Visual Impairment Flashcards

1
Q

What is the primary purpose of the Low Vision Eye Examination?

A

To assess individuals with low vision and recommend appropriate aids and support.

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2
Q

What is included in the initial assessment of a low vision patient?

A

Observation of the patient, their independence, social situation, symptoms, history, and current status.

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3
Q

What factors should be observed during the initial assessment?

A

Presence of assistance, lighting preferences, physical infirmities, and use of eccentric viewing.

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4
Q

What does the registration status indicate?

A

It indicates the level of sight impairment: Sight impaired (SI), Severe sight impaired (SSI), or None.

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5
Q

Fill in the blank: Symptoms and history are a ______ part of the examination.

A

[critical]

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6
Q

What should be assessed regarding current spectacles?

A

Date of last refraction, age of spectacles, and their utility.

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7
Q

What is the significance of understanding a patient’s social situation?

A

It helps tailor advice and support based on their living circumstances and support networks.

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8
Q

What types of difficulties should be explored with visually impaired patients?

A

Reading, communication, taking medications, cooking, and hobbies.

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9
Q

What are Low Vision Aids (LVA’s)?

A

Devices designed to assist individuals with low vision in performing daily tasks.

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10
Q

What methods are commonly used for distance vision assessment?

A

Snellen and LogMAR methods.

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11
Q

True or False: Snellen has a uniform progression in letter size.

A

False

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12
Q

What is the minimum angle of resolution (MAR) for a 6/6 letter?

A

1 minute of arc.

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13
Q

What does a LogMAR score of 0.0 indicate?

A

Equivalent to Snellen 6/6.

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14
Q

What is the purpose of using a pinhole during visual assessment?

A

To gain further information about visual acuity.

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15
Q

Fill in the blank: Adjustments for viewing distance are necessary when recording _______.

A

[visual acuity]

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16
Q

What adjustments should be made when refraction is carried out at less than 6m?

A

Adjust by -0.25 at 3m, -0.50 at 2m, and -1.00 at 1m.

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17
Q

What should be considered when prescribing for patients with low vision?

A

The patient’s environment and specific daily activities.

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18
Q

What does contrast sensitivity measure?

A

It offers a more complete description of a patient’s visual performance in real-world conditions.

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19
Q

What might severe loss of contrast sensitivity indicate?

A

Consideration for non-sighted support.

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20
Q

What are the potential difficulties a visually impaired patient may face in cooking?

A

Reading ingredients, cutting vegetables, and avoiding burns.

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21
Q

What is the importance of understanding a patient’s abilities?

A

To provide tailored recommendations for daily living activities.

22
Q

What can affect a patient’s low vision assessment?

A

General health conditions such as arthritis, diabetes, and depression.

23
Q

What is the relationship between visual impairment and social services?

A

Accessing additional services can assist in providing appropriate advice.

24
Q

What is eccentric viewing?

A

A technique where patients adjust their head posture to maximize available vision.

25
What should be done if a patient's condition changes?
Referral may be necessary.
26
How long can an initial low vision examination take?
Up to an hour for the first time.
27
What percentage indicates significant loss in contrast sensitivity?
22% (0.60) ## Footnote Significant loss is characterized by contrast enhancement.
28
At what distance should Bailey Lovie near charts be presented?
25 cms ## Footnote Equivalent logMAR scores to the distance chart must be applied.
29
What is the formula to calculate Reading Add for a 35-year-old patient with a working distance of 20cms?
+1.00D ## Footnote Accommodation available is 8D, and effort required is 5D.
30
True or False: A patient must be over 40 to need a reading add.
False ## Footnote A patient does not have to be over 40 to require a reading add.
31
What is the least distance of distinct vision?
25 cms ## Footnote This distance is used for calculating magnification.
32
What is the formula for calculating magnification?
Magnification = Old object distance / New object distance
33
What is the significance of a recovery time of <50 seconds in a photostress test?
Considered normal ## Footnote >50 seconds indicates an abnormality.
34
What factors are assessed in a visual field assessment?
* Gross peripheral field * Central field loss
35
What is the critical print size?
The smallest print that the patient can read at maximum speed.
36
How is reading speed calculated using MN Read acuity charts?
Speed = 600/time in seconds for correct reading of the sentence.
37
What is the relationship between present VA and required VA for magnification assessment?
Magnification = Present VA / Required VA
38
What is the optimal words per minute for reading tasks?
300 ## Footnote This is for optimal reading conditions.
39
What is the purpose of using eccentric viewing in patients with scotomas?
To place the text onto an area of retina with normal function but reduced resolution.
40
What does the contrast reserve ratio indicate?
The ratio between print contrast and the contrast threshold of the patient.
41
What is the formula for calculating contrast reserve?
Contrast reserve (CR) = Required contrast threshold / Contrast threshold (CT)
42
What does the term 'acuity reserve' refer to?
Target acuities must include some degree of reserve beyond the threshold.
43
What should be evaluated in a patient’s aids for low vision?
* Optical aids * Non-optical aids * Correct position and lighting
44
What is the significance of lighting assessment in reading speed?
Lighting affects acuity reserve, contrast reserve, and field of view.
45
Fill in the blank: The near assessment aims for a reading add of N4 for a patient to be comfortable at ______.
N8
46
What is the main purpose of providing information and advice to patients with visual impairments?
To help them maintain independence.
47
What might indicate a need for patient referral in low vision care?
* Deterioration of primary condition * Development of a secondary condition * Changes in patient's ability to cope
48
What are common emotional responses to visual loss?
* Shock * Depression * Anger * Anxiety * Denial * Realistic acceptance
49
What is the importance of task analysis in low vision assessments?
It helps to understand patients' goals related to daily living activities.
50
How does the preferred eye affect visual tasks?
Patients may change their preferred eye based on the task.