Date post: | 24-Dec-2015 |
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AIM
How can we assist a pre-school child with low vision
to function at maximum visual potential
Pre-school child with Low Vision
• Child is usually unaware that he/she sees differently
• Requires careful observation• Requires professional
diagnosis and treatment• Requires professional
intervention
Team Support Needed
• Family - immediate and extended
• GP• Ophthalmologist• Geneticist• Optometrist • Low Vision Optometrist• Orientation and Mobility
Instructor• Educator• Specialist Educator
• Skills Developer• Psychologist• OT • Audiologist• Orthoptist• Neurologist• NGO• Social Worker
Observing and Identifying
• Is child taking medicine?
• Are there emotional challenges?
• Are there physical challenges?
• Are there perceptual or intellectual challenges?
• Child’s self confidence level?
• Child’s self esteem and self image?
• Does child have support?
Look forBloodshot
Cloudy
Turn In
Turn Out
Unusual Movement
Excessive Blinking
Eye Rubbing
Eyes Move Independently
Constant Frowning
Shuts or covers one eye
Excessive Irritability during close activities
Holds toys close
Knocks things over
Moves head not eyes
Observe
• Drawing difficulty• Poor concentration when using near
vision• Difficulty recognising colours• Stumbles over objects• Bumps into objects• Difficulties with lighting (glare)• Walks with shuffle or stoop• Dislikes physical activity
Listen!!!• “I can’t see that”
• “I see two”
• “I feel dizzy”
• “My head hurts”
• “I feel sick”
Reporting Example
• Left eye appears to be very red• Child cries and shuts eyes when
moving outside on sunny day• Trips over step on entering classroom• Cannot find brown or purple smarties
on dark carpet but finds yellow and pink
Reporting Example (cont)
• Child sits close to window when doing table activities
• Holds toys of size about 10 cm about 12 cm from eye
• Bright toys presented from RHS – head turns. From LHS no reaction.
Frequently asked questions
• How can contrast be used?• Does the child need more time to
complete tasks?• Must I help the child move around?• Must the child use bright strong
colours?• Can the child use a pencil or a koki?• Can the child be encouraged to play
rough and tumble?
Frequently asked questions
• Must I reorganise the environment?• What lighting is good?• How does glare affect?
•Will making things bigger help?
• Can spectacles help?• Should the child sit close to me?
• Not all vision impairment is the same• Each child is an individual• Join hands with the Team• Be adaptable• Observe and listen• Childs needs will change as he develops
UNDERSTAND THE CHILD’S EYE CONDITION!
Points to Remember