Since much of what constitutes successful vision rehabilitation is measurable, specific quantifiable goals are key to ensuring a commitment that is shared by the patient. There are many nonmeasurable goals, however, that are also important, and these areas had not been addressed in a system based on metrics. The consideration of how the patient's social support and environment may affect vision rehabilitation is one example. The patient's adjustment to vision loss and its potential affect on vision rehabilitation is another example. Since the author is an optometrist, he will limit his discussion in this report of important nonmeasurable goals to the low vision exam. By presenting two stroke-related vision rehabilitation cases managed by the Virginia Department for the Blind and Vision Impaired (DBVI), he hopes to provide some insight into the value the department places on such non measurable goals.