A model Center of Excellence in Low Vision and Vision Rehabilitation was created in a health care setting in China utilizing an inter-institutional relationship with a United States optometric institution. Accomplishments of, limitations to, and stimuli to the provision of low vision and vision rehabilitation services are shared.

Patients with homonymous visual field defects experience disabling functional impairments as a consequence of their visual loss. Compensatory visual exploration training aims to improve the searching skills of these patients in order to help them to cope more effectively. However, until now the efficacy of this training has not been compared to…

Central scotomas--areas of the nonseeing retina within the central 20 degrees of the visual field--are present in approximately 90% of vision rehabilitation patients. They vary in size and shape and can be small or large, symmetrical or asymmetrical, round or irregularly shaped. Most central scotomas border fixation on one side and can be overcome…

This review highlights the literature on the function and adjustment process of family members of persons with adult-onset vision loss. The majority of the literature has focused on the unique role that the family plays in providing both instrumental and emotional support to adults with low vision. In contrast, the impact of low vision on the…

"Low vision" describes any condition of diminished vision that is uncorrectable by standard eyeglasses, contact lenses, medication, or surgery that disrupts a person's ability to perform common age-appropriate visual tasks. Examples of assistive technologies for vision rehabilitation include handheld magnifiers; electronic vision-enhancement…

Closed-circuit televisions (CCTVs) are used by many elderly people who have age-related macular degeneration (AMD). The functional vision of 68 participants, which was measured immediately after they adopted CCTVs, suggested successful outcomes, but the psychosocial impact of the use of CCTVs did not peak until a month later. The findings help…

Macular degeneration is the leading cause of vision loss in the United States for persons aged 60 and older. Compared to individuals without disabilities, individuals with low vision demonstrate a 15% to 30% higher dependence on others to perform activities of daily living. In addition, low vision can adversely affect a person's quality of life.…

Analysis of questionnaires completed by family members revealed that there was a marked reduction in stated problems immediately after a rehabilitation training program and over a three-and-a-half-year period. Similar benefits were noted for older family members, those receiving shortened programs, and those living with sight loss for many years.…

Retinitis pigmentosa (RP) causes restriction of the visual field, progressive vision loss, and night blindness. This article presents an overview of the most common problems in orientation and mobility (O&M) for individuals with RP, appropriate interventions, vision science discoveries related to RP, and the impact of RP on functional visual…

Capabilities and limitations of 251 severely visually impaired persons (senior high school age or older) were assessed on a range of visual environmental adaptation problems to learn how they are organized and influenced. Factor analyses indicated that problems can be grouped on the basis of eight functional domains, among which an independent…

This article illustrates use of the alternating treatment design to assess effectiveness of individualized interventions in low vision rehabilitation. The design was used to determine whether enlarging copy (to one of two magnification levels) and adding contrast would be effective in reducing the time a visually impaired student required to read…

One of a series on the visual information transfer problems of the partially sighted, the report contains a detailed description of the double X-Y platform, a mechanical device used in conjunction with a closed circuit television system to permit users to read printed or handwritten materials and to take notes on or copy from the material. Also…

A nationwide survey of braille instructors in adult rehabilitation centers found that: most teachers taught braille to fewer than 20 percent of clients; few taught complex reading skills; instructors' attitudes were influenced by their training site, type of college degree, and degree of vision; and teaching behaviors were affected by teaching…

This project examined whether the rehabilitation of reading recognition allowed comprehension of print for 38 low vision adults (ages 37-87) who were former readers. The project developed training strategies for enhancing reading comprehension. The paper concludes that instruction in comprehension has value as part of low vision rehabilitation for…

Semi-structured interviews and objective measures were used to examine psychological, behavioral, and visual factors contributing to satisfactory rehabilitation for 14 partially sighted older adults and a control group. Correlates of the successful use of low-vision aids included emotional and practical support as well as past use of near vision.…