A Common Approach and Low Vision Rehabilitation in Patients with Hereditary Retinal Diseases

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.

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 ◽  
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.


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

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.


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