Programme

Living with low vision

For many people, sight cannot be restored. A good life does not depend on it being restored. We pay for the training, tools and work that make the difference.

Since
1991, with a mobility training school in Sendai
Where
Japan, Kenya, Nepal and Viet Nam
What
Rehabilitation, orientation and mobility training, braille, magnification and screen readers, guide dogs, employment support
FY2025 spending
¥1.21 billion (about US$8.0 million), 5% of charitable spending
Programme lead
Sugawara Midori, Tokyo
The work

What we fund

Low vision means sight that cannot be fully corrected by spectacles, surgery or medicine, and that makes ordinary tasks hard: reading a label, crossing a road, recognising a face. It is very common, especially in old age, and much of what it takes away can be given back by training and the right tools.

We fund rehabilitation services that teach people to use the sight they have, mobility instructors who teach the long cane and safe routes, braille teaching for adults losing their sight, magnifiers and screen readers and the training to use them, and guide dog schools. In Japan, where most of the people we help are over seventy, much of the work is done in people’s homes.

Fig. 8. One corridor, three ways of seeing it Three drawings of the same corridor with a doorway at the end, a person walking towards it, a door on the left and a red exit sign above the doorway. In the first the whole scene is clear. In the second, a grey blur covers the centre, hiding the person and the doorway while the edges stay clear, as with macular degeneration. In the third, everything outside a small central circle is dark, leaving only the doorway visible, as with advanced glaucoma or retinitis pigmentosa. Typical sight Central vision lost Tunnel vision
Fig. 8Low vision takes many forms. Training is different for each, which is one reason we fund specialists rather than equipment alone.

Work

People with low vision are far less likely to have a job than people without, and the gap has more to do with employers than with sight. We fund employment advisers who work with both: helping people find and keep work, and helping employers adapt workplaces, software and recruitment. In FY2025 the programme helped 386 people into paid work, and 87% of those placed in FY2024 were still in work a year later.

Implants are not the answer for everyone

The Foundation’s founder made lenses, and the company he started now makes retinal implants. We fund implants for a small number of people, and they can be remarkable. But for most people with low vision, a cane, a magnifier, a screen reader and good training do more, cost far less and need no surgery. In FY2025 we spent ¥1.21 billion on this programme and ¥3.25 billion on retinal implants. We do not think that balance is right. The board has agreed to raise spending on low vision by 40% over the next three years, without reducing the number of implants we fund.

Outcomes

Outcomes

We measure what people can do after training that they could not do before, in their own words and by assessment.

Participants reporting they could do a task they could not do before, FY2025
  • Travel alone on a regular route74%
  • Read their own post68%
  • Use a phone or computer61%
  • Cook a hot meal safely57%
People in low vision programmes, FY2021 to FY2025
YearIn rehabilitationMobility training completedDevices with trainingInto paid work
FY20216,9042,4104,302231
FY20227,5222,6884,870286
FY20238,1012,9455,388330
FY20248,7603,1905,764371
FY20259,3203,4106,120386

Mobility training completed: finished a course of orientation and mobility training and assessed as able to travel independently on at least one regular route. Devices with training: received a magnifier, screen reader or other device together with at least three training sessions.

Source: Partner returns, audited by the programme quality team.

How we measure outcomes, and the full dataset

Grants and stories

Recent grants

Recent grants in this programme
GrantGranteeAmountAwarded
KF-2026-0113 Screen readers and training for students with low vision in Đà Nẵng (continuation)Đà Nẵng Low Vision Centre
Viet Nam
¥12 million5 October 2026
KF-2026-0094 Orientation and mobility training in the Noto Peninsula (second phase)Hokuriku Visual Rehabilitation Centre
Japan
¥57.4 million15 August 2026
KF-2026-0080 Braille teaching for adults losing their sight (continuation)Hiroshima Braille Press
Japan
¥6.2 million9 July 2026
KF-2025-0447 Magnifiers, training and home visits for older people in Baringo County (continuation)Nakuru Low Vision Service
Kenya
¥11.7 million19 March 2026
KF-2025-0369 Orientation and mobility training in Nakuru CountyNakuru Low Vision Service
Kenya
¥55.1 million8 January 2026
KF-2025-0346 A low vision clinic with magnifiers and training in Quảng Trị Province (continuation)Huế Central Eye Unit
Viet Nam
¥17.9 million18 December 2025

All 62 grants in this programme

Stories

Programme lead: Sugawara Midori, Tokyo. Questions about this programme: programmes@kiroshi.org.