Vision Rehabilitation Preferred Practice Pattern®

Fontenot, Joseph L.; Bona, Mark; Kaleem, Mona; McLaughlin, William M.; Morse, Alan R.; Schwartz, Terry L.; Shepherd, John; Jackson, Mary Lou

doi:10.1016/j.ophtha.2017.09.030

Cited by 42 publications

(33 citation statements)

References 117 publications

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“…Secondly, although we relied on multiple classifications (International Classification of Diseases-10 criteria 13 and Foster and Quigley's consensus definition of glaucoma 14 ) to define our groups, we did not include all existing criteria in order to prevent overlapping classifications. Importantly, the American Academy of Ophthalmology supports the conclusion that people experience functional limitations when BCDVA in the better-seeing eye is less than 20/40, 44 and we did not compare groups based on this criterion. Additionally, multiple aspects of VI (BCDVA, contrast sensitivity, stereoacuity, etc) have been found to contribute to mobility limitations, 9 and we assessed only BCVDA at the last visit, which may have changed over time.…”

Section: Discussionmentioning

confidence: 95%

The Impact of COVID-19 on Individuals Across the Spectrum of Visual Impairment

Shalaby

Odayappan

Venkatesh

et al. 2021

American Journal of Ophthalmology

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Purpose : To assess perceptions and implications of COVID-19 across the spectrum of visual impairment (VI) and normally-sighted individuals Design : Prospective cross-sectional comparative study. Method : XXXXXX Setting : Institutional. Patients : 232 patients and their caregivers. Four groups were created based on better eye characteristics: blind (best-corrected distance visual acuity (BCDVA) < 3/60 or visual field < 10 central degrees), severe VI (3/60 ≤ BCDVA < 6/60, vertical cup-to-disc ratio ≥ 0.85 or neuroretinal rim width ≤ 0.1), moderate VI (6/60 ≤ BCDVA < 6/18), or no/mild VI (controls, BCDVA ≥ 6/18) based on International Classification of Diseases-10 criteria and Foster and Quigley's consensus definition of glaucoma. Procedure : Telephone questionnaires. Main Outcomes and Measures : Differences in perceptions and implications of COVID-19 across various levels of VI. Caregiver perceptions were a secondary outcome measure. Results : Survey was completed by 232 participants, with 58 participants in each VI group. Mean age was 58.9 years ± 13.2. Greater degrees of VI were associated with older age (P=0.008) and lower education level (P=0.046). Blind participants more commonly perceived vision as a risk factor for contracting COVID-19 (P=0.045), were concerned about access to healthcare (P<0.001), obtained news through word of mouth (P<0.001), and less commonly wore masks (P=0.003). Controls more commonly performed frequent handwashing (P=0.001), were aware of telemedicine (P=0.029), and had fewer concerns about social interactions (P=0.020) compared to groups with substantial VI. All caregivers reported more frequent patient care since COVID-19 began. Conclusions : The pandemic may have a disproportionate impact on the visually-impaired, and evidence-based assessments of COVID-19 health outcomes in this population are warranted.

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Section: Discussionmentioning

confidence: 95%

The Impact of COVID-19 on Individuals Across the Spectrum of Visual Impairment

Shalaby

Odayappan

Venkatesh

et al. 2021

American Journal of Ophthalmology

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“…Given that only participants who reported having a low vision eye exam in this study accessed LVRS, it is essential that eye care practitioners understand the importance of and provide referral to LVRS (see Table 1). Best practice guidelines have been established for optometry and ophthalmology and have been integrated into optometry and ophthalmology curricula (Kammer et al., 2010; Fontenot et al., 2017). Ongoing education and advocacy for low vision rehabilitation may improve access for older adults with visual impairment.…”

Section: Discussionmentioning

confidence: 99%

Low vision rehabilitation services: Perceived barriers and facilitators to access for older adults with visual impairment

Kaldenberg

2019

British Journal of Occupational Therapy

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Introduction The aim of this study is to describe the barriers and facilitators to accessing low vision rehabilitation services in Massachusetts, USA, and determine differences between communities with and without existing low vision rehabilitation services for older adults with visual impairment. Method A sample of older adults with visual impairment ( n = 64) from both communities participated in the study. Barriers and facilitators to accessing the services were explored through focus groups and prioritized during one-on-one interviews, which allowed for comparison between communities. Results Twelve themes were identified: (a) bureaucracy and funding (public policy); (b) public awareness and stigma (community); (c) services available, knowledge of providers, care coordination, transportation (organizational); (d) people and lack of awareness of family/friends (interpersonal); and (e) income, health status, knowledge, self-advocacy, and time (individual). Conclusion This study provides insights into the perceived barriers and facilitators of accessing low vision rehabilitation services for older adults with vision impairment living in Massachusetts, USA. Key findings indicate the need for improved awareness of these services at the provider and consumer level, coordinated care, increased education on the efficacy of occupational therapy low vision rehabilitation services, client-centered care provided when the client is ready to accept services, and service provision that addresses sociodemographic factors.

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“…177 Patients with function-limiting postoperative visual impairment should be referred for vision rehabilitation and social services. 162,178 More information on vision rehabilitation, including materials for patients, is available at www.aao.org/low-vision-and-vision-rehab.…”

Section: The Ocriplasmin For Treatment For Symptomatic Vitreomacular mentioning

confidence: 99%