KillerLag 3 points 5y ago
RP causes damage to the rods, which effect peripheral vision. Which is why often the two primary symptoms are night blindness (rods are most sensitive to low light conditions) and peripheral loss (usually presents as bumping into things or not noticing things right by you).
There are a few possibilities about that. One, it is possible that you do have reduced fields but don't notice because when you hold your eyes out, you are unconsciously scanning with your eyes. When I do basic field tests for O&M assessments, I stare at the eyes to see if they flick to the sides to see the target. Two, your fields not be under 20 degrees but your doctor thought it was best to mark it down as 20 degrees, because that is the limit for legal blindness (20 degree field of view or less). Depending on where you are, that often makes you eligible for certain concessions, which might be why the doctor did it. Three, you may have field loss in an odd pattern (may be mostly lower field loss, or unusual amount of scatomas), and the doctor just rounded it up to 20 degrees to make it easier. The degrees isn't as accurate as you would think, and often not very clear cut, even with the chart in hand.
Often for RP, we do teach how to use the cane in low light conditions, and as vision gets worse, we can build on those skills during daytime as well. Good luck with the cane training! It may feel odd at first, but you do get used to it pretty fast. I always remind my clients that a cane is a tool to help you regain your independence, not to hold you back.