Date post: | 17-Jan-2016 |
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Wirral Low Vision Service
Gillian Rudduck Wirral University Teaching Hospital
Helen CorcoranWirral Vision Support Service
Aims of Paed LVA service
To improve level of ownership and use of LVA
reduce dependency on enlargement work in an atmosphere of co-
management monitor usage of LVA review usage and make adjustments
Referral Route
Protocol agreed at a multidisciplinary level Referral may be requested by
– teacher/support worker
– parent
– GP
– ophthalmologist Referred to vision support service
rehabilitation officer
Consent for cross referral – parent– GP– ophthalmologist
Preliminary assessment by rehab– reason for referral– current LVA ownership– current LVA usage– distance vision tasks– classroom assessment
• ergonomics
• environment
– near vision tasks– lighting– desired outcome
Multidisciplinary assessment Child parent rehabilitation officer teacher for visually impaired
Paediatric Low Vision Routine
History and Symptoms Visual Acuity Near Acuity Refraction, Colour vision Visual fields Selection of aid
Target setting- agreed Arrangement for follow up/training Re-referral Report to parents, education, healthcare
etc..
Post clinic follow up Training with Rehabilitation Officer
– tracking, spotting– number games– blackboard,whiteboard– in class– real world– mobility
Reassessment of use Re-referral as necessary
Service developments
User group user satisfaction survey- parents carers
& children Service redesign
Multi-disciplinary,multi-agency approach
needs based not dependent on registration locally designed
Recommended standards for low vision
Acknowledgements
Vision Support Service, Wirral Local Consultant ophthalmologists Colleagues in optometry department Wirral paediatric eyecare group
Patients and their families
Thankyou