Purpose: The aim of the present study was to determine the impact of v
ision loss on the activities of adults. Methods: Focus groups were con
ducted that were either disease specific, such as for people with age-
related macular degeneration, diabetic retinopathy, glaucoma or those
with congenital vision impairment, or according to previous involvemen
t in rehabilitation services. Discussions were recorded and transcribe
d. Because many people were retired, leisure activities and personal i
ndependence were paramount. Results/Conclusions: Younger people were c
oncerned with gaining or continuing in employment or with educational
opportunities. The age at onset of vision loss and the cause and durat
ion of vision loss influence its impact. There appears to be a greater
level of handicap in people with comorbid eye disease and related dis
ease, such as diabetes.