Start by getting clear on what you actually need. A low-vision optometrist assesses remaining sight and prescribes magnifiers, filters, and specialty lenses. An occupational therapist rehab program goes further, training your parent on how to use those aids and adjusting the home so the light works with their eyes, not against them. In our experience, families do best when they see both: the optometrist first for the assessment, then an OT for the hands-on training. If you have to pick one, we'd steer you toward the rehab side, because a drawer full of aids no one knows how to use helps nobody.
Hamilton's housing shapes this work more than people expect. Older homes in Durand, Kirkendall, and up on the Mountain often have small windows, dim hallways, and dark wood trim that swallows light. A good specialist will look at fixtures, contrast, and glare, not just prescriptions. Newer condos near the harbour tend to have better natural light but tricky reflections off glass and glossy floors. Winters here are long and overcast, so ask any provider how they handle seasonal lighting changes, when short days make low vision noticeably harder.
Prioritize someone with real senior and accessibility experience, proper optometric licensing, and a clear plan for follow-up. Aids get returned, prescriptions change, and lighting needs shift with the seasons, so service response matters. Ask what happens if a device doesn't work out. Many families lean toward the closest clinic for convenience. We'd gently push back: a specialist who understands aging eyes and home setups is worth a bit more travel across the city. The trade-off is honest, it may mean a longer drive up or down the escarpment for appointments, which is harder in winter.