SUBMITTED TO

MA’AM Ayesha Kiran

Ume Habiba
BSOP-fa20-017
Low Vision-I

Assignment no.1

TOPIC
Case presentation of history of different diseases of
low vision.

ALBINISM

Child with albinism

History
3-year-old boy, living at home with his mother, father and older
sibling.
Diagnosis:
Oculocutaneous Albinism, Nystagmus, moderate myopic
astigmatism (wears glasses), compensatory head posture with
null point.
Goals identified:
1) Develop fine and gross motor skills
 Improved mobility in unfamiliar environments
 Independent movements in and out of home- riding bike etc.

2) Develop play skills

 Ability to sort, classify and categories objects.

3) Increased independence with daily self-care tasks

  To commence toilet training.
 To be able to participate in helping to dress himself.

4) Develop expressive and receptive language skills

 To become more familiar with positional language.
 To be able to understand and express his emotions.

5) Develop age-appropriate social skills

Management

1) Service Engagement support

2) Library Membership

3) A Trans-disciplinary Early Childhood Intervention Team

which included:

 Primary Service Provider

 Optometrist
 Physiotherapist
 Occupational Therapist
 Early Childhood Teacher
 Orientation and Mobility Instructor.
 Speech therapist
 Pediatric counsellor
 Assistive technology specialist

Age related macular degeneration

History
Patient is an 89-year-old male who has presented today
reporting that he has difficulties with reading and personal
tasks.
Medication history
For blood pressure and occasionally arthritis pain
Finding
 Vision R 6/60 and L 6/60
 Vision R 6/60 and L 6/60
 Ret R +0.75/-1.25 x 120 L +0.75/-0.75 x 90
 Subjective Rx R +1.25/-1.50 x 140 L +0.75/-0.75 x 90• R VA
6/38 L VA 6/48 Binoc VA 6/38
 N12.5 with +4.00 D @ 25 cm
 Melbourne Edge Test CS 15 dB binocularly
 Amsler R nasal distortion L central scotoma
 Ocular health: atrophic macular changes R and L
 Retinitis pigmentosa
History
A 30-year-old female, diagnosed with RP when 15 years
old with gradually reducing vision over time.
Chief Complaint
She is unable to see at all at night now. She has previously
not been aware of what might have been available to her
and rarely went for ophthalmological review due to being
scared of the outcome.
Examination
She has just booked an ophthalmological review and
visual field test with the ophthalmologist she had first seen
when 15yo.

General Health

Good

Family Ocular Health:

No relevant issues
Referral source
Self
Goals identified
 I want to feel comfortable to travel independently in
a range of different settings
 I want to explore getting a Seeing Eye Dog to see if it
is right for me
  I would like to be able to continue to work
 I would like to develop my skills with meal
preparation
 I want to explore volunteering options at Vision
Australia

Clinical Assessment
Refraction:
Unaided VA:
RE: 6/36

LE: 6/48

Subjective refraction:
RE: +0.75/-1.25×175 6/24

LE: +1.00/-.75×180 6/36

VFT:
Central visual field of less than 20 degrees in diameter
Management
 National Disability Insurance Scheme (NDIS) – Preplanning
support
 Primary Service Provider – Services discussion and
Canadian Occupational Performance Measure Tool used to
identify goals and priorities. Main contact person.
 Optometrist – Functional vision assessment
 Orientation and Mobility (O&M) – Independent travel
 Occupational Therapy (OT) – Cooking assessment and
support / home assessment/ ergonomic setup
 Employment Services – Advocacy and workplace support
 Vision Australia library membership
 Seeing Eye Dog Instructor (SEDI)