====
Good Hope Hospital Eye Clinic

Low Vision Assessment at Good Hope

 

Who should have a LV (Low Vision) appointment?

Anyone who after medical treatment or new specs is not able to see well enough to do the things they would like (or need to do!)

  • Anyone who says they cannot read properly
  • Anyone who says their glasses are still not correct
  • Anyone with ARMD who you would refer for surgery if they had 'cataracts'
  • Anyone who cannot drive their car or read n10
  • Anyone who asks for LV appointment or a magnifier.

Remember

  1. You do not have to be certified or registered with a BD8
  2. There is no age limit
  3. Children and people with learning disabilities can benefit from LV appointments
  4. There are no charges -devices are loaned

There are three parts to the service

  • The assessment -this is with a LV nurse or orthoptist.
    A questionnaire will be completed you will have the chance to ask questions about their eyesight and about LV
  • The optometrist will briefly discuss the points raised in your assessment, carry out the refraction and explain the test results.
    The optometrist will then show and trial any magnifiers.
  • The low vision therapist -this is a practical appointment and will take place on another day after the device has been supplied.
    The therapist should be the same nurse or orthoptist the user saw at the first appointment.
    The therapist will check the use of the magnifier, assess visual function (with and without devices) and practice some reading/ viewing techniques.
    You should bring examples of things you would like to be able to see to do, such as knitting or reading music.
  • The optometrist will refer you on to other agencies that may help, such as social services, computer training,  job-training, and so on. See our local information page.

Evidence

There is considerable evidence that a Low Vision program can be very helpful  and here .   BJO 2011. Navigation training is required if the visual field is restricted 2011. "Our study suggests that: practitioners should be alert to potential mobility difficulties when the visual field is less than about 1.2 sr (70° diameter); assessment for mobility rehabilitation may be warranted when the visual field is constricted to about 0.23 to 0.63 sr (31 to 52° diameter) depending on the nature of their visual field loss and previous history (at risk); and mobility rehabilitation should be conducted before the visual field is constricted to 0.05 sr (15° diameter; critical)."

Eccentic Viewing

This can help and is discussed etc in the clinic. Newsletter.

 

References

Low vision & Macula Disease

 

The address of this site ('org' changing to 'nhs') is changing from http://www.goodhope.org.uk/departments/eyedept/ to http://www.goodhope.nhs.uk/departments/eyedept/
Eye website feedback -- Heartlands -- page edited October 2011 -- Public transport to Good Hope --