Patient presents with significantly impaired vision consistent with legal blindness.  Visual acuity testing reveals central visual acuity of 20/200 or worse in the better eye with best correction, or a visual field of 20 degrees or less.  The patient reports difficulty with activities of daily living including reading, facial recognition, and independent navigation.  Etiology of vision loss may include macular degeneration, diabetic retinopathy, glaucoma, or other ophthalmologic conditions.  Assessment includes a comprehensive eye exam including Snellen chart testing, visual field assessment, dilated fundus examination, and optical coherence tomography as indicated.  Diagnosis of legal blindness significantly impacts the patients quality of life and functional independence.  Patient education was provided regarding low vision aids and resources, including assistive technology, orientation and mobility training, and support groups.  Referral to a low vision specialist is recommended for further evaluation and management of visual impairment.  Plan also includes ongoing monitoring of visual function and addressing any underlying ophthalmologic conditions.  ICD-10 code H54.7, legal blindness, is documented for medical coding and billing purposes.  The patient's prognosis for vision restoration is guarded given the severity of visual impairment.  Focus will be on maximizing remaining vision and enhancing functional abilities through rehabilitation and adaptive strategies.