Are you are case manager or solicitor?
More than 50% of visual and visual-cognitive disorders occur in neurologically-impaired patients Rosalind Gianutsos PhD
Vision is a function of both eyes and brain. When the brain is insulted, the entire Central Nervous System can be affected.
Ruth and Fiona are happy to give demonstrations to groups of Case Managers and solicitors to demonstrate the effect of various lenses. This has to be experienced to understand how lenses can affect your balance and sense of space. Each case is unique and as the saying goes, once you have seen one TBI, then you have seen one TBI. Addressing the symptoms with precision tints, prisms and lenses can be an interesting challenge. Field loss can be addressed with Peli lenses and exercises to improve location and motion
Bedside Screening Checklist
Ask if there is any perceived changes in vision
Check for the following:
Near and distance acuities
Ability to sustain attention for one minute
Co-ordination of smooth movements (pursuits) and moving from one target to another (saccades)
Convergence – measured from the tip of the nose (patient may report double vision, or the examiner might see one eye turn outwards.)
Pupils respond to presence of light
Visual fields (one eye at a time
Observe for squinting, clumsiness, changes in memory, gait disturbance, diminished path-finding, neglecting object etc.
- Severe visual deficits may be present regardless of 20/20 acuity.
What we may do
Strengthen eye co-ordination
Increase the flexibility of the visual system
Develop fields awareness
Enhance Environmental Visual perception
Improve integration with other sensory systems
Correct acuities with lenses and magnifiers
Improve performance of daily activities such as reading, self care, medication administration, driving, vocational and academic endeavours.