Low vision related to function and rehabilitation.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The use of low-vision aids to improve postoperative vision after successful closed vitrectomy for vitreous hemorrhage was evaluated in 30 diabetic patients. The distance vision improved with telescopic systems in 28 of 30 patients, whereas the near vision improved with microscopic systems in all cases. Patient acceptance of these low-vision aids was 50% for telescopic systems and 83% for microscopic systems.
This article provides a concise overview of low vision, evaluation and rehabilitation.
Using optical visual aids, visual rehabilitation were performed in 14 cases (25 eye) of low vision patients with aging macular unity of all eyes (100%) was improved. Thirteen eyes (52%) got the near vision equal to or better than 0.5. Ten patients could read No. 5 Chinese Reading Card. The reading success rate was 71.4%. The results suggest that application of visual aids is an effective method to improve the distance and near visual acuity of low vision patients with AMD.
BACKGROUND: Early childhood nystagmus may herald blindness, brain tumors, benign idiopathic motor nystagmus or spasmus nutans. Nystagmus unique to low vision was sought. METHODS: Videotapes and head/ eye movements of 18 congenitally visually impaired subjects were analyzed. RESULTS: Nystagmus of congenitally visually impaired subjects was characterized as small horizontal or vertical movements superimposed on larger oscillations. Small and large nystagmus movements were of pendular or jerk type. Slow-phase jerk nystagmus had increasing, constant and decreasing velocities. Fast-phase nystagmus changed direction periodically. Pendular nystagmus was out of phase and evolved to jerk nystagmus in two subjects. All subjects displayed head nodding, and one stabilized gaze with head movements. CONCLUSION: Eye movement recordings allow characterization and differentiation of subjects with nystagmus and low vision from other nystagmus forms.
Using optical visual aids, visual rehabilitation was performed in 14 cases (25 eyes) for low-vision patients with aging macular degeneration (AMD). With distance aids, visual acuity improvements were recorded for 24 eyes (95 percent) out of 25 eyes. Twelve eyes (48 percent) achieved vision equal to or better than 0.4. Utilizing near visual aids, the near visual acuity for all eyes (100 percent) were improved. Thirteen eyes (52 percent) received near vision equal to or better than 0.5. Ten patients were able to read No. 5 equal to or better than 0.5. Ten patients were able to read No. 5 Chinese print (corresponding visual angle is 0.67 at 30 cm of reading distance). The reading success rate was 71.4 percent. The results suggest that the application of visual aids is an effective method to improve the distance and near visual acuity of low vision patients with AMD.
We constructed a low-vision aid for a 61-year-old patient who had familial macular degeneration and a visual acuity of 20/300. The aid consisted of a spectacle lens incorporating his distance prescription as the carrier, a high-plus bifocal reading addition, and the high-minus ocular lens of a Galilean telescope of variable magnification. The objective lens of the telescope can be carried as a folding, dual-lens, hand magnifier.
Head-trauma patients benefit from many optical and non-optical devices usually associated with low vision care. This article reviews the most common modifications of clinical examination techniques required to facilitate the evaluation of trauma patients who may benefit from or require low vision devices. A discussion of the importance of incorporating common optical and non-optical devices which can enhance the lives of traumatized patients will follow.
BACKGROUND: This study presents and tests a method of measuring vision disabilities. Based on the model presented in the first paper of this series, cognitive and motor activities ("tasks") are organized in a hierarchy that identifies the tasks' behavioral goals (purposes) and the social objectives the goals serve. Two latent variables important to the definition of vision disability are identified: "value of living independently" and "visual ability for independent living." The basic principles of the Rasch measurement model are reviewed, and Rasch models are used to measure the two variables that define vision disability. The need for rehabilitation to meet each goal is represented by "rehabilitative demand," a mathematical function of the measurements made of the value and difficulty of achieving each goal independently. METHODS: Over 400 patients with low vision rated both the importance and difficulty of independently achieving each of 24 goals. Rasch analysis was used to derive interval measures of the social value of each goal, the value that individual patients placed on each goal relative to the derived social definition of independence, the visual ability required to achieve each goal without help, and the visual ability of individual patients to live independently. A rehabilitative demand function was ascertained from the judgments of 17 AAO Diplomates in Low Vision through triadic comparisons and multidimensional scaling. RESULTS: Self-care had the greatest "social value" for independence; performing music had the least. Recreational reading required the greatest "visual ability" to accomplish independently; self-care required the least. Rehabilitative demand was linear with value and nonmonotonic with difficulty. CONCLUSIONS: Rehabilitative demand, an algorithm for defining vision disability, incorporates interval measures of visual ability and the value of independent living estimated from patient-based assessments, a social scale of the value of activities relative to independent living, and a consensus opinion of low vision experts on the prioritization of the need for rehabilitation.