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ID:17435378
大小:1.46 MB
页数:21页
时间:2018-08-31
《low vision clinic低视力门诊》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、EyeCareCenterattheSouthernCaliforniaCollegeofOptometryMaryAnnWallsLowVisionCenterDr.BeckyKammer,Chief714-449-7415rkammer@scco.eduWhatisLowVision?Patientsmaybeblindorjustpartiallysighted(visuallyimpaired)20/70orworseinbettereyeLegallyBlindis20/200orworsewithbestcorr
2、ectiononWhatcanRehabilitativeOptometrydotohelp?HelppatientsseetoreadHelppatientsseetodriveHelppatientsmeetspecificvisiongoalsMainRehabilitationGoalImproveindependenceandqualityoflifeHowdoestheexamflow?Patient’scomeforatleast2-3visitswhereafulleyeexamisgivenandthende
3、vicesareintroducedtomeetgoalsFirstVisit:TeamisintroducedtopatientOccupationaltherapistStudentdoctorFacultyprofessorOTwillscheduleahomeevaluationbeforepatientreturnsforsecondvisit.SecondVisitOTsummarizestheirhomevisitforDr.andthesecondoptometricvisitisplannedforthepa
4、tient.Morevisualgoalsareevaluated,devicesareorderedPossiblymoretrainingvisitswithOTarescheduledinthemeantimeDispensingVisitPatient’sglassesordevicesaregiventopatientandbasictraininginofficeisprovidedOTschedules2-4morehomevisitstomakesurepatientusesdevicecorrectlyand
5、isusingresidualvisioncorrectly(eccentricviewingtrainingifneeded)OTreportsbacktoDr.forfollowupEXAMCOMPONENTSCasehistorySummarizetoobtainbasicgoalsSustainedNear:ReadingcontinuoustextSpottingNear:Seeingbills,shoppingSustainedDistance:WatchingTVSpottingDistance:Driving
6、,seeingsignsIlluminationandGlare:oftenneedenhancedcontrastindoor,needbetterlightingindoorEXAMCOMPONENTSFunctionalvisualacuitiesDistanceVisionFeinbloomchart(DesignsofVision)NearVisionSingledigitchart(Mnotation–Lighthousecharts)Continuoustextchart(Mnotation-Lighthous
7、e)EXAMCOMPONENTSTrialframerefractionEXAMCOMPONENTSFunctionalvisualfieldsSeveraltestsavailabletohelpdeterminehowmuchusablevisionispresentNystagmuspatientsusuallyhavefullfieldsThisisgreatforrehabilitationprocessesEXAMCOMPONENTSContrastsensitivityTestingiscriticalfo
8、rdeterminingiflowcontrastobjectscanbeseenindimlightingPoorcontrastsensitivitymayslowdownreadingorcauseproblemsdrivingatnight…EXAMCOMPONENT
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