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  • Ocutech New Criteria Lva 09

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    Albinism India
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    The document discusses a new paradigm for prescribing low vision telescopes based on three key concepts: 1) the "visual radius", which is the furthest distance one can discern facial features under normal lighting, 2) the "social range" from 3 to 15 feet that telescopes aim to expand the visual radius into, and 3) the "face test" used to determine if a patient will benefit from telescope magnification by seeing a face well at a distance. The paradigm involves identifying a patient's visual radius, confirming response to magnification with the face test, extending the radius into the social range with a telescope, and establishing realistic goals and expectations.

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    The document discusses a new paradigm for prescribing low vision telescopes based on three key concepts: 1) the "visual radius", which is the furthest distance one can discern facial features under normal lighting, 2) the "social range" from 3 to 15 feet that telescopes aim to expand the visual radius into, and 3) the "face test" used to determine if a patient will benefit from telescope magnification by seeing a face well at a distance. The paradigm involves identifying a patient's visual radius, confirming response to magnification with the face test, extending the radius into the social range with a telescope, and establishing realistic goals and expectations.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views9 pages

    Ocutech New Criteria Lva 09

    Uploaded by

    Albinism India
    The document discusses a new paradigm for prescribing low vision telescopes based on three key concepts: 1) the "visual radius", which is the furthest distance one can discern facial features under normal lighting, 2) the "social range" from 3 to 15 feet that telescopes aim to expand the visual radius into, and 3) the "face test" used to determine if a patient will benefit from telescope magnification by seeing a face well at a distance. The paradigm involves identifying a patient's visual radius, confirming response to magnification with the face test, extending the radius into the social range with a telescope, and establishing realistic goals and expectations.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    of 9

    A New Prescribing Paradigm for Low Vision Telescope Systems

    The Visual Radius, Social Range, and Face Test Manbir Singh

    RETINA FOUNDATION

    The activity distance determines the type of management.


    Reading
    Magnifiers, high adds, microscopes

    Distance
    Telescopes

    Midrange
    Telemicroscopes

    Reading is a solitary activity


    Reading is the most easily replaced visual activity
    talking books radio, TV sighted support

    Most responsive to low vision aids


    high contrast controllable environment

    Distance Vision is a Social Activity


    Seeing faces Interpersonal relations
    Non-verbal body language Making eye contact

    Avoidance of isolation Quality of life

    The Telescope Face Test


    A good response to high contrast targets is not prognostic The face is a convenient low contrast target Seeing a face well through a TS at 810 feet is prognostic of magnification response Poor response associated with edematous maculas

    Visual Radius
    Derived from Proximal Magnification
    Moving closer makes the retinal image larger

    The furthest distance at which one can discern facial features


    Under normal illumination

    Visual Acuity Correlate


    2 feet = 20/200 1 foot = 20/400

    The Visual Radius and the Social Range


    Social Range- 3 to 15 feet Expand the Visual Radius sufficiently into the Social Range Telescopes extend the visual radius by the power of the device With a 4x telescope:
    2 feet becomes 8 feet 6 inches becomes 24 inches

    TS Prescribing Paradigm Summary


    Identify the furthest distance that a face can be seen- Visual Radius Confirm a favorable response to telescope magnification- Face Test Extend the Visual Radius into the Social Range Establish realistic goals and expectations

    Indoctrinate the Patient


    Visual activities are distance related
    Within or beyond arms length and closer

    Match the activity distance to the work distance of the device Patient should have identifiable goals
    The Buzzer Test

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