundings. Future systems may highlight curbs and staircases to improve depth perception. AI-generated edge detection and contrast enhancement could help users distinguish shapes more clearly in low-light environments.

 

Predictive AI for Personalized Assistance

AI is moving toward predictive assistance, where devices learn from user behavior to anticipate needs. AI could automatically suggest routes based on a user’s previous walking patterns. Devices may detect patterns in visual difficulties and recommend adaptive settings, such as increasing contrast in certain environments.

 

AI for Early Detection and Monitoring of Vision Changes

AI isn’t just useful for assisting patients—it is also being used for early disease detection and monitoring.  Machine learning models can already analyze retinal scans to detect early signs of macular degeneration or diabetic retinopathy. Wearable AI technology may soon track subtle changes in vision over time, providing valuable data for clinicians.

 

Conclusion

AI is redefining how individuals with low vision interact with the world. It offers real-time navigation and object recognition. Additionally, it provides speech-to-text and assistive communication tools. As AI advances, we will see greater innovations that enhance independence and accessibility for low vision patients.

For optometrists, staying informed about these emerging technologies is essential. It’s helpful to integrate these technologies into patient care, as well as advocate for responsible AI development that benefits everyone with vision impairment.

With AI’s growing role in low vision care, we are moving beyond compensation for sight loss and into a future where technology actively enhances human perception and experience.

 

Author

  • Saleel Jivraj, BSc(Hons), OD, MBA, FAAO, FEAOO, FCOptom, FBCLA, FIACLE, FIALVS, FCCSO

    Dr. Saleel Jivraj BSc (Hons) OD MBA FAAO FEAOO FCOptom FBCLA FIACLE FIALVS FCCSO is a specialist low vision optometrist and one of only nine Fellowship-Trained optometrists at the Canadian College of Specialties in Optometry (as of February 2025). He has been actively involved in advancing the field of optometry through his work on multiple prestigious boards and committees:

    -World Council of Optometry – Membership/Dry Eye Board Committee (2021-2025)
    -Canadian Association of Optometrists – Scientific Committee (2024-2025)
    -American Academy Of Optometry – Artificial Intelligence Task Force Board Committee (2024-2026)

    Dr. Jivraj is an Adjunct Assistant Clinical Professor (2024-2029) at Pacific University College of Optometry and his achievements include being named:

    -Dry Eye Practitioner of the Year (BCLA, 2019)
    -Optometrist of The Year (Association of Optometrists, 2020)
    -Johnson & Johnson Top 40 Under 40 in Canada

    His expertise in optometry, artificial intelligence, and advanced visual technology makes him a leading advocate for innovative low vision solutions.



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