AAO READING

VISION REHABILITATION
FOR FIELD LOSS
 

Khairun Nisa

Pembimbing :
dr Adelina T. Poli, Sp.M, M. Kes
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DISCUSSION WITH PATIENTS
 Often physicians must communicate information to
patients with low vision that patients will perceive
as “bad news,”
 Communication techniques have been
conceptualized in different communicaotion models
 however, keys to delivering bad news include
allowing sufficient time for the
discussionacknowledging patient emotions and
conveying that the physician appreciates that the 2

emotions are connected to the negative news.

COMMUNICATION MODEL

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 OTHER SER VICES
 Vision loss affects the patient’s spouse and family.
 Referral to psychological counseling and support groups
part of the rehabilitation team’s  approach to helping
patients, and their families, cope and adapt.
 Social workers and other counselors may be called upon
to contribute to this rehabilitation process.
 The goal of multidisciplinary vision rehabilitation 
collaboration among services to best address patients’
goals and achieve optimal clinical outcomes
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PEDIATRIC LOW VISION
Every child with loss of vision needs to be
recognized the ophthalmologist’s response
should include recommending vision
rehabilitation.
Most adults with low vision have lost vision
 ocular disease incurred later in life.  they
have already acquired many of the vision-
aided skills (eg, reading, understanding social
cues, cooking, self- care tasks)
Children with low vision need to learn these
skills despite poor or no vision 5
PEDIATRIC LOW VISION
 The most prevalent causes of visual impairment in
children cortical visual impairment, retinopathy of
prematurity, optic nerve hypoplasia, albinism, optic
atrophy, and congenital infections.
 Many of these children have coexisting physical and/or
cognitive disabilities that create further challenges to
successful integration into society. ,
 skill acquisition is developmentally linked to vision,
thus requiring different interventions at different ages.
 It is important to be aware of the needs of each age 6

group and tailor the assistance to those needs.

PEDIATRIC LOW VISION

Rehabilitation of infants and children requires a team

approach, often involving occupational and physical
therapists. specialis educators, and physicians
working with the child and family from the earliest
stages possible.

 Ophthalmologists may be one of the most consistent

contacts over many years for the parents of a visually
impaired child, and, as such, they need to be aware
of and support the rehabilitation process. 7
PEDIATRIC LOW VISION

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ONGOING EYE CARE
 Patients having vision rehabilitation should continue
to see their ophthalmologist and to be monitored,
 Treatment for disorders such as cataract and AMD
should still be considered for patients with limited
visual potential, even though normal or near- normal
visual acuity may not be a potential outcome.
 The difference between 20/200 and 20/400 vision
may substantially reduce the magnification required
for reading and enhance the effectiveness of visual
rehabilitation techniques. 9
RESOURCES
MATERIALS FOR PATIENTS

 Resource materials and information about the many agencies and

services should be provided to all patients.
 The American Academy of Ophthalmology’s vision rehabilitation
patient handout is available for download in En glish for
ophthalmologists to give to patients (available at www .aao .org/low-
vision-and-vision-rehab).
 It provides essential tips for making the most of remaining vision
and offers a list of resources, including a website that allows patients
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to search for services in their community.

MATERIALS FOR OPHTHALMOLOGISTS
Information and materials for ophthalmologists include:
• American Academy of Ophthalmology. Vision Rehabilitation Committee.
Preferred Practice Pattern Guidelines. Vision Rehabilitation for Adults. San
Francisco: American Acad emy of Ophthalmology; 2017. Available at www
.aao .org /ppp.
• American Academy of Ophthalmology. Vision rehabilitation web page updated
with information about vision rehabilitation initiatives and education. Available
at www .aao .org /low-vision-and-vision-rehab.
• Mishra A, Jackson ML, Mogk, LG. Comprehensive vision rehabilitation. Focal
Points: Clinical Practice Perspectives. San Francisco: American Acad emy of 11

Ophthalmology; 2017, module

THANK YOU
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