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Introduction to VI
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Cards (18)
VI
Red binoc VA that cant be improved even with the best optical correction with conventional lenses
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SSI/Blind
So blind as to be unable to perform any work for which eyesight is essential
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SSI/Blind
Doesn't take into account occupation/near vision/other disabilities
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Clinical guidelines for SSI/Blind
1. Acuity below 3/60
2. Acuity better than 3/60 but less than 6/60 with sig contracted fields
3. Acuity better than 6/60 but with substantially contracted fields esp inferiorly
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Sight impaired/partially sighted
Substantially and permanently handicapped by defective vision caused by congenital defect/illness/injury
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Clinical guidelines for SI/Partially sighted
1. 3/60 - 6/60 with full field
2. 6/24 with mod restriction of field/opacities/aphakia
3. 6/18 or better with gross field defect
4. Aphakia/opaciites affect QUALITY of vision
5. Aphakia=cant judge distances well
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Guidelines for children
1. Unless obviously blind, classed as partially sighted
2. 4/+ use binocular VA
3. 6/24 or better is good for mainstream schooling
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Registering as low vision
Certification of VI=standard in uk
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Where to get the low vision leaflet
Primary care centres where you self refer
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Referral of VI
1. Eye clinic to refer to social services
2. Should be done as soon as social needs become apparent but cant do certification
3. Usually done in HES
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Certification
Formally certifies person as SI/SSI
Pathway for px with VI to be brought to attention of social services
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Registration
Voluntary
Register of vi
Help provide services and help
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CVI
Only via consultant ophthalmologist
Copies for px/gp/local council
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LVL
Self refer
For people with AMD
Send to social services for social help
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Referral of VI
1. Hospital staff send it
2. Px consent
3. Copies for GP
4. Allows social help
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Benefits of SSI registration
Blue badge
Free postage on 'articles for the blind'
Load cdS
Free NHS eye test
UC
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Access to work scheme
1. Employed/VI to contact job centre
2. Practical support + covering additional costs associated with having disability
3. E.g travel to wor/zoom text on computer/CCTV
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Children's act
1. Don't need to register
2. Schools and education authorities help
3. SENCO - provide help for chn with VI by 1-2-1 lessons
4. Identify all chn with special educational needs from 2-19 if in FTE
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