Intro to Low Vision Flashcards

1
Q

About how many people are blind?

A

39 million

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2
Q

About what percentage of all visual impairment can be avoided or cured?

A

80%

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3
Q

What is the leading cause of visual impairment worldwide?

A

Uncorrected refractive errors

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4
Q

What is the leading cause of blindness in middle and low income countries?

A

Cataracts

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5
Q

What is considered being visually impaired?

A
About 20/70 or worse
Peripheral vision loss
Scotomas
Diplopia
Distortions
Central vision loss
Loss in contrast sensitivity
Depth perception problems
Visual perception problems
Extreme photophobia
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6
Q

What are the 3 leading causes of visual impairment in the United States?

A

AMD
Diabetic retinopathy
Glaucoma

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7
Q

What is low vision?

A

Reduced vision not correctable by glasses, contacts, medicine or surgery

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8
Q

What problems are included under the title, “visual impairment”?

A
Reduced visual acuity
Contrast sensitivity
Visual field loss
Photophobia
Diplopia
Visual distortion
Visual perceptual difficulties
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9
Q

What is a visual disorder?

A

Anatomical change caused by diseases of the eye

- They may not affect a person’s function

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10
Q

What is a visual impairment?

A

A functional loss that results from a visual disorder

-Ex. Reduced visual acuity, constricted peripheral field, photophobia…

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11
Q

What is a visual disability?

A

Limitations in a person’s skills and abilities

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12
Q

What are some examples of visual disabilities?

A

Inability to: read, write, drive, self-care, travel, managing finances, seeing people’s faces, preparing meals

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13
Q

What is a visual handicap?

A

Phychosocial and economic consequences of vision loss, as well as environmental barriers

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14
Q

What is the definition of legal blindness in the US?

A

Best corrected VA is 20/200 or worse in the better eye, OR peripheral vision less than 20 degrees in the better eye

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15
Q

What is considered low vision?

A

Best corrected VA of 20/70

Less than 20 degrees of peripheral field

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16
Q

Total blindness is also known as what?

A

No light perception

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17
Q

What is low vision rehab?

A

Teaching patients to use their remaining vision and/or other senses effectively and efficiently by modifying activities that have become difficult due to vision loss

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18
Q

How does LV rehab optimize the patients existing vision?

A
Prescribed optical devices
Adaptive technology
Non-optical aids
Absorptive filters
Rehab techniques
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19
Q

What are some of the different things done in a VR exam vs. as standard exam?

A
Detailed functional case history
Obtain VA differently
Trial frame refraction
Central field test
Contrast sensitivity
Optical device testing
20
Q

How do you greet a person with visual impairment?

A

Introduce yourself
Ask if they would like assistance
Speak clearly
Use appropriate voice leve

21
Q

How do you make someone unsteady more comfortable when acting as a sighted guide?

A

Bend your arm so they have something more sturdy to hang on to

22
Q

What is the goal of distance visual acuity?

A

To obtain the best measurable acuity

23
Q

What isn’t allowed in low vision if they can’t see the biggest letter on the chart?

A

Using your fingers as the target

24
Q

What is the gole standard for low vision distance VA charts?

25
Which test can measure up to 20/800?
Feinbloom chart
26
What are the disadvantages of the feinbloom chart?
Variable number of optotypes per page | Variable spacing between optotypes
27
In which unit does ETDRS measure VA?
Meters
28
In which units does Feinbloom measure VA?
Feet
29
In M notation, what does the visual acuity equal?
Test distance/letter size
30
How are extrapolations of measurements noted?
In parentheses
31
What is the mathematical calculation for VA?
Test distance/letter size
32
What is the most common goal for patients with vision loss?
Reading
33
Can you use a reduced Snellen notation if the test difference is less than 40 cm?
Nope - it doesn't allow you to extrapolate for various distances
34
Where should near VA be measured for a patient with low vision?
At the patient's preferred working distance (it may not be 40 cm) *record in M units, not reduced Snellen
35
How many minutes of arc is 1M at 1 meter?
5 min arc
36
1M is equal to what point font?
8pt
37
8 point font is equivalent to what Snellen size?
20/50
38
How do you convert from Snellen to point?
Divide by 6
39
How do you convert from point to Meters?
Divide by 8
40
How do you convert from Meters to Snellen?
Multiply by 50
41
What are the static peripheral field tests used in Low Vision?
Confrontation fields Humphrey automated perimetry Octopus perimetry
42
What are the kinetic peripheral field tests used in low vision?
Tangent screen Humphrey SSA kinetic test Goldmann perimetry Octopus perimetry
43
What are the central field tests used in low vision?
Amsler grid Humphrey automated perimetry California Central visual field test Octopus perimetry
44
What is the gold standard contrast sensitivity chart?
Pelli-Robson contrast sensitivity chart
45
You should select lenses for trial frame refraction based on what?
JND - Just Noticeable Difference
46
What is JND?
The minimum lens change that a patient can appreciate
47
What is the Kestenbaum formula?
Reciprocal of distance vision