scholarly journals Low vision, Sequelae and Low Vision Rehabilitation in Retinopathy of Prematurity

Retinopathy of prematurity is one of the most important causes of blindness and low vision in childhood. In premature-born individuals, as well as retinopathy of prematurity, cerebral-induced visual disturbances are frequent and may result in low vision and blindness. In premature-born infants and children with or without retinopathy of prematurity, long-term eye and visual disturbances are more common than the term-born ones. Among these; myopia, refraction errors, strabismus, amblyopia, glaucoma, cataract, late retinal detachments, sensory and perceptual dysfunction, visual field defects, and cerebral visual disturbances can be seen. For this reason, life-long follow-ups of preterm born individuals are so important in terms of functional vision in the longterm.

2020 ◽  
pp. 112067212097362
Author(s):  
Yulia Pyatova ◽  
Monica Daibert-Nido ◽  
Samuel N Markowitz

Background: Age-related macular degeneration (AMD) is the leading cause of loss of vision in the older age groups. In the absence of a known therapy, low vision rehabilitation aims at preserving residual functional vision at optimal levels. Long term functional outcomes from Low Vision Rehabilitation (LVR) in AMD cases were never scrutinized in the past. This study brings some clarification in this matter. Methods: This is a retrospective case series study including data up to 2 years following the baseline visit. Low Vision Assessments included microperimetry testing and recommendations for low vision devices for distance vision. Outcomes measures selected for this study were best corrected distance visual acuity, fixation stability and preferred retinal locus (PRL) topography and LVR interventions. Results: Data on 17 patients with an average age of 89.2 ± 4.4 years was collected. In those with better vision than 20/400 loss of vision was about 1.4 letter per year as tested with ETDRS charts compared with losses of four letters per year in a population without LVR interventions. Fixation stability continued to deteriorate while PRL eccentricity seemed to remain the same. In about half of cases there was a change in the topographic location of the PRL to a different retinal quadrant. Conclusion: Long term, as expected, changes were noticed in visual acuity, fixation stability and PRL topography. However, it seems that LVR interventions for distance vision help patients retain significantly better functional vision at the 2 years follow up interval when compared to others.


1992 ◽  
Vol 86 (1) ◽  
pp. 29-32 ◽  
Author(s):  
F.I. Porter ◽  
J.M. White ◽  
J. Goldberg ◽  
J.L. Demer ◽  
A. Koval

Although telescopic spectacles magnify the retinal image and should improve functional vision, many low vision patients are unable to use them. The authors found that involuntary head movements and the reduction of acuity with imposed head motion differentiated successful from unsuccessful telescope users and that success was related to the age at which telescopes were first used.


2020 ◽  
Vol 8 (1) ◽  
pp. 69-81
Author(s):  
Habib Rachman Aji ◽  
Ahmad Zaky

Abstract. Visual impairment is a problem experienced by many children in developing countries. Uncorrected refraction disorders, cataracts, glaucoma, and visual disturbances that have been experienced since childhood are some of the things that cause a person experiencing visual disturbances. This study aims to find out the description and explanation of the implementation of low vision rehabilitation carried out by the Low Vision Layak Foundation Jakarta. This study uses a qualitative approach to the type of descriptive research. While data collection techniques are carried out through observation, interviews and documentation. For the selection of informants in this study using purposive sampling technique, the sample is taken intentionally. The results of this study indicate that the attitude shown by the officer has made the client feel confident and the services provided are right on target. In terms of facilities and infrastructure have met the standards of the institution but there is one room that is considered too small and requires another room for counseling. It would be nice to have a review conducted by the Layak Foundation related to these obstacles. And until now there are some children who are rarely evaluated. In the future, client evaluations should be carried out routinely. Abstrak. Gangguan penglihatan merupakan permasalahan yang banyak dialami oleh anak-anak di negara berkembang. Kelainan refraksi tidak terkoreksi, katarak, glaucoma, dan gangguan penglihatan yang dialami sejak masa kanak-kanak merupakan beberapa hal yang menyebabkan seseorang mengalami gangguan penglihatan. Penelitian ini bertujuan untuk mengetahui gambaran dan penjelasan mengenai pelaksanaan rehabilitasi low vision yang dijalankan oleh Low Vision Yayasan Layak Jakarta. Penelitian ini menggunakan pendekatan kualitatif dengan jenis penelitian deskriptif. Sementara teknik pengumpulan data dilakukan melalui observasi, wawancara dan dokumentasi. Untuk pemilihan informan pada penelitian ini menggunakan tekhnik purposive sampling, yaitu sampel yang dimbil dengan sengaja. Hasil penelitian ini menunjukan bahwa sikap yang ditunjukkan oleh petugas telah membuat klien merasa yakin dan layanan yang diberikan sudah tepat pada sasaran. Dari segi sarana dan prasarana telah memenuhi standar lembaga akan tetapi ada ada satu ruangan yang dianggap terlalu kecil serta membutuhkan satu ruangan lain untuk konseling. Alangkah baiknya ada peninjauan kembali yang dilakukan oleh pihak Yayasan Layak terkait kendala tersebut. Dan sampai saat ini ada beberapa anak yang jarang di evaluasi. Untuk kedepannya mungkin evaluasi klien harus rutin untuk dilakukan. 


2013 ◽  
Vol 6 (3) ◽  
pp. 170 ◽  
Author(s):  
Suma Ganesh ◽  
Sumita Sethi ◽  
Sonia Srivastav ◽  
Amrita Chaudhary ◽  
Priyanka Arora

The goal of low vision rehabilitation is to produce people who are independent, have an economically viable profession or skill, and are able to enjoy their lives. Patients with hereditary retinal dystrophies are candidates for low vision rehabilitation from the time of diagnosis, since their disease shows a progressive course, there is no proven precise treatment and the disease especially seriously affects the vision of individuals of school age and productive age. The stages of modern low vision rehabilitation include the intake interview, assessment of residual visual functions, assessment of residual functional vision, interventions and recommendations, and vision rehabilitation therapies.


2019 ◽  
Vol 113 (5) ◽  
pp. 419-432
Author(s):  
Debbie Shuying Boey ◽  
Mary Warren

Introduction: This article describes the development, implementation, and evaluation of an occupational therapy (OT) low vision rehabilitation program established in a large hospital in Singapore in 2013. Methods: A logic model was used to develop a blueprint to guide program development and evaluation of the program. The targeted short-term outcomes for the first 2 years are to demonstrate program growth through an increase in referrals and meeting of clients’ needs through expressed client satisfaction and improvement in performance of daily activities. The long-term outcomes are to expand the program’s referral base and contribute to education and research in low vision rehabilitation. The steps of the logic model are described along with program evaluation results from the first 2 years of implementation. Results: The short-term outcome for program growth was met with the increase of referrals in the first 2 years. Program evaluation, however, revealed that there was limited support from some referral sources and underutilization of OT services, which need to be addressed to ensure sustainability of the program. It was difficult to establish whether the short-term outcomes for meeting clients’ needs were met due to limited outcome measures completed. Discussion: The logic model guided the steps of developing and evaluating an outpatient low vision rehabilitation program in a hospital in Singapore to determine whether the targeted outcomes were met for the first 2 years of the program. Use of this process enabled the program providers to identify weaknesses in the program and institute steps to move the program toward achievement of its long-term goals. Implications for practitioners: This blueprint can be used to guide occupational therapists developing medically based low vision rehabilitation programs for older adults.


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