Vision impairments affect 2.2 billion people worldwide, including 36 million who are blind and 217 million with moderate-to-severe visual impairment. In the US, age-related vision loss is a leading cause of disability among older adults.

With increasing longevity, global blindness rates are expected to triple, and moderate-to-severe vision impairment rates to double in 30 years. The study aims to assess the effects of structured psychosocial counseling on mental health (depression, anxiety) and functional independence in individuals with low vision. Additionally, it seeks to evaluate the overall impact on quality of life (QoL) following the counseling intervention. A randomized controlled trial will be conducted at Superior University Lahore.

Inclusion Criteria:

• Individuals aged 18 to 80 years.
• Both male and female
• Individuals diagnosed with low vision, defined as a visual acuity of less than 6/18 but equal to or better than 3/60 in the better eye with best correction.
• Individuals having visual acuity 6/60, Counting fingers or light perception.
• Individuals experiencing symptoms of depression or anxiety as assessed through a validated screening tool.
• Individuals reporting reduced functional independence in daily activities due to low vision.

Exclusion Criteria:

• Unable to provide informed consent.
• Diagnosed with severe psychiatric disorders such as schizophrenia, bipolar disorder, or severe post-traumatic stress disorder.
• Existing involvement in similar counseling programs.
• Presence of medical conditions or disabilities.
• Pregnant individuals if pregnancy-related complications or responsibilities could interfere with participation in the intervention.