ppt课件-low vision clinic- nystagmus（低视力门诊,眼球震颤）.pptVIP

Eye Care Centerat the Southern California College of OptometryMaryAnn Walls Low Vision Center Dr. Becky Kammer, Chief 714-449-7415 rkammer@scco.edu What is Low Vision? Patients may be blind or just partially sighted (visually impaired) 20/70 or worse in better eye Legally Blind is 20/200 or worse with best correction on What can Rehabilitative Optometry do to help? Help patients see to read Help patients see to drive Help patients meet specific vision goals Main Rehabilitation Goal Improve independence and quality of life How does the exam flow? Patient’s come for at least 2-3 visits where a full eye exam is given and then devices are introduced to meet goals First Visit: Team is introduced to patient Occupational therapist Student doctor Faculty professor OT will schedule a home evaluation before patient returns for second visit. Second Visit OT summarizes their home visit for Dr. and the second optometric visit is planned for the patient. More visual goals are evaluated, devices are ordered Possibly more training visits with OT are scheduled in the meantime Dispensing Visit Patient’s glasses or devices are given to patient and basic training in office is provided OT schedules 2-4 more home visits to make sure patient uses device correctly and is using residual vision correctly (eccentric viewing training if needed) OT reports back to Dr. for follow up EXAM COMPONENTSCase history Summarize to obtain basic goals Sustained Near: Reading continuous text Spotting Near: Seeing bills, shopping Sustained Distance: Watching TV Spotting Distance: Driving, seeing signs Illumination and Glare: often need enhanced contrast indoor, need better lighting indoor EXAM COMPONENTS Functional visual acuities Distance Vision Feinbloom chart (Designs of Vision) Near Vision Single digit chart (M notation – Lighthouse charts) Continuous text chart (M notation - Lighthouse) EXAM COMPONENTS Trial frame refraction EXAM COMPONENTS Functional visual fields Several tests avail