LOW VISION SERVICES

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LOW VISION SERVICES
Essential Elements and Outcomes
Hasan Minto LV RE Advisor Sight Savers
International
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AND YOU THINK YOU ARE HAVING A BAD DAY AT WORK
!! Although this looks like a picture taken from
a Hollywood movie, it is in fact a real photo,
taken near the South African coast during a
military exercise by the British Navy. It has
been nominated by Geo as "THE photo of the year".
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What is a LV service

• Widely described as a variety of services being
  offered to VI persons
• Emphasize the use of residual vision
• Multidisciplinary approach

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Low Vision Services

• Part of CEC/CES model
• Adult and Child Considerations
• Services at Primary, Secondary and Tertiary
  levels
• Clinical and non clinical
• Continuum of care

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Management

• Optical
• Non-Optical
• Environment

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Low Vision Services

• Primary
• Secondary
• Tertiary

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Levels of service

• Primary secondary tertiary
• 305020
• Primary Secondary Tertiary

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Primary low vision services

• Identification
• Referral to appropriate level
• Community participation
• Environmental modification
• ? Simple low vision devices

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Human resources - Primary

• Community-based workers
• School teachers
• Multi-skilled workers
• Volunteers

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Secondary low vision services

• Part of District Eye Unit
• Continuum of refractive services
• Part time limited expertise
• Midlevel eye care personnel - refractionist
• Defined range of prescription

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Secondary low vision services

• Linkage with rehabilitation and education
• Cross referral
• Outreach services screening for refractive
  errors and low vision
• Mentoring and monitoring of primary low vision

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Secondary low vision services

• Diagnosis
• Refraction (plus paediatric refraction)
• Low vision assessment
• Prescription of devices
• Counselling
• Linkages

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Human resources - Secondary

• Ophthalmologist
• Refractionist
• Other mid level eye care personnel
• Social workers/volunteers

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Tertiary low vision services

• Dedicated low vision service
• Housed in a tertiary referral centre
• Fully trained staff/personnel
• Comprehensive range of LVDs

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Tertiary low vision services

• Diagnosis
• Low Vision Care
• Training and mentoring
• Research
• Advocacy

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Human resources - Tertiary

• Ophthalmologist
• Optometrist/Refractionist
• Teacher
• Orientation Mobility instructors
• Therapists
• Counsellors

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Refer
Train
Treat
Education
Eye Care
Low Vision Service
Educate
Detect
Identification
VI Child
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Outcomes

• Activities of Daily Living
• Education
• Vocation
• Recreation
• Quality of Life