University of Edinburgh
 

Functional Assessment of Vision

Thursday 8 and Friday 9 March

Minimising the Impact of Visual Problems On Learning

Dr Jennifer Skillen - Research Orthoptist, Monklands Hospital

Lanarkshire Orthoptic ASL Project : Orthoptic Project Group : 3 Orthoptists
Gladys Henderson
Jennifer Skillen
Jillian Campbell

Visibility
Shelagh Palmer
Valerie Breck

VIScotland
John Ravenscroft

Project Aims Visual Problems + Learning

  • To identify the number of children who could benefit from a comprehensive service.
  • To evaluate the current service.
  • To consult with parents, children and teachers about their past experiences and future expectations.
  • To explore models of service in other health boards.
  • To review current thinking and best practice quoted in the literature
  • To design an orthoptic report for children with visual impairment.
  • To make recommendations for both the short and long term.

Project Design

  • Questionnaires
    Parents, teachers and orthoptists working across Scotland
  • Focus Groups
    Parents, Teachers
  • Semi-structured Interviews
    Professionals from health, social care and education and a sample of parents

Commonalities: Minimising impact relies on four things

  • Recognition and identification of a barrier to learning
  • Accessing services to investigate nature of barrier
  • Sharing of information with parents and other relevant professionals
  • Formulation of a common strategy to overcome barrier.

Areas identified by Project

  • Communication problems –
    parents and between clinicians and education professionals
  • Limited access to comprehensive service
    lack of multidisciplinary approach
  • Informal sharing of information
    success dependent on personalities involved
  • No dedicated referral pathway
  • Inconsistencies across different sites re assessments and information sharing
  • Inconsistent awareness and knowledge of VI

Health + Education VI – current situation

Health

  • Identify condition
  • Give treatment/monitor as necessary
  • Measure thresholds of vision
  • Understand problems of visual acuity and visual fields to aid identification of problem/condition

Education

  • Know a child has VI
  • Find out what they are able to see
  • Use strategies to aid learning – large print/braille
  • ? Need additional help with magnification

Sharing of information - Teacher's response

‘Difficulties can arise when parents fail to keep appointments or feedback information’

‘The school would welcome closer working relationship with the service. There may be more pupils in the school with VI but we may not be aware until a situation arises in which the problem has implications’.

Strategies to improve VI

  • Development of a new orthoptic reporting form
    copies to be distributed to parents and teachers
  • information to be child specific
    include simple day-day strategies to make life easier for the child
  • Instigate joint vision assessment of children with VI in school setting
    VI teacher and orthoptist

Strategies to improve VI +

  • Development of a MDT for children with VI and complex needs
  • Development of a key worker for VI
    to guide parents through system and liase between health and education
  • Low Visual aid assessment within the locality for each child who may benefit

Health + Education VI – current service

Health

  • Identify condition
  • Give treatment/monitor as necessary
  • Measure thresholds of vision
  • Understand problems of visual acuity and visual fields to aid identification of problem/condition

Education

  • Know a child has VI
  • Find out what they are able to see
  • Use strategies to aid learning - large print/braille
  • ? Need additional help with magnification

Health + Education VI – proposed service

Health

  • Identify condition
  • Give treatment/monitor as necessary
  • Measure thresholds of vision
  • Understand problems of visual acuity and visual fields to aid identification of problem/condition

Education

  • Know a child has VI
  • Find out what they are able to see (functional vision clinics)
  • Use strategies to aid learning – large print/braille
  • ? Need additional help with magnification

Visual Impairment Assessment

visual impairment assessment