vision clinic nystagmus低视力门诊眼球震颤课件

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1、EyeCareCenterattheSouthernCaliforniaCollegeofOptometryMaryAnnWallsLowVisionCenterDr.BeckyKammer,Chief714-449-7415rkammer@scco.eduWhatisLowVision?Patientsmaybeblindorjustpartiallysighted(visuallyimpaired)20/70orworseinbettereyeLegallyBlindis20/200orworsewithbestcorrectiononWhatcanRehabilitativeOpto

2、metrydotohelp?HelppatientsseetoreadHelppatientsseetodriveHelppatientsmeetspecificvisiongoalsMainRehabilitationGoalImproveindependenceandqualityoflifeHowdoestheexamflow?Patient’scomeforatleast2-3visitswhereafulleyeexamisgivenandthendevicesareintroducedtomeetgoalsFirstVisit:TeamisintroducedtopatientO

3、ccupationaltherapistStudentdoctorFacultyprofessorOTwillscheduleahomeevaluationbeforepatientreturnsforsecondvisit.SecondVisitOTsummarizestheirhomevisitforDr.andthesecondoptometricvisitisplannedforthepatient.Morevisualgoalsareevaluated,devicesareorderedPossiblymoretrainingvisitswithOTarescheduledinth

4、emeantimeDispensingVisitPatient’sglassesordevicesaregiventopatientandbasictraininginofficeisprovidedOTschedules2-4morehomevisitstomakesurepatientusesdevicecorrectlyandisusingresidualvisioncorrectly(eccentricviewingtrainingifneeded)OTreportsbacktoDr.forfollowupEXAMCOMPONENTSCasehistorySummarizetoob

5、tainbasicgoalsSustainedNear:ReadingcontinuoustextSpottingNear:Seeingbills,shoppingSustainedDistance:WatchingTVSpottingDistance:Driving,seeingsignsIlluminationandGlare:oftenneedenhancedcontrastindoor,needbetterlightingindoorEXAMCOMPONENTSFunctionalvisualacuitiesDistanceVisionFeinbloomchart(Designso

6、fVision)NearVisionSingledigitchart(Mnotation–Lighthousecharts)Continuoustextchart(Mnotation-Lighthouse)EXAMCOMPONENTSTrialframerefractionEXAMCOMPONENTSFunctionalvisualfieldsSeveraltestsavailabletohelpdeterminehowmuchusablevisionispresentNystagmuspatientsusuallyhavefullfieldsThisisgreatforrehabili

7、tationprocessesEXAMCOMPONENTSContrastsensitivityTestingiscriticalfordeterminingiflowcontrastobjectscanbeseenindimlightingPoorcontrastsensitivitymayslowdownreadingorcauseproblemsdrivingatnight…EXAMCOMPONENT