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Enhanced Vision Webinar Coping With Visual Impairment
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Enhanced Vision Webinar Coping With Visual Impairment



Dr. Kevin Huff, OD speaks on "Coping with Visual Impairment", emotions surrounding vision loss and what's new in low vision technology. ...

Dr. Kevin Huff, OD speaks on "Coping with Visual Impairment", emotions surrounding vision loss and what's new in low vision technology.

Dr. Kevin Huff practices low vision optometry at the Viewfinder Low Vision Resource Centers. He was born and raised in Phoenix, AZ. Dr. Huff earned a Bachelor of Science degree from the University of Arizona. He completed his optometric degree at the Southern California College of Optometry. Dr. Huff also completed training in Low Vision Rehabilitation at the Southern Arizona Veterans Administration Healthcare System in Tucson, Arizona and at the Foothills Center for the Partially Sighted in Glendora, CA. While attending optometry school Dr. Huff held several positions in student government including president of the student association and was actively involved in many different organizations. As president of the student association, Dr. Huff had the opportunity to represent the Southern California College of Optometry as a delegate to the congresses of both the American Optometric Association and the California Optometric Association. Dr. Huff's current professional memberships include the American Optometric Association, the Low Vision Section of the American Optometric Association, and the Arizona Optometric Association.

Electronic magnifiers have helped thousands of people with Macular Degeneration and other Low Vision conditions regain their visual independence. To find out if Electronic Magnification is right for you; please join us for this informative session.



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Enhanced Vision Webinar Coping With Visual Impairment Enhanced Vision Webinar Coping With Visual Impairment Presentation Transcript

  • Coping with Visual Impairment Kevin Huff O.D. ViewFinder Low Vision Resource Center www.viewfinderlowvision.com1830 S. Alma School Rd. #7-131 10001 W. Bell Road Mesa, Arizona 85210 Sun City, Arizona 85351
  • My Qualifications Optometrist  Limited to Low Vision Optometry.  All of my patients are visually impaired.  Have included many direct quotes from actual patients
  • My Qualifications Personal  Visual impairment in my family.
  • Vision Loss Fear  Gallup poll 1998, 42% of adults listed blindness as the most feared disability.  Other studies show blindness is more feared than death.
  • Vision Loss Vision is our most dominant sense. Many people equate loss of vision with a loss of independence.
  • Emotional Reaction to Loss A person with vision loss often goes through the same process of emotions a person with a terminal illness goes through.
  • Stages of Grief Shock Denial Anger Depression Bargaining Acceptance
  • Acceptance This is the last stage. It is making peace with the permanence of vision loss, and moving forward with all possible treatment options considered.
  • Acceptance Some people take weeks to get here, some take years.  Examples: AION patient and my grandfather
  • Acceptance It is our job to try to help patients get to this stage as quickly as possible.
  • Shock This is typically the first stage a patient goes through when a diagnosis of permanent vision loss is made.
  • Shock It seems as if the brain stops gathering new information and is just stuck in time.
  • Shock Patients will often say that it took them a few days to process what the doctors have told them. “I didn’t even know what was going on. All of a sudden, he was putting a needle in my eye!”
  • Shock This is a normal response to an emotionally painful situation.
  • Shock Usually the shortest stage people go through.
  • Acceptance Shock: This is hard to help with. Patients often get through this quickly.  Family: Just be there for the patient. Giving patient facts etc. will not help because patient will not process them.
  • Denial Patients will often doubt the diagnosis.
  • Denial “Are you sure it is not just my glasses prescription?” “I need another opinion.”
  • Denial “I just didn’t sleep enough last night. If you test me tomorrow, I’ll see better and you won’t think I have macular degeneration.”
  • Denial “They told me I have dry Macular, not wet. So, I can’t be bleeding. Are you sure you aren’t just seeing things?”
  • Denial “Those doctors have never told me I have macular degeneration!”  Doctor’s response: “What did you think the shots in your eye were for?”  Patient: “To help my eyes.”
  • Acceptance Denial: Help patients understand your expertise in this area.  Family: The more they trust that you understand what they are going through, the easier it will be to help.
  • Acceptance Denial: I gain this trust by explaining medical conditions, scotomas, acknowledging flaws in typical refractions, and why patients have good and bad days.
  • Acceptance Denial: Once patients trust that you understand what they are going through, and can come to terms with their diagnosis, they will be able to move on past denial.
  • Anger This often begins with the question “Why Me?” There is usually no real answer to that question.
  • Anger With no person or thing to blame for the vision loss, patients sometimes are resentful of others who have not experienced this loss.
  • Anger Patients often make very emotionally charged comments.
  • Anger “If you tell me I can’t drive, you might as well chop my legs off!” “Reading is my life. If I can’t read I should just die!”
  • Anger Patients can often display their anger in irrational and uncharacteristically mean comments.
  • Anger “If I had been a younger man when I met that cataract surgeon that did me in, I’d be in jail for assault right now.”
  • Anger It is perfectly normal to feel anger about vision loss.
  • Anger We need to help identify when someone is holding onto anger about their visual impairment, and help them deal with it.
  • Anger If the anger is out of control or hurting relationships, it may be necessary to see a counsellor or therapist.
  • Acceptance Anger: Patients should understand that anger is a normal response. However, we need to help them deal with it in a healthy way.  Family: Identify areas of misplaced anger and help people realize the true cause of the anger.
  • Depression Depression often follows anger. Again, this is a normal reaction to vision loss.
  • Depression A patient’s self image or self worth may decrease with vision loss because they may feel that they cant do the things they did in the past.
  • Depression “I’m pretty much worthless now. He/she does everything for me.” “I can’t even sign a check anymore.”
  • Depression “I feel like I’m in first grade when I try to read.” “I always had perfect eyes. I don’t understand how this happened to me?”  Pilots
  • Depression Signs of Depression  Changes in sleeping patterns  Changes in eating habits  Changes in activity level
  • Acceptance Depression: We need to try to help patients continue to lead as independent a lifestyle as possible.  Family: When depression is identified, help patients obtain the assistance they need.
  • Bargaining Patients will often try to negotiate a treatment. “What about stronger glasses?”
  • Bargaining “I saw a guy who had these special glasses that he could read with, and he was blind. Why don’t you just give me those?”  There are no “magic” glasses.  If there were, my grandpa would have them.
  • Bargaining If we don’t recognize when patients are bargaining with us, instead of truly accepting the treatment option, they will end up with devices they don’t use.
  • Bargaining “Sure… I fully understand that I’ll have to hold things closer with these new glasses.”
  • Bargaining Patient then returns glasses after a few days saying “I knew I had to hold things closer, but not that close! ”
  • Bargaining Patients often try to negotiate terms to continue driving.  Family: We must be willing to discuss difficult topics like this.
  • Bargaining “I only drive in my comfort zone.”  High percentage of accidents happen close to home.
  • Bargaining “I scan my eyes all the time when driving.”  Usually said by patients with peripheral defects.  What happens when you are looking right and something comes from the left?
  • Bargaining “I’ve driven for ______ years without any accidents or tickets.”  How many of those years were you visually impaired?
  • Bargaining “I just need to drive ____ blocks to go visit my spouse in the nursing home.”  High percentage of accidents occur near the home.
  • Bargaining “I just need the license in case of an emergency.”  You don’t want your first time driving in several years to be when you are driving your spouse to the hospital.  Use an ambulance!
  • Bargaining “I’ll know when it is time to stop driving. Believe me, I’m not one of those reckless people!”  Must ask: “What measures will you use to know?”
  • Bargaining “My wife tells me when it is safe to turn.”  Self explanatory
  • Bargaining “I know I don’t see well, but I only drive on isolated roads. If I crash, I won’t hurt anyone else.”  Said to me by a patient who later died in a one car accident.
  • Acceptance Bargaining: We must recognize when patients are bargaining instead of accepting and adapting.  Family: Help patients have realistic expectations for their low vision aids.
  • Responding to Patients This part of Webinar is to help family learn how to talk with loved ones about their vision loss If you have vision loss, these tools can help you think differently about your loss
  • Responding to Patients We need to be able to respond to patients in a way that helps them cope with their vision loss.
  • Responding to Patients Stressful life situations often accompany vision loss.  Passing of spouse  Other physical ailment, i.e. hip surgery
  • Responding to Patients Patients will equate these events with their loss.  Doctor: “Do you do much reading anymore?”  Patient: “No, I haven’t read much since my spouse died.”
  • Responding to Patients Patients will use bad medical outcomes to explain all future problems.
  • Responding to Patients  “Ever since that doctor botched my cataract surgery, I can’t read the newspaper.”  Even though the surgery was on the worse eye, and the patient read for several years after the surgery with the better eye.  Patient still blames the surgery, when in reality they have developed macular degeneration in the better eye.
  • Responding to Patients When patients make these comments during the exam, we have to acknowledge what they have said. If it is not addressed, it can be a hindrance to accepting treatment options.
  • Responding to Patients I have learned that I have to be willing to stop an exam and have these conversations with patients, or else they will not be successful with their adaptive aids.
  • Responding to Patients The 3.0 Response is a great tool to use when patients say emotional things. “You feel_______, because _________.”
  • Responding to Patients The 3.0 Response acknowledges the emotion and the cause of the emotion. We can’t just acknowledge the emotion.  i.e. “I understand you feel angry.”
  • Responding to Patients “You feel angry because your vision was worse after cataract surgery than before.” “You must have felt a huge loss when the spouse you loved and shared all those memories with passed away.”
  • Responding to Patients Once we have acknowledged the emotions and the cause of the emotions, patients will be more willing to separate them from the treatment options being presented.
  • Family Find the balance between helping and hindering. Can be very difficult to do.
  • Family Help patients not fall into the trap of becoming dependent on family members. Becoming dependent on others can be more disabling than the disease itself.
  • Family Families need to support patient’s independence by encouraging them to try new things. Help patients realize that they should be willing to purchase necessary tools.
  • Regaining Independence Our ultimate goal
  • Regaining Independence With the correct tools, almost every one with a visual impairment will be able to do more than they think they can do.
  • Key to Successful LowVision Rehabilitation Use the correct low vision aids and use them correctly.
  • Key to Successful Low Vision Rehabilitation The most significant barrier to improvement is often a resistance to learning something new.
  • Electronic Devices Advantages  Large range of magnification (up to 75X)  Increased Contrast  Decreased Glare  Increased Working Distance  PC Compatible (888) 811-3161 www.enhancedvision.com
  • Electronic Devices Advantages  Portable  Capture images  Distance vision (888) 811-3161 www.enhancedvision.com
  • Electronic Devices Disadvantages  Cost: Many options available to help with this  Portability: Not a problem anymore  Hard to use: this is a myth (888) 811-3161 www.enhancedvision.com
  • Electronic Devices Types of Electronic Devices  New HD and Text-to-speech (OCR) CCTVS  Desktop  Portable  New Type I call the Acrobat Class (888) 811-3161 www.enhancedvision.com
  • (888) 811-3161www.enhancedvision.com
  •  DaVinci is a high performance desktop video magnifier (CCTV). Featuring HD, text-to-speech and a 3-in-1 camera. HD provides a beautiful crystal clear picture and vibrant color. Experience the joy of reading with the push of a button. (888) 811-3161 www.enhancedvision.com
  •  Sony HD auto focus 3 in 1 camera – see near, far and everything in between. Read any printed text with the push of a button. 24” High resolution HD LCD. 28 viewing modes allows you to personalize DaVinci - perfect for reading newspapers, magazines and doing crossword puzzles. Slide mechanism provides flexibility for various camera arm positions. (888) 811-3161 www.enhancedvision.com
  • (888) 811-3161www.enhancedvision.com
  •  Merlin elite is a high performance desktop video magnifier (CCTV). Featuring HD and text-to-speech. HD provides a beautiful crystal clear picture and vibrant color. Experience the joy of reading with the push of a button. (888) 811-3161 www.enhancedvision.com
  •  Sony HD auto focus camera – work on hobbies and see small details. Read any printed text with the push of a button. 24” High resolution HD LCD. 28 viewing modes allows you to personalize Merlin elite-perfect for reading newspapers, magazines and doing crossword puzzles. Screen easily pivots horizontally and vertically- providing the most comfortable viewing position. (888) 811-3161 www.enhancedvision.com
  • Merlin LCD & HD (888) 811-3161 www.enhancedvision.com
  •  Desktop CCTV  Combines large magnification range with large field of view  Enhances Contrast  Tray allows for smooth reading even at higher magnification levels  Controls are very easy to use (888) 811-3161 www.enhancedvision.com
  •  Excellent option for near tasks  Reading  Writing  Looking at photos (888) 811-3161 www.enhancedvision.com
  •  Simple, easy to use controls Long lasting LED lighting for truer picture and color 19”, 22” and 24” Monitors Magnification 2.4x to 85x varies with monitor size Screen easily pivots, both horizontally and vertically to provide the most comfortable viewing position You can personalize with 7 viewing modes 3 year warranty (888) 811-3161 www.enhancedvision.com
  • (888) 811-3161www.enhancedvision.com
  •  When the Acrobat LCD was introduced, it created the standard for a new class of CCTV  The portable desktop CCTV  Ideal for patients who travel for extended periods of time, i.e. winter visitors in Arizona  No longer have to purchase two desktop CCTVs (888) 811-3161 www.enhancedvision.com
  •  Moving camera head allows patient to use this device for multiple tasks  Reading  Writing (888) 811-3161  Working with hands www.enhancedvision.com
  •  Moving camera head allows patient to use this device for multiple tasks  See their own face, i.e. makeup, shaving etc.  See others faces, i.e. grandchildren (888) 811-3161  Distance vision www.enhancedvision.com
  • Features Auto focus 3-in-1 camera for seeing yourself up close, reading and distance viewing Detachable camera for use at multiple work stations 19”, 22”, & 24” provide up to 82x adjustable magnification (varies with LCD size) 28 available viewing modes to optimize contrast and brightness Line markers, object locator, remote control and more… Two Year Warranty (888) 811-3161 www.enhancedvision.com
  • (888) 811-3161www.enhancedvision.com
  • (888) 811-3161www.enhancedvision.com
  •  Similar Advantages to Acrobat LCD with a few extras  Even more portable  Able to capture images (888) 811-3161 www.enhancedvision.com
  •  Excellent option for students or people who attend presentations/ conferences often (888) 811-3161 www.enhancedvision.com
  •  Weighs less than three pounds 2.4x to 30x magnification (based on17” screen) Camera rotates 330 degrees reading, distance & self viewing modes Connects to laptop, desktop computer or monitor. 28 custom color select modes Battery operated - up to 4 hours Built in LED lighting Auto install software/ plug & play 2 year warranty (888) 811-3161 www.enhancedvision.com
  • (888) 811-3161www.enhancedvision.com
  • (888) 811-3161www.enhancedvision.com
  • (888) 811-3161www.enhancedvision.com
  •  Large portable CCTV  Extremely large field of view for portable CCTV  Screen tilts up and down to allow for comfortable use  Can be connected to TV Monitor for even larger field of view  Able to freeze images (888) 811-3161 www.enhancedvision.com
  •  Crisp, high-definition image Lightweight and portable 3.5x to 14x magnification Large 6.5” anti-glare LCD screen tilts for most comfortable viewing angle Large field of view allow the reader to see more of the reading area Freeze frame with adjustable size and contrast 6 viewing modes to optimize contrast and brightness 2 year warranty (888) 811-3161 www.enhancedvision.com
  • (888) 811-3161www.enhancedvision.com
  • (888) 811-3161www.enhancedvision.com
  •  Lightweight Portable CCTV  Ideal size for patient to carry with them (888) 811-3161 www.enhancedvision.com
  •  Can be used for reading and many near spotting tasks  Reading menus  Shopping- seeing price tags and labels  Seeing household items like stove dials and thermostats  Signing documents such as checks and receipts (888) 811-3161 www.enhancedvision.com
  •  Adjustable magnification 2x to 10x Lightweight design 3.0”, 3.5” or 4.3” high resolution LCD Large viewing area in a small package Adjustable brightness 28 available viewing modes Foldable handle with comfort grip 3.5” and 4.3” Freeze image feature with capability to magnify and change mode. (888) 811-3161 2 year warranty www.enhancedvision.com
  • To Schedule aFree – No Obligation in Home DemonstrationCall: 888-811-3161Email: marketing@enhancedvision.comwww.enhancedvision.com (888) 811-3161 www.enhancedvision.com