Vision Impairment Flashcards

1
Q

Children with undetected and untreated vision problems may have difficulty participating in many occupations such as

A

Reading
Copying from the board
Writing
Playing
Sports

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2
Q

What is visual acuity?

A

A measure of the resolving power of the eye
Ability to see fine detail

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3
Q

How is visual acuity often measured?

A

An individual with 20/20 acuity is considered to have normal ability to see small details at the distance tested. The numerator refers to the testing distance at which the child recognizes the stimulus, and the denominator refers to the distance at which the letter being viewed could be identified by a child with normal visual acuity. For example, 20/20 implies that a child with normal visual acuity could identify the letter presented at a distance of 200 feet

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4
Q

What is myopia?

A

a condition in which the length of the eye is too long and a child has clear vision when reading but blurred vision when looking at a distance. Myopia is easy to detect even without a vision examination because b/c the child will simply say “I can’t see the TV” or “I can’t see the board”

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5
Q

What is amblyopia?

A

a condition in which the visual acuity is less than 20/20 in one eye in spite of the fact that the eyes are healthy and the child is wearing glasses that correctly compensate for any refractive error.

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6
Q

What are pursuits?

A

eye movements enable continuous clear vision of moving objects. This visual following reflex ideally produces eye movements that assure continuous foveal fixation of objects moving in space.

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7
Q

What are saccades?

A

A saccade is an eye movement in which a child looks from one stationary object to another. The ideal saccade is a single eye movement that rapidly reaches and abruptly stops at the target of interest.

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8
Q

What is strabismus?

A

cross eyes

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9
Q

What are the 2 primary models of vision?

A

The 3 component model and the 1 component model

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10
Q

What does the 3 component model of vision cover?

A

Visual integrity
Visual efficiency
Visual information processing

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11
Q

What does the 1 component model of vision cover?

A

Visual integrity

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12
Q

What are the 3 eye care professions?

A

Optician
Optometrist
Ophthalmologist

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13
Q

What is an optician?

A

The optician is the individual who helps a person select an appropriate eyeglass frame, prepares the lenses based on the prescription, and then fits the frame to the person’s face so that they can be comfortably worn. The optician does not have the training to perform any clinical testing or treatment.

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14
Q

What is an optometrist?

A

The optometrist is taught to evaluate the visual system in a manner that allows diagnosis of visual conditions that can interfere with performance and affect the quality of life.

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15
Q

What is an ophthalmologist?

A

Ophthalmologists must complete many more years of training than optometrists and opticians. As a result, ophthalmologists can diagnose and treat a wide range of conditions.

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16
Q

What are common visual impairments in children with CP?

A

Refractive error - blurred vision
Strabismus
Eye movements
Accommodative problems - eye-focusing problem

17
Q

What are common visual impairments in children with down syndrome and autism?

A

Refractive error
Accommodative problems
Strabismus
Additional convergence issues in autism

18
Q

How do we screen for vision problems?

A

Symptom questionnaire
Near point rule
Near point of convergence
Northeastern State University College of Optometry Eye Movement Test (NSUCO)
Developmental Eye Movement Test (DEM)
TVPS and VMI (Berry)
DTVP-3

19
Q

What is the near point rule in visual perception?

A

Near point rule invisual perception, thenear pointis the closest point at which an object can be placed and still form afocusedimage on theretina, within theeye’saccommodation range. The other limit to the eye’s accommodation range is thefar point.

20
Q

What is the near point of convergence?

A

Near point of convergence (NPC) -measurement of the point where the visual axes intersect under the maximum effort of the convergence

21
Q

What interventions can be used for a child with visual impairments?

A

Improve manipulation and fine motor skills.
Maximize use of functional vision.
Encourage socially appropriate behaviors.
Encourage language and concept development.
Strengthen cognitive skills.
Maximize auditory perceptual abilities.

22
Q

What can OTs work on in vision therapy?

A

Saccades
Pursuits
Awareness of laterality (right vs left)
Visual discrimination
Figure ground
Visual Closure
Visual memory
Visual motor integration
Form Constancy

23
Q

The ___ suggests areas where eye care professionals and OTs can collaborate for care.

A

three component model of vision

24
Q

What are the components of visual integrity?

A

visual acuity
refractive error
eye health

25
Q

What are the components of visual efficiency?

A

accommodation
binocular vision
eye movement

26
Q

What are the components of visual information processing?

A

visual spatial
visual analysis
visual motor integration

27
Q

What areas of vision should an OT not attempt to work on?

A

binocular vision and accommodative disorders

28
Q

What are signs of visual information processing problems commonly seen in school-age children?

A

Signs such as frequent reversals, trouble copying from the board, difficulty learning the alphabet, and sloppy handwriting are often indicative of underlying of visual information processing problems and are frequently encountered by OTs.