(#16) Care Beyond Objective Vision Loss: Integrating Mental Health Support Into Clinical Practice for Vision-Threatening Disease

Abstract: Vision-threatening diseases pose a critical and growing risk to mental wellbeing. Yet, substantial gaps remain in identifying and addressing psychological distress across the stages of vision loss in ophthalmic care. This literature review aimed to examine the mental health burden experienced throughout the patient journey with vision‑threatening disease, identify risk factors associated with poorer psychological wellbeing, and generate evidence‑informed, actionable recommendations to support better integration of mental health care into ophthalmic practice. Findings demonstrate that diagnosis is a critical point where mental distress arises, even in the absence of vision loss, as patients first process their condition and prognosis. This highlights the importance of establishing early dialogue, fostering provider trust, and raising awareness of mental health needs from the outset of care. Psychological distress may also emerge at any point during disease progression, underscoring the importance of ongoing, collaborative mental health support as an integral part of every clinical appointment. Key risk factors for poor mental health include limited patient understanding of their disease or treatment, progression to more severe disease, and limited social support. Accordingly, fostering a collaborative and compassionate rapport with the patient early in their disease course can help alleviate anxiety and depression, facilitating timely referral to mental health supports as needed. This review further provides evidence-based recommendations and patient resources to support the integration of holistic, vision-specific mental health care into ophthalmic practice. Such integration is essential for improving psychological wellbeing, enhancing treatment adherence, and optimizing overall patient outcomes.

Short Description: Mental health needs associated with vision loss remain an under-addressed area in ophthalmic care. Diagnosis of a vision‑threatening disease represents a critical opportunity to support patients' mental wellbeing, yet tailored resources are often lacking at this point and across the disease trajectory. This literature review identifies key risk factors for poor mental health outcomes and provides recommendations and resources to support the collaborative integration of mental health care into eye care practice workflows.

Name of Sponsoring Organization(s): Boehringer Ingelheim