The most common and most likely answer to this crossword clue is the 5 plus 9 letter word NIGHT BLINDNESS
I've seen this crossword clue in Independent
N
I
G
H
T
B
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N
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Buddy explains!
The straight part
We know that "vision impairment" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case vision impairment = night blindness.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.