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Davis Alibhai Low Vision
Davis Alibhai Low Vision
LOW VISION
Legal Blindness
– Best corrected distance visual acuity of 20/200 or
worse in better eye
– Horizontal visual field of 20 degrees or less at widest
point in the better eye
Low Vision
– Worse than 20/60 in the better eye
– Significant field loss
– Impaired function
Goals of Low Vision
Management
Increase functionality
– Make the most of the remaining
vision
Provide link to community
resources and support services
Education
Common Conditions
Difficulty reading
Problems writing/ completing
paperwork
Inability to recognize
distance objects and faces
Issues Related to
Visual Field Loss
History/ intake
Visual acuity
Visual field testing
Pupils
Extraocular muscle testing
Refraction
Color vision and Contrast Testing
Ocular Health
Types of Acuity Charts
Distance
– Snellen (projection)
– Feinbloom/ SOSH
– ETDRS
– Lea Symbols
Near
– Single letter
– Continuous text
Distance Charts
Near Charts
Interpreting Near Acuity
Threshold acuity
– Difference between single letter and continuous
text
1.0 M = 20/50 = 8-10 point font
– Need to look at working distance
– Jaeger charts nonstandard
Typical sizes
– Newspaper = 1.0M
– Children’s books = 1.2 – 1.6M
– Large print = 1.6 – 2.0M
– Newspaper headlines = 4.0 – 5.0 M
Visual Field Testing
Confrontation
Arc perimeter
Vision Disc
Automated perimetry
Goldmann perimetry
Color and Contrast Tests
Ishihara
Color Vision Testing Made Easy
D-15
Pelli-Robson
Vistech Contrast System
Mr. Happy
Hiding Heidi
Color Vision Tests
Contrast Tests
Magnification
Distance
Near
Field enhancement
Non-optical
Distance Devices
Spectacles
– Prismatic ½ eyes
– Full-field microscopes
Magnifiers
– Hand held vs. stand
– Illuminated vs. non-illuminated
Telemicroscopes
Electronic Devices
Spectacle Microscope
Near Loupe
Hand Held Magnifiers
Stand Magnifiers
Electronic Magnifiers
Non-optical Devices
Support groups
Paratransit Services
Books on tape
Audio described performances
Tactile tours
Large print publications
Educational services
Communication Goals
Print size
Visual efficiency and fatigue
Mobility issues
Positioning/ classroom placement
Lighting/ glare reduction needs