About & Contact Us
For Patients
Optometry Eye Clinic
Low
Vision Services
Low
Vision Aids
Illumination Advice
For Eye Care Professionals
Optelligence Software
|
Low Vision Services: The Scarborough Low Vision Centre at The Scarborough Hospital
What is Low Vision?
Eye diseases and disorders often leave the patient with vision that
is not adequate to perform everyday tasks using conventional eyeglasses
or contact lenses. The resultant vision impairment may be mild,
moderate or profound and not ameliorated with either
medication or surgery. We call vision of this nature "low vision".
Fortunately, there are many strategies utilizing magnification, glare
control and electronic technology that can dramatically enhance the
independence and function of consumers with serious vision impairment.
Such technologies allow them to gain access to printed material,
computers and enhance mobility and comfort.
Low Vision Assessment
In order to determine the type and degree of sight
enhancement/substitution technology that is best for you,
the first step
is to undergo a vision function and needs
assessment (often called a low vision assessment). During the
examination your level of vision function will be
investigated with specialized assessment technology. The ability
to differentiate contrast levels, dark adaptation and glare control
will be discovered.
Reading speed and optimal relative print size is established to enable
the recommendation of specific print magnification and/or alternative
strategies.
The prescription for eyeglasses will be established plus consideration
given to their effectiveness. Physical limitations from other disorders
such as arthritis always influence the type of low vision devices
recommended. 
The low vision assessment is the first step on the road to self reliance.
Dr Shaw has developed computer based assessment protocols that are
effective in the functional diagnosis of retinal pigment disorders,
macular edema and other pathologies to better understand and
design rehabilitation options.
Our Shared Goal: Independent Living
According to the immediate and long term needs of patients with low
vision various adaptive technology and magnification systems can be
considered. Our aim is to promote and facilitate independence.
Independence means that retired persons can continue to be self reliant and in the case of
children and working adults with impaired vision, to promote integration into education systems and workplaces.
We work with many school boards and industries to provide effective
solutions to assist with the vision needs of the individual.
High Technology Assessment
After
a low vision assessment, it may be determined that you would benefit
from adaptive technology. A high technology assessment can be provided
in order to determine appropriate technology to access print and
information in an electronic format with a personal computer or CCTV
magnification system.
Large print, large monitors and text to speech computers can be reviewed as well as stand alone devices.
The fee for a high technology assessment (payable to the Low Vision Association) is $300
The Ministry of health provides funding from 75% to 100% of the assessment fee
To access the Assistive Devices Programme funding, a Low Vision
Assessment is a requirement, registration with the CNIB is not required.
The fee for the Low Vision Assessment is currently not entirely insured by OHIP .
General Classification of Vision Dysfunction (Dr Peter Shaw 2008)
| Vision Dysfunction |
Associated Pathologies |
Reading Strategies |
Enhancing Filters |
| Contrast Sensitivity |
wet macular degeneration
diabetic retinopathy
corneal disease
cataract and media opacities |
reverse contrast
(CCTV, LCD Reader)
2700K lamps
|
527nm
511nm
450nm
|
| Retinal Sensitivity |
retinitis pigmentosa
cone/cod dystrophies
achromatopsia
diabetic retinopathy
wet and dry macular degeneration
glaucoma |
reverse contrast
illumination control
CCTV
|
550XD
527
511 |
| Visual Acuity |
any and all |
spectacle microscopes
high power lenses and bifocals
magnifiers
CCTV and LCD readers |
|
| Visual Field |
retinitis pigmentosa
glaucoma
circulatory dysfunction
neurological and cortical disease |
CCTV
field enhancement lenses
yoked prisms
Fresnel lenses |
|
| Eye movement disorders |
nystagmus
ataxia
strabismus
muscle paresis
cerebral palsy |
yoked prisms
|
|
|