ACQUIRED MONOCULAR REHABILITATION PROGRAM

I. INTRODUCTION
a. Sudden loss of sight in one eye or the loss of an eye
i. Immediate and extensive medical and psychological intervention
ii. Loss of depth perception
iii. Decrease of visual field
iv. Depression
b. Survey questions to screen for need for Monocular rehabilitation program

II. COMPREHENSIVE HISTORY

a. Current treatment
b. Etiology of loss
c. Social casework and support groups
d. Loss of dominant or non-dominant eye
e. Prosthetic eye
f. Current medications
g. Physical examination, ie entry into room
h. Mobility issues
i. Distance and near vision, illumination and glare issues
j. Current employment, hobbies and sport issues
k. Cosmetic appearance

III. EVALUATION
a. External examination, confrontation visual field, color vision, refraction,
slit lamp evaluation, ophthalmoscopy, tonometry, etc.
b. Prescription glasses
i. Polycarbonate for safety
ii. Reading glasses for non-presbyopic patients
c. ocular motility skills and accommodation testing and training

IV. HOME ADAPTIVE SKILLS AND MOBILITY

a. Depth perception
i. Pouring liquids
ii. Relative motion
iii. Color changes
iv. Observed angles of movement
v. Eye hand coordination exercises
b. Mobility
c. Prisms and nasal or temporal occlusion, if neurological involvement

V. CONCLUSIONS
a. “is-able” vs “dis-abled”

VI. READING REFERENCES

a. Ihrig C, Schaefer, DP. Acquired Monocular Vision Rehabiliation Program.
Journal of Rehabilitation Research and Development. August 2007, Vol
44, Number 4, 200, pgs. 593-598;
b. Coday MP, Warner MA, Jahrling KV, Rubin PA. Acquired monocular
vision: functional consequences from the patient’s perspective. Ophthal
Plas Reconstr Surg. 2002; 18(1):56-63.