Progressive vision loss is a term used to describe vision loss that gets worse over time. As the vision loss progresses, different solutions may be needed. Magnification may be replaced with text-to-speech or Braille solutions as vision declines. Depending on the individual’s preferences and the nature and degree of their vision loss, solutions designed for individuals who are blind may be appropriate. It is usually painless, but can be central or peripheral and may be worse for far or near signtedness. It is usually bilateral, but this differs depending on the individual.