low vision aids for peripheral loss Flashcards

(40 cards)

1
Q

what are the effects of visual field loss?

A

orientation and mobility
static and dynamic VF
central VF loss
Peripheral VF loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how can you help someone with reduced peripheral vision\?

A
  • eye movement training
  • orientation and mobility training
  • field expansion ( minus lenses, reverse telescope, fresnel prisms)
  • OXSIGHT glasses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how can you help someone with hemianopia?

A
  • eye movement training
  • orientation and mobility training
  • peli lenses
  • oxford glasses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how does eye movement training work?

A

large eye movements into the non-seeing area - usually occurs without training but training may help

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

who provides orientation and mobility training?

A

social services
charities through rehab officers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how does orientation and mobility training work?

A

methods for gathering info from surroundings, making home safe

techniques for climbing stairs, avoiding falls/injuries, crossing roads etc

often involves using long cane or sunu band

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the 2 types of reversed telescope?

A
  1. galilean telescope the wrong way around
  2. minifiers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the disadvantage of reversed telescopes?

A

increase in field = reduced VA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are 2 examples of minifiers?

A

ocutech
multilens (MLRP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how is a minus lens used as a field expander?

A

held 20-30 cm from eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is a disadvantage of using minus lenses as a field expansion?

A

need accommodation or a reading addition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are some other examples of minus lenses and their strengths?

A

multilens RP monocle (-7D, -8D and -9D)
schweizer minora (no longer available)
uncut minus lens blanks
amorphic lenses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are fresnel prisms?

A

made up of tiny prisms - base to apex - on a thin platform of plastic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

advantage of fresnel prisms?

A

thinner and lighter than conventional prisms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

disadvantage of fresnel prisms?

A

optical quality is not as good as conventional prisms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how do fresnel prisms work for field expansion?

A

attached to a part of the glasses lens on the SAME side as the field defect with base towars the non-seeing area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what would you give someone with a hemianopia?

A

fresnel prism/peli prism

18
Q

what are oxford glasses?

A

assistive technology - form of electrical aid
camera streaming a live feed into 2 HD video displays, placed in front of the patients area of useable vision

19
Q

what are the 2 types of oxford glasses?

A

prism and crystal

20
Q

oxford glasses increase FoV by how many degrees?

A

68 horizontally

21
Q

how much is a reversed telescope ?

22
Q

how much is a negative lens?

23
Q

how much are oxford glasses?

A

~£3000 - £4000

24
Q

what are the 3 types of aids for hemianopias?

A

substitution
restitution
compensatory techniques

25
how do substitution aids work and what are they?
PRISMS - optically expand the VF
26
how do restitution aids work?
improve visual sensitivity in the blind VF by repeated stimulation
27
how do compensatory techniques work?
patients learn to direct their gaze towards the affected area
28
what are 3 examples of computer based training for eye movement training?
eye search VISIOcoach Durham Reading & exploration (DREX) training
29
what are 4 forms of field expanders?
mirrors bilateral sector prisms peripheral prisms (PELI PRISMS) sector/gottleib visual field awareness system
30
how do bilateral sector prisms work?
base right or left BE field relocation rather than expansion
31
which glasses are Peli prisms attached to?
attached to DISTANT glasses
32
how do peli prisms work?
40/57 BO prism on left eye for left hemianopia and RE for right hemianopia
33
what is the sepeeration distance on peli prisms?
12 mm
34
how much do peli prisms expand the VF by?
20-30 degrees can be 30 degrees if you use 50 D
35
which patients are more likely to be successful when using peli prisms?
young patients
36
what height do you need on glasses for a peli prism?
35mm
37
what activities can you NOT do when wearing a peli prism?
reading and driving
38
when should you review a patient after prescribing peli prisms?
4-6 weeks
39
how much do peli prisms cost?
~£500-600
40
what are the options for those who struggle when reading?
typoscope vertical text read-right DREX