about rehabilitation

1. UTTAR PRADESH UNIVERSITY OF MEDICAL
SCIENCES, Saifai
Presented by- RAJAT BANSAL Guided by- Dr Kamal Pant
B.OPTOM 3RD YEAR HOD ( Department of Optometry)
DEAN ( Faculty of Paramedical sciences)
Title- LOW VISION REHABILITATION IN PEDIATRICS

2. CONTENTS-
 Low vision definition
 Common cause of low vision
 Impact of low vision
 Low vision examination protocol
 Low vision rehabilitation
 Rehabilitation Plan
 Areas of rehabilitation
 Areas of Intervention
 Developmental rehabilitation
 Educational rehabilitation
 Genetic counselling
 Rehabilitation service
 Challenges in pediatric group
 Parents role
 Low vision services
 Rehabilitation centers

3. There are several
pathologies where no medical
or surgical intervention is
possible and Eye care
Practioners feel handicapped
in managing patients !

4. Definition (WHO)
A person with low vision is one who has impairment of visual
functioning even after treatment ,surgery or Best Correction &
has visual acuity of less than 6/18 to Perception of light or
visual field of less than 10 degrees from the point of fixation ,in
the better eye but who is potentially able to use , vision for the
planning & or execution of a task

5. Common causes of low vision
 Albinism
 Aniridia
 Corneal dystrophy
 Congenital cataract
 High Refractive Error


6. Impact of Low Vision
 Loss of Central Vision
 Loss of Side Vision
 Overall Blurred Vision
 Extreme Light Sensitivity

7. What happens ??
 When a child with a disability is born
into a family or becomes disabled at
some later point in life
 Parents initially feel grief and try to
figure out that how this disability will
impact their lives

8. Low vision examination protocol
History Health Exam
Telescopic aids
Distance resolution
Near vision aids
Near resolution
Refraction
Other vision functions
- Fields
- Contrast
- Colour vision
- Glare
- Binocularity
- Motility
Decisions
Recommendations
Follow-up

9. Low Vision Rehabilitation
Help to communicate, learn, and lead an independent life through wide range of services,
&
special training to use visual and adaptive devices with newer
technologies.
Rehabilitation includes all the measures aimed at reducing the
 impact of disability
 Enable to achieve independence
 Better quality of life
 Self actualization

10. Three Question
 What is rehabilitation?
How rehabilitation is done?
Why is rehabilitation?

11. Rehabilitation Plan
 Age
 Specific Goals / Needs
 Assessments of visual function
 Evaluation with low vision devices
 Training
 Counseling
 Need of other professional
 Environmental modification

12. Rehabilitation helps a person with low vision to overcome the following
difficulties-
 Mobility problem
 Inability to identify people objects colors etc.
 Difficulty in reading writing or performing vocational tasks.
 Difficulty in performing activities of daily living.
 Difficulty in recognizing details such as patterns, signs, facial features etc.
Rehabilitation can be a short term or along term process depending on the individual needs.

13. Areas of Rehabilitation required for Low
vision Children and adults
 Communication
 Bonding
 Level of wakefulness
 Motor Development
 Physical development
 Language and Social development
 Social and emotional development
 Adaptive development
 Cognitive development

14. Vision
Rehabilitation
Assessment
Guideline
for
teachers
Developmental
Skill training
Sensory
stimulation
Devices
training
Home
management
counselling
Clinical
vision
assessment
Functional
vision
assessment
Awareness
Distance
vision skill
training
Writing skill
Daily living
skill
Attention
Areas of Intervention
Near vision
skill training
Localization
Identification
Cloth
management
Home
maintenanc
e
CookingAttitudinal
inputs
Psychological
counselling

15. Developmental rehabilitation of children with
low vision
 Fixation
 Tracking
 Scanning
 Discrimination of objects
 Discrimination of details
 Discrimination of details of Pictures
 Identification and perception of patterns, numbers and words

16. Educational Rehabilitation
Educational activities-
 Reading
 Writing
 Matching
 Moving in Classroom
 School interaction
 Drawing working

17. Role of Teachers in Rehabilitation-
 Determine the activities normally done by the child with low vision.
 Background color
 Determine the sense most efficient for a particular task.
 Observe the visual environment and observe the child under different environmental
condition.

18. School
 Mainstream of school with Inclusive
Education
 Special School
 Work pattern
 Facility of Special Educator
 School staff

19. Class room set up
 Type and placement of lighting
 Seating position
 Location , position ,color and use of
chalkboard
 Indoor / Outdoor Mobility
 Teacher’s style of instruction
 Visual and postural behavior

20. Genetic counselling in low vision
rehabilitation
 Genetic counselling is designated for patients and their families suffering from low vision
caused by genetic disorders such as Retinal degeneration like RP, Optic atrophy, macular
degeneration, glaucoma, etc.
 It include-
 A genetic Investigation
 genetic testing
 An explanation regarding the ocular diagnosis.

21. Rehabilitation Services
 Vision Training
 Developmental Skills Training
 Concept Developments
 Motor Skills
 Writing Skills
 Educational guidance
 Vocational Guidance
 Orientation and Mobility
 Parental Training

22. Challenges in Paediatric Group
 Assessment
 Vision Training
 Training of the use of Low Vison Devices
 Educational Guidance
 Educational Media
 Counselling of parents
 School related issues
 Child and parents psychology
 Understanding of problem

23. Parents Role
Parents are consistent persons who continually have the child's
interest at heart throughout their lifetime from nurturing the
child birth to helping to see that child receives the best
education and access to information and resources for the
future

24. Low Vision Services
 Clinical Assessment
 Trial of Low Vision Devices
 Training of use of the Low vision devices
 Parental Counseling

25. Making a difference….
 Vision rehabilitation and enhancement changes the quality
of life of a visually impaired person
 It is a social responsibility to treat and rehabilitate a
person
 It has been a strong force to help people mainstream into
the society rather than segregation as in a blind school

26. Rehabilitation centres in India-
 Blind people Association, Gujarat.
 Blind Relief Association, New Delhi.
 Helen Keller International Institutes, Mumbai.
 National Association for Blinds, New Delhi.
 National Institute for the Visually Handicapped, Chennai.
 National Centre for promotion of employment for disabled people, India.
 International council for Education of people with visual impairment,
Coimbatore.