1. The document provides disclosures for a presenter on pediatric cortical visual impairment.
2. It lists the presenter's consulting, speaking, and authorship activities.
3. No financial disclosures are listed for stock ownership, corporate boards, or off-label uses.
This course presents the latest information concerning cortical visual impairment, its etiology, diagnosis and treatment. Various topics reviewed include cortical vs cerebral visual impairment, ventral/dorsal visual streams, visual acuity, and contrast sensitivity. Also discussed are various retinoscopy techniques, overlapping functional vision disorders, and visual stimulation/therapy for these disorders.
Course Objectives
At the end of this course, the participant will:
Be able to identify cortical vs cerebral visual impairment
Be able to access various vision functions such as visual acuity, contrast sensitivity, oculomotor and accommodative disorders
Be able to treat the diagnosed vision problems with all the tools available to the optometrist (spectacles, low vision devices, vision rehabilitative techniques)
Be aware of and use outside resources to supplement and add to any therapeutic interventions recommended
This document summarizes a conference on evaluating and treating pediatric cerebral visual impairment (PCVI). The conference aims to bring professionals together to define PCVI, determine visual function in children with PCVI, and discuss therapeutic strategies. PCVI was previously referred to as cortical or cerebral visual impairment but a unified definition is needed. Evaluating visual function and functional vision is important for children with PCVI who often have ocular, visual pathway, visual processing and oculomotor issues. Treatment should begin with addressing any correctable visual issues and promoting visual development.
This document discusses the causes and classifications of developmental disabilities. It outlines several biological factors that can cause developmental differences, including genetic disorders like Down Syndrome and Fragile X Syndrome, as well as metabolic disorders. Prenatal infections, intoxicants like alcohol, and complications during and after birth are also discussed as potential causes. Living in poverty can negatively impact child development through nutritional deficiencies, lack of healthcare and education, and substandard housing conditions. The document concludes by covering the main classifications of developmental disabilities recognized by the federal government, which are used to determine eligibility for funding.
Approach to oral health for geriatricians apr 2019SDGWEP
This document summarizes Theodore T. Suh's presentation on oral health for older adults. It discusses common oral health issues in seniors like cavities and periodontal disease. It outlines barriers to dental care for seniors like lack of insurance, affordability, and accessibility issues. Medicare does not cover routine dental care while Medicaid coverage varies by state. Poor oral health can impact overall health by increasing risks of conditions like pneumonia and diabetes complications. The presentation provides tips for caregivers on oral hygiene and discusses initiatives to improve oral health education and access for seniors.
This document discusses the epidemiology of childhood blindness globally and in developing countries like Nepal. It finds that the most common causes of childhood blindness worldwide are retinopathy of prematurity, cataracts, and corneal opacity. In high-income countries, the leading causes are cerebral visual impairment, optic nerve hypoplasia, and inherited retinal disorders. The document also examines prevalence data and determinants of childhood blindness in different regions of Nepal. Reducing avoidable childhood blindness requires improved eye health education, maternal/neonatal healthcare, and national ophthalmic infrastructure.
1. The document provides disclosures for a presenter on pediatric cortical visual impairment.
2. It lists the presenter's consulting, speaking, and authorship activities.
3. No financial disclosures are listed for stock ownership, corporate boards, or off-label uses.
This course presents the latest information concerning cortical visual impairment, its etiology, diagnosis and treatment. Various topics reviewed include cortical vs cerebral visual impairment, ventral/dorsal visual streams, visual acuity, and contrast sensitivity. Also discussed are various retinoscopy techniques, overlapping functional vision disorders, and visual stimulation/therapy for these disorders.
Course Objectives
At the end of this course, the participant will:
Be able to identify cortical vs cerebral visual impairment
Be able to access various vision functions such as visual acuity, contrast sensitivity, oculomotor and accommodative disorders
Be able to treat the diagnosed vision problems with all the tools available to the optometrist (spectacles, low vision devices, vision rehabilitative techniques)
Be aware of and use outside resources to supplement and add to any therapeutic interventions recommended
This document summarizes a conference on evaluating and treating pediatric cerebral visual impairment (PCVI). The conference aims to bring professionals together to define PCVI, determine visual function in children with PCVI, and discuss therapeutic strategies. PCVI was previously referred to as cortical or cerebral visual impairment but a unified definition is needed. Evaluating visual function and functional vision is important for children with PCVI who often have ocular, visual pathway, visual processing and oculomotor issues. Treatment should begin with addressing any correctable visual issues and promoting visual development.
This document discusses the causes and classifications of developmental disabilities. It outlines several biological factors that can cause developmental differences, including genetic disorders like Down Syndrome and Fragile X Syndrome, as well as metabolic disorders. Prenatal infections, intoxicants like alcohol, and complications during and after birth are also discussed as potential causes. Living in poverty can negatively impact child development through nutritional deficiencies, lack of healthcare and education, and substandard housing conditions. The document concludes by covering the main classifications of developmental disabilities recognized by the federal government, which are used to determine eligibility for funding.
Approach to oral health for geriatricians apr 2019SDGWEP
This document summarizes Theodore T. Suh's presentation on oral health for older adults. It discusses common oral health issues in seniors like cavities and periodontal disease. It outlines barriers to dental care for seniors like lack of insurance, affordability, and accessibility issues. Medicare does not cover routine dental care while Medicaid coverage varies by state. Poor oral health can impact overall health by increasing risks of conditions like pneumonia and diabetes complications. The presentation provides tips for caregivers on oral hygiene and discusses initiatives to improve oral health education and access for seniors.
This document discusses the epidemiology of childhood blindness globally and in developing countries like Nepal. It finds that the most common causes of childhood blindness worldwide are retinopathy of prematurity, cataracts, and corneal opacity. In high-income countries, the leading causes are cerebral visual impairment, optic nerve hypoplasia, and inherited retinal disorders. The document also examines prevalence data and determinants of childhood blindness in different regions of Nepal. Reducing avoidable childhood blindness requires improved eye health education, maternal/neonatal healthcare, and national ophthalmic infrastructure.
Artists of Casa Italia Art Exhibition 2013Dominick Maino
The Artists of Casa Italia spectacular Art Exhibition of 2013 will be held August 9th-13th at Casa Italia in Stone Park, Il (Artists' Reception at 7PM on Friday the 9th) and then will move to Little Italy Fest West in Addision, Il (August 14th-18th) and finally will be shown at the Addison Village Town Hall Rotunda August 19th-30th (Artists' Reception on Friday August 30th). Be there!
Illinois College of Optometry's 167th CommencementDominick Maino
The document outlines the schedule and events for the 167th commencement ceremony of the Illinois College of Optometry. The ceremony will take place on May 22, 2010 at 11am and will include musical performances, speeches, conferring of degrees, and recognition of valedictorian. The commencement speaker will be Illinois State Senator Kwame Raoul, who has been a champion for legislation supporting optometry and access to eye care.
The American Society of Caract and Refractive Surgery's magazine, EyeWorld quoted Dr. Dominick Maino extensively on his views concerning the role optometry and ophthalmology should play in the integrated practice.
1) The document discusses tips for maintaining eye health and vision at different ages, from childhood through older adulthood.
2) It emphasizes the importance of regular eye exams starting in childhood and protecting eyes from UV radiation with sunglasses at a young age.
3) In one's 20s and 30s most vision problems can be corrected with lenses or glasses, while changes like presbyopia become more common in one's 40s and 50s and diseases like macular degeneration require increased monitoring in later decades.
3D Vision Syndrome: What Your Clients Should KnowDominick Maino
3D Vision Syndrome is a functional vision disorder characterized by symptoms like headaches and eyestrain when viewing 3D content. Between 1-25% of people may experience problems due to conditions like convergence insufficiency. Comprehensive eye exams are recommended to diagnose any issues, and treatment like optometric vision therapy can help retrain the brain for single, clear binocular vision. Left untreated, 3D Vision Syndrome could negatively impact school performance as 3D technology becomes more widely used in education.
Accommodative esotropia is a condition where the eyes are unable to align simultaneously under normal viewing conditions, causing one eye to turn inward. It is caused by an overactive focusing system due to uncorrected farsightedness or an exaggerated focusing response. Symptoms include double vision, eyestrain, and difficulty reading. Treatment begins with prescription glasses and may include vision therapy exercises or rarely surgery to improve eye alignment and coordination.
Simulated 3D: Research, Education and In Your OfficeDominick Maino
This is the first half of the moderator's (Dr. Dominick Maino) presentation for the Simulated 3D Symposium held this October in Orlando, Fl for the College of Optometrists in Vision Development Annual meeting
Children's Vision and Learning Conference:3D Vision Syndrome: Research, Educa...Dominick Maino
The document provides disclosures for a presenter on 3D vision syndrome. It discloses that the presenter has no financial conflicts of interest and lists their relevant expertise, publications, and affiliations. Research on 3D viewing found that 10-20% of viewers report increased symptoms during and after viewing, with symptoms including headaches, nausea, and eyestrain. Younger viewers and those with preexisting binocular issues are more likely to experience heightened symptoms.
The Natural History of the Oculo-Visual Anomalies Associated with Traumatic B...Dominick Maino
Maino D, Schlange D. The Natural History of the Oculo-Visual Anomalies Associated with Traumatic Brain Injury (TBI): A Case Report. Poster presented at the 2013 College of Optometrists in Vision Development annual meeting, Orlando, FL.
This document provides an overview of pediatric cortical visual impairment (PCVI). It begins with definitions of PCVI and discusses its history. Key aspects of vision function are then reviewed, including clarity of vision, oculomotor ability, accommodation, binocularity, and eye health. Functional vision anomalies that can overlay PCVI are also described. The presentation concludes with discussing diagnostic approaches and treatment strategies for PCVI, including using vision therapy principles of neuroplasticity.
1. The document discusses pediatric cortical visual impairment (PCVI), also known as pediatric cerebral visual impairment.
2. It describes the diagnostic criteria used in optometry, ophthalmology, occupational therapy, and education for the visually impaired to diagnose PCVI.
3. The document discusses management and treatment techniques used across these disciplines to address PCVI and develop a multidisciplinary approach.
Individuals with Disabilities Service: Overview with emphasis on the NEEI/Per...eadvisor
The document provides an overview of the Individuals with Disabilities Service at Perkins School for the Blind with an emphasis on the NEEI/Perkins Low Vision Clinic. It discusses the diverse patient population served, including those with visual impairments, cognitive disabilities, cerebral palsy, and multiple medical issues. It describes the transdisciplinary approach and components of the functional low vision exam, including visual acuity, refraction, visual fields, and ocular health evaluations. It also presents two unresolved patient case examples.
Patrick Lee is an optometrist with experience in private practice and low vision rehabilitation. He completed a residency in ocular disease and low vision rehabilitation and is passionate about providing comprehensive eye care, especially for geriatric and low vision patients. He has published research, presented continuing education courses, and volunteers with organizations serving underserved communities.
This document discusses pediatric cortical visual impairment (PCVI). It begins by defining PCVI and exploring its history. PCVI is caused by injury to the brain rather than the eyes. The document then examines diagnostic approaches for PCVI, including assessing visual acuity, refractive error, oculomotor function, and more. It also discusses functional vision anomalies that can occur with PCVI like amblyopia. The document concludes by outlining treatment approaches for PCVI like using glasses, vision therapy, and modifying the home environment to encourage visual stimulation.
The document summarizes the 2013 International Myopia Conference held in California. It discusses the retreat setting of the conference and how it fostered discussion, in honor of late researcher Josh Wallman. It describes two keynote lectures, one on the epidemic of myopia in Asia by Professor Seang Mei Saw, and the other on myopia research in Shanghai, China by Professor Xingtao Zhou. It also mentions several poster awards given to junior researchers. In conclusion, it announces the location of the 2015 conference will be in Wenzhou, China.
This document provides a summary of the professional experience and qualifications of Dominick M. Maino, OD, MEd, FAAO, FCOVD-A. It lists his current positions as Professor of Pediatrics and Binocular Vision at Illinois College of Optometry and adjunct professor at Centro Boston de Optometria in Madrid, Spain. It also outlines his private practice, education, residency, certification, leadership roles, publications, research interests, teaching, licensing and more. The document demonstrates Dr. Maino's extensive experience and expertise in optometry, pediatrics, binocular vision, and vision therapy.
This document provides a detailed summary of the professional experience and qualifications of Dominick M. Maino, OD, MEd, FAAO, FCOVD-A. It outlines his current positions as a professor at Illinois College of Optometry and an adjunct professor in Spain. It also describes his private practice, education, residency, certifications, leadership roles, publications, research, teaching, licensing and more. The document provides a comprehensive overview of Dr. Maino's extensive career in optometry.
The document discusses low vision and blindness, defining the terms and describing types of visual impairments. It outlines causes and signs of visual problems, assessment and early intervention processes. Accommodations for inclusive classrooms and assistive technologies are described. Transition support into postsecondary education and employment is also addressed.
This study investigated outcomes of cataract surgery with and without intraocular lens (IOL) implantation in children under 2 years old. It found that while IOLs were associated with better early vision for bilateral cataracts, they did not provide benefits for unilateral cataracts and increased risks of reoperations and complications. Younger age increased odds of both better vision and glaucoma. The study provides evidence that IOL use should be reconsidered for unilateral congenital cataracts in young children.
Eye care is an important nursing intervention for critically ill patients to prevent complications. Unconscious, sedated, or paralyzed patients are at high risk of eye injuries or infections as they rely on nurses for eye care. While eye care helps maintain ocular health, it is often neglected in critical care settings where focus is on stabilizing vital systems. The document outlines guidelines for assessing eye condition, providing lubrication and cleaning, and treating issues like conjunctivitis. It stresses the importance of training to ensure effective implementation of eye care guidelines.
This document discusses myopia control strategies. It summarizes research showing that increased time spent outdoors is protective against myopia while near work promotes progression. Optical interventions like atropine drops, multifocal lenses, and orthokeratology have been shown to slow axial elongation by up to 50%, but have side effects. The ATOM studies found that low-dose atropine 0.01% effectively reduced myopia progression with minimal side effects and rebound. Controlling environmental factors and further developing interventions may help manage the growing public health challenge of myopia.
Artists of Casa Italia Art Exhibition 2013Dominick Maino
The Artists of Casa Italia spectacular Art Exhibition of 2013 will be held August 9th-13th at Casa Italia in Stone Park, Il (Artists' Reception at 7PM on Friday the 9th) and then will move to Little Italy Fest West in Addision, Il (August 14th-18th) and finally will be shown at the Addison Village Town Hall Rotunda August 19th-30th (Artists' Reception on Friday August 30th). Be there!
Illinois College of Optometry's 167th CommencementDominick Maino
The document outlines the schedule and events for the 167th commencement ceremony of the Illinois College of Optometry. The ceremony will take place on May 22, 2010 at 11am and will include musical performances, speeches, conferring of degrees, and recognition of valedictorian. The commencement speaker will be Illinois State Senator Kwame Raoul, who has been a champion for legislation supporting optometry and access to eye care.
The American Society of Caract and Refractive Surgery's magazine, EyeWorld quoted Dr. Dominick Maino extensively on his views concerning the role optometry and ophthalmology should play in the integrated practice.
1) The document discusses tips for maintaining eye health and vision at different ages, from childhood through older adulthood.
2) It emphasizes the importance of regular eye exams starting in childhood and protecting eyes from UV radiation with sunglasses at a young age.
3) In one's 20s and 30s most vision problems can be corrected with lenses or glasses, while changes like presbyopia become more common in one's 40s and 50s and diseases like macular degeneration require increased monitoring in later decades.
3D Vision Syndrome: What Your Clients Should KnowDominick Maino
3D Vision Syndrome is a functional vision disorder characterized by symptoms like headaches and eyestrain when viewing 3D content. Between 1-25% of people may experience problems due to conditions like convergence insufficiency. Comprehensive eye exams are recommended to diagnose any issues, and treatment like optometric vision therapy can help retrain the brain for single, clear binocular vision. Left untreated, 3D Vision Syndrome could negatively impact school performance as 3D technology becomes more widely used in education.
Accommodative esotropia is a condition where the eyes are unable to align simultaneously under normal viewing conditions, causing one eye to turn inward. It is caused by an overactive focusing system due to uncorrected farsightedness or an exaggerated focusing response. Symptoms include double vision, eyestrain, and difficulty reading. Treatment begins with prescription glasses and may include vision therapy exercises or rarely surgery to improve eye alignment and coordination.
Simulated 3D: Research, Education and In Your OfficeDominick Maino
This is the first half of the moderator's (Dr. Dominick Maino) presentation for the Simulated 3D Symposium held this October in Orlando, Fl for the College of Optometrists in Vision Development Annual meeting
Children's Vision and Learning Conference:3D Vision Syndrome: Research, Educa...Dominick Maino
The document provides disclosures for a presenter on 3D vision syndrome. It discloses that the presenter has no financial conflicts of interest and lists their relevant expertise, publications, and affiliations. Research on 3D viewing found that 10-20% of viewers report increased symptoms during and after viewing, with symptoms including headaches, nausea, and eyestrain. Younger viewers and those with preexisting binocular issues are more likely to experience heightened symptoms.
The Natural History of the Oculo-Visual Anomalies Associated with Traumatic B...Dominick Maino
Maino D, Schlange D. The Natural History of the Oculo-Visual Anomalies Associated with Traumatic Brain Injury (TBI): A Case Report. Poster presented at the 2013 College of Optometrists in Vision Development annual meeting, Orlando, FL.
This document provides an overview of pediatric cortical visual impairment (PCVI). It begins with definitions of PCVI and discusses its history. Key aspects of vision function are then reviewed, including clarity of vision, oculomotor ability, accommodation, binocularity, and eye health. Functional vision anomalies that can overlay PCVI are also described. The presentation concludes with discussing diagnostic approaches and treatment strategies for PCVI, including using vision therapy principles of neuroplasticity.
1. The document discusses pediatric cortical visual impairment (PCVI), also known as pediatric cerebral visual impairment.
2. It describes the diagnostic criteria used in optometry, ophthalmology, occupational therapy, and education for the visually impaired to diagnose PCVI.
3. The document discusses management and treatment techniques used across these disciplines to address PCVI and develop a multidisciplinary approach.
Individuals with Disabilities Service: Overview with emphasis on the NEEI/Per...eadvisor
The document provides an overview of the Individuals with Disabilities Service at Perkins School for the Blind with an emphasis on the NEEI/Perkins Low Vision Clinic. It discusses the diverse patient population served, including those with visual impairments, cognitive disabilities, cerebral palsy, and multiple medical issues. It describes the transdisciplinary approach and components of the functional low vision exam, including visual acuity, refraction, visual fields, and ocular health evaluations. It also presents two unresolved patient case examples.
Patrick Lee is an optometrist with experience in private practice and low vision rehabilitation. He completed a residency in ocular disease and low vision rehabilitation and is passionate about providing comprehensive eye care, especially for geriatric and low vision patients. He has published research, presented continuing education courses, and volunteers with organizations serving underserved communities.
This document discusses pediatric cortical visual impairment (PCVI). It begins by defining PCVI and exploring its history. PCVI is caused by injury to the brain rather than the eyes. The document then examines diagnostic approaches for PCVI, including assessing visual acuity, refractive error, oculomotor function, and more. It also discusses functional vision anomalies that can occur with PCVI like amblyopia. The document concludes by outlining treatment approaches for PCVI like using glasses, vision therapy, and modifying the home environment to encourage visual stimulation.
The document summarizes the 2013 International Myopia Conference held in California. It discusses the retreat setting of the conference and how it fostered discussion, in honor of late researcher Josh Wallman. It describes two keynote lectures, one on the epidemic of myopia in Asia by Professor Seang Mei Saw, and the other on myopia research in Shanghai, China by Professor Xingtao Zhou. It also mentions several poster awards given to junior researchers. In conclusion, it announces the location of the 2015 conference will be in Wenzhou, China.
This document provides a summary of the professional experience and qualifications of Dominick M. Maino, OD, MEd, FAAO, FCOVD-A. It lists his current positions as Professor of Pediatrics and Binocular Vision at Illinois College of Optometry and adjunct professor at Centro Boston de Optometria in Madrid, Spain. It also outlines his private practice, education, residency, certification, leadership roles, publications, research interests, teaching, licensing and more. The document demonstrates Dr. Maino's extensive experience and expertise in optometry, pediatrics, binocular vision, and vision therapy.
This document provides a detailed summary of the professional experience and qualifications of Dominick M. Maino, OD, MEd, FAAO, FCOVD-A. It outlines his current positions as a professor at Illinois College of Optometry and an adjunct professor in Spain. It also describes his private practice, education, residency, certifications, leadership roles, publications, research, teaching, licensing and more. The document provides a comprehensive overview of Dr. Maino's extensive career in optometry.
The document discusses low vision and blindness, defining the terms and describing types of visual impairments. It outlines causes and signs of visual problems, assessment and early intervention processes. Accommodations for inclusive classrooms and assistive technologies are described. Transition support into postsecondary education and employment is also addressed.
This study investigated outcomes of cataract surgery with and without intraocular lens (IOL) implantation in children under 2 years old. It found that while IOLs were associated with better early vision for bilateral cataracts, they did not provide benefits for unilateral cataracts and increased risks of reoperations and complications. Younger age increased odds of both better vision and glaucoma. The study provides evidence that IOL use should be reconsidered for unilateral congenital cataracts in young children.
Eye care is an important nursing intervention for critically ill patients to prevent complications. Unconscious, sedated, or paralyzed patients are at high risk of eye injuries or infections as they rely on nurses for eye care. While eye care helps maintain ocular health, it is often neglected in critical care settings where focus is on stabilizing vital systems. The document outlines guidelines for assessing eye condition, providing lubrication and cleaning, and treating issues like conjunctivitis. It stresses the importance of training to ensure effective implementation of eye care guidelines.
This document discusses myopia control strategies. It summarizes research showing that increased time spent outdoors is protective against myopia while near work promotes progression. Optical interventions like atropine drops, multifocal lenses, and orthokeratology have been shown to slow axial elongation by up to 50%, but have side effects. The ATOM studies found that low-dose atropine 0.01% effectively reduced myopia progression with minimal side effects and rebound. Controlling environmental factors and further developing interventions may help manage the growing public health challenge of myopia.
Cleft lip and palate are common genetic defects that cause physical, social, economic, and emotional problems. They involve splits in the upper lip and roof of the mouth that form early in development. While they require multiple treatments over years, most children with cleft lip and palate can achieve normal appearance and lives through surgery, therapy, and other care. Operation Smile is a non-profit organization that provides free repair surgery to children with clefts in many countries around the world.
This month we welcomed our first Optical Forum Editorial Board wave of members. A lot of responsibilities await us in the future. With the help of diverse, competent, and qualified board members we are confident that a lot will also be accomplished.
September is healthy aging month. The risk of vision loss due to age-related macular degeneration should not be underestimated. Eye care professionals spend a significant amount of time consulting with patients and presenting to the community about ways to reduce the risk of eye diseases as we age. We repeatedly emphasize on regular yearly eye exam, healthy diet, protection against Ultra Violet sunlight, appropriate protection against light transmitted from electronic devices, etc.
At Optical Forum and during September we continued to post new original content on daily basis. This month’s topics revolved around Eye Health, Technology, Practice Management, Motivation, emotional intelligence, along with other topics of entrepreneurship, leadership, marketing, etc…
Functional vision loss can be difficult to differentiate from malingering. It is characterized by medically unexplained loss of visual acuity or visual field. It commonly affects females ages 11-20 and is associated with psychological factors like depression, anxiety, or abuse. Assessment involves ruling out organic causes through visual tests and observing patients' visual abilities and behaviors. Questioning patients and caregivers can provide insight into motivations and symptom validity. Management prioritizes reassurance, counseling, and follow-up over unnecessary medical interventions.
1. The document discusses common optometric malpractice and relevant sections of Indian Penal Code (IPC). It lists 10 common optometric malpractices such as failure to dilate pupils during exams, determine causes of vision loss, conduct periodic eye exams for contact lens wearers, and maintain proper records.
2. IPC sections 319-322 define hurt, grievous hurt, and voluntarily causing hurt or grievous hurt. Grievous hurt includes emasculation, vision or hearing loss, impairing limbs, and disfiguration.
3. The document was submitted by Krishna Kumar Gupta to their professor at Sankara Academy of Vision in Ludhiana, India as an assignment on opt
Eye banking involves collecting, processing, storing and distributing donated corneas for transplantation. It aims to address the growing problem of corneal blindness worldwide. An effective eye banking system requires establishing eye banks, improving tissue collection methods, providing training to medical professionals, and conducting public awareness campaigns to promote eye donation. The Sandhani National Eye Donation Society in Bangladesh operates a three-tier eye banking model with eye donation centers, eye banks, and eye banking training centers working together to combat corneal blindness in the country.
Aging Oxidative Stress and Dietary OxidantsDominick Maino
This book review summarizes the text "Aging: Oxidative Stress and Dietary Antioxidants" which discusses how oxidative stress impacts the aging process and various age-related diseases. It contains 29 chapters authored by 82 contributors exploring topics like the role of antioxidants in reducing frailty, supporting cardiovascular health and preventing Alzheimer's disease. The review highlights how certain foods, herbs, spices and supplements can potentially slow aging by decreasing oxidative stress and inflammation. While technical at times, the book's diagrams and photographs help explain complex topics for readers without extensive scientific backgrounds. The reviewer recommends it for anyone wanting to better understand senior health and the science behind antioxidants.
06 17 current research that you should incorporate into yourDominick Maino
This course presents the best research posters from the 2017 American Optometric Association conference, featuring 5 presentations on topics ranging from concussive effects in veterans to myopia in children to management of central serous retinopathy and choroideremia. The document provides background on the poster selection process and encourages optometrists to submit their own case reports and clinical research for consideration in future poster sessions. It concludes with a question and answer period following the 5 presentations.
06 17 current research that you should incorporate into yourDominick Maino
This document summarizes a course featuring the best poster presentations from the 2017 AOA conference. It discusses 5 poster presentations that were selected to be highlighted covering topics like concussive effects in veterans, myopia in children in China, corneal edema, central serous retinopathy, and low vision rehabilitation for choroideremia. The document provides details on the abstract review process and encourages clinicians to submit case reports and research to the 2018 poster session.
Cerebral Palsy is a motor disability appearing in early life due to brain damage. It has a prevalence of 1-4 per 1000 live births. Etiologies include prenatal, perinatal and postnatal insults. It is classified as spastic, dyskinetic or ataxic. Visual characteristics include refractive errors like hyperopia, strabismus in over 10% of cases, and reduced accommodation. Down Syndrome is a genetic condition caused by trisomy 21. Its prevalence is about 1 in 700 live births. Physical characteristics include low muscle tone, a flat facial profile, and health issues such as congenital heart defects and hearing loss.
My students and I wrote several translations of how to conduct an eye examination (mostly my students since my language skills are not very good!). I know there are many ways, and perhaps better ways to ask these questions, but this could be a starting point. Feel free to adapt this to your needs and to make this even better. Please share when you do.
My students and I wrote several translations of how to conduct an eye examination (mostly my students since my language skills are not very good!). I know there are many ways, and perhaps better ways to ask these questions, but this could be a starting point. Feel free to adapt this to your needs and to make this even better. Please share when you do.
Let me know what you think. (dmaino@ico.edu).
Neuroplasticity and Vision Therapy for Adults; A Case SeriesDominick Maino
This poster was presented at the American Optometric Association's Annual meeting in Boston, MA 06/2016
The bottom line:
The visual cortex has the capacity for experience dependent change (neuroplasticity) throughout life. Unfortunately, when it comes to the adult with binocular vision problems, this is not always recognized as being true even though there is strong clinical evidence to suggest a high level of adult neuroplasticity. Current research shows that adults tend to have numerous anomalies associated with the binocular vision system especially within certain populations. This case series demonstrates how those even approaching 70 years of age can benefit from optometric vision therapy.
Current Clinical Case Reorts & Research You Should Incorporate into Your Mode...Dominick Maino
Dominick Maino, OD, MEd, FAAO, FCOVD-A
Moderator
Featuring the Best of AOA's 2016 Poster Presentations
Saturday, July 2nd 8-10AM
Five of the very best, clinically relevant posters were chosen to be given during the American Optometric Association meeting in Boston in 2016. These posters were chosen by the AOA Poster Committee (Dr. Dominick M. Maino, Chair).
PDF Handout: D Maino: Visual Diagnosis and Care of the Patient with Special N...Dominick Maino
This is a copy of my handout of the lecture given in class today. (Copyright 2016). You may download and use this for any non-commercial educational purpose.
Writing the Perfect Poster Abstract in 20 Minutes or LessDominick Maino
One of the easiest ways to begin your publishing career is to present a poster during one of the many annual meetings held by professional optometry. These meetings include but are not limited to the College of Optometrists in Vision Development, American Academy of Optometry and the American Optometric Association. This presentation reviews the step by step process involved in writing an abstract that will be accepted for presentation by these and other organizations most of the time. Once the abstract is written, you are one third of the way to making a significant contribution to the optometric literature. The other two thirds include, creating the poster and writing the final paper to be submitted to an appropriate journal for publication (the last two topics will be addressed at other meetings and/or within future VDR articles). You are encouraged to bring information for a case report and/or case series that you wish to use for a poster in the future.
AOA "There's More to 3D than Meets the Eye"Dominick Maino
The American Optometric Association did an awesome job in making a potentially hard to understand topic...easier to understand. If you have problems with viewing 3D, please review this PowerPoint presentation.
A,B,V's of School Performance: Academics, Behavior and VisionDominick Maino
This presentation is geared towards teachers and professional teaching staff, but can also be adapted for parents and others. It reviews the three O's of eye care (Optometry, Ophthalmology, Optician), the optometric examination, learning related vision problems and more.
Evidence Based Practice: Pediatrics, Binocular Vision and Patients with Speci...Dominick Maino
This document discusses evidence-based clinical practice in pediatrics and optometry, specifically for patients with special needs. It covers different perspectives of clinicians and researchers, as well as patients' views. It questions whether evidence is needed for everything, given limitations of randomized controlled trials and systematic reviews. The document also discusses levels of scientific evidence and grades of evidence in evaluating research studies and forming clinical recommendations.
060915 current research that you should incorporate into yourDominick Maino
Current Research that You Should Incorporate into Your Mode of Practice Now!
Dominick Maino, OD, MEd, FAAO, FCOVD‐A
Moderator
Featuring the Best of AOA's 2015 Poster Presentations
Jun‐27‐2015 8:00AM ‐ 10:00AM
Optic Nerve Head Drusen: A Myriad of Presentations
Jennifer L. Jones, Sylvia E. Sparrow, Christina Grosshans
Validation Study of New LCD‐Based Contrast Sensitivity Testing Method
Sarah Henderson, Jeung H Kim, Paul Harris
Bilateral Cystoid Macular Edema in Retinitis Pigmentosa and its Management
Lindsay T. Gibney
An ODE to Optic Disc Edema
Kelli Theisen
Is Binocular Balancing with Subjective Refraction a thing of the Past?
David Geffen
Optometry's Meeting 2015
Seattle, Washington
Maino D. Agenda Driven Research. Vis Dev Rehab 2015; 1(1):7-11.
Read the editorial.....
Conclusion
It is time for all to put aside our agendas,
our biases, our preconceived notions. It is time
to work together to determine best practices
even if it is contrary to prevailing opinion. The
world is not flat. Amblyopia can be treated at
any age. And optometric vision therapy is an
appropriate treatment modality for disorders of
he binocular vision system.
Dr. Dominick Maino Quoted in AOAFocus Article: Wearable WonderDominick Maino
".....Dominick M Maino, O.D., M.Ed., FAAO, FCOVD-A, professor of pediatrics and binocular vision at the Illinois College of Optometry and private practitioner at Lyons Family Eye Care in Chicago, imagines a world in which people with dementia wear unobtrusive GPS devices that allow family members to easily track them if they leave the safety of their homes. Or, he imagines Google Contacts, which are being designed to monitor blood glucose levels, working seamlessly with insulin pumps, so one's blood sugar never veers out of healthy range. The possibilities are endless. Already, engineers are developing bracelets for the hearing impaired that can translate hand movements into words. For optometrists such as Dr. Maino, who see a great number of patients with disabilities, such technology could be quite useful.
"In the not-too-distant future—probably in my lifetime—both in terms of prevention and monitoring of health, we will probably all be wearing one or more devices that talk to each other," Dr. Maino says. "But right now, much of this is in the development stage or just vaporware."...."
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Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...Jim Jacob Roy
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STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
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Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
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Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
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PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
1. 11/2/2013
Presenter Disclosures
Consultant/
Speakers bureaus
Expert Witness/Legal Consultant-Gilbert & Tobin, Sydney, Australia
American Optometric Association Spokes Person, Lecturer
College of Optometrists in Vision Development, Lecturer
Pacific University College of Optometry, Lecturer
Research funding
“No Disclosures.”
Stock
ownership/Corporate
boards-employment
“No Disclosures.”
Off-label uses
Editor/Author
“No Disclosures.”
Pediatric Cortical Visual Impairment
Dominick M. Maino, OD, MEd, FAAO, FCOVD‐A
Professor of Pediatrics/Binocular Vision Illinois Eye Institute/Illinois College of Optometry
Lyons Family Eye Care Chicago, Il
dmaino@ico.edu ICO.edu
LyonsFamilyEyeCare.com MainosMemos.com
Please silence all mobile devices.
Unauthorized recording of this session is prohibited.
Visual Diagnosis and Care of the Patient with Special Needs, Lippincott,
2012; American Optometric Association News
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Next PCVIS
Conference:
June 27‐28,
2014 Oaha, NE
Case #1
Hx: 2 year 4 mo old, ischemic changes in the
cortex with both white and deep grey matter
diffuse abnormalities, CP spastic quad, DD,
seizures since birth (infantile spasms)
Case #2
Hx: 2 y 5 mo female, picks up toys more,
increased facial expressions, still using g‐tube.
No change in mobility, feeding improving. Eye
health unremarkable
XT onset after head trauma, all milestones
delayed shaken baby syndrome, retinal signs
resolved, seizures, Prevacid, Topamax
OD Speakers
include:
Case #3
11 yr 6 m F. vision problems noted at 8mos of
age, optic nerve hypoplasia, nystagmus
VEP all results delayed. Peak poorly formed but
consistent with optic nerve hypoplasia,
nystagmus intermittent, gtube, seizures, poor
handeye, Mobility rolls over
Dr. Joseph Maino,
Dr. Curt Baxstrom,
Dr. Dominick Maino
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Pediatric Cortical Visual Impairment
•History of CVI
•Brain injury 19th century
with Phineas P. Gage
An
Introduction
Defining pediatric cortical visual impairment (PCVI)
Definition confusing, misunderstood and imprecise.
Pediatric Cerebral Visual Impairment
Pediatric Cortical Visual Impairment
Delayed Visual Development
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World War I, wounded
veterans with brain injury
displayed perceived
motion in the “blind,
non‐seeing” visual field.
Ability to sense motion,
lights, and colors
Conscious or
subconscious.
•Statokinetic dissociation (in children)
•greater reduction in sensitivity to stationary visual stimuli
relative to similar targets in motion
•Riddoch phenomenon (adults)
• Ability to sense movement even though blind
• “See” moving objects…but not stationary ones
• Blindsight
•Ability to ‘sense’ objects in the way
Alesterlund L, Maino D. That the blind may see: A review: Blindsight and its implications for
optometrists. J Optom Vis Dev 1999;30(2):86‐93
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Statokinetic dissociation (in children)
•Statokinetic dissociation (in children)
Movement in the peripheral visual field
may elicit a smile in the blind child with
quadraplegia and profound intellectual
disability.
Children who are fed with a spoon may
intermittently open their mouths to
receive food when the spoon is moved
in an arc from the peripheral visual
fields, but not when it approaches the
mouth from straight ahead.
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•For those children who understand language
stating what is being seen as the child reacts to it
may enhance both visual and language
development.
•Such children may rock to and fro. Whether this
generates an image is difficult to know.
•Rarely, children with cerebral blindness who are
mobile move slowly around obstacles. This
phenomenon has been called travel vision.
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Reduced visual acuity identifying
feature.
•1980’s adults with bilateral occipital cortex
insult (cortical blindness)
•Term applied to children.
•Cortical visual impairment used in the
1980’s onward
• Definition of CVI includes injury lateral
geniculate nucleus/visual cortex
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Many children damage to white
matter surrounding the ventricals
(perventricular leukomalacia PVL)
Cerebral Visual Impairment now
used (especially in Europe)
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The ventral stream (also known as the
"what pathway") travels to the temporal
lobe and is involved with object
identification. The dorsal stream (or,
"where pathway") terminates in the
parietal lobe and process spatial locations.
Pediatric Cortical Visual Impairment
North America: Cortical Visual Impairment
Elsewhere: Cerebral Visual Impairment
Cerebral visual impairment: inclusive term
Ocular visual impairment: Refractive state, Optics, Eye health
Cerebral visual impairment: Neuro‐pathway problems,
cortical problems, oculomotor dysfunction, vision information
processing (dorsal and ventral streaming processing mechanisms)
For more in depth information please see: Maino D. Pediatric Cerebral Visual Impairment. Optom Vis Dev
2012:43(3):115‐120 (available from http://www.slideshare.net/DMAINO/maino‐cortical‐visual‐impairment)
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•Delayed Visual Maturation (DVM)
Pediatric Cortical Visual Impairment Society
•DVM type I Visually impaired infants: improved
visual abilities by the age of 6 months, often
without treatment.
•DVM type II: attention problems, associated
with neurological/learning abnormalities.
Improvement takes longer
•DVM III: children have nystagmus, albinism.
Vision improves later, can improve to low‐normal
levels.
•DVM IV: associated with retinal, optic nerve,
macular anomalies
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Next PCVIS Conference: June 27‐28, 2014 Oaha, NE
Congenital or acquired brain-based visual
impairment with onset in childhood, unexplained
by an ocular disorder and associated with unique
visual and behavioral characteristics.
Founding Board: Lindsay Hillier, Alan Lantzy,
Richard "Skip" Legge, Dominick Maino, Linda
Nobles, Christine Roman, Jacy VerMaas-Lee
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Pediatric Cortical Visual Impairment
Pediatric Cortical Visual Impairment
Diagnostic Approaches & Strategies
1.
2.
3.
4.
5.
6.
Vision Function
Case History
Visual Acuity
Refractive Error
Vision Function Assessment
Ocular Health
Special Tools
Clarity of vision
Oculomotor ability
Accommodation
Binocularity
Kran B, Mayer L. Visual impairment and brain damage. In Taub M, Bartuccio M,
Maino D. (Eds) Visual Diagnosis and Care of the Patient with Special Needs.
Lippincott Williams & Wilkins. New York, NY;2012:135‐145
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Case Reviews
Case Reviews
Case #4
2 y/o HM, genetic mutation L1CAM that lead
to hydrocephalus and developmental delays,
had VP shunt, in early intervention program,
no self feeding, hearing ok, Lissencephaly,
ROS unremarkable, born c‐section because of
large head, APGAR 9 and 9, no meds
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Case #4
Teller 20/180, Cardif 20/80, +tracking,
+OKN, + eyehand, FROM, Ta 26, 26 lids
held, +2.25 OD/OS IRET 10PD, PERRL –
apd
Dx: CVI, IAET, Hordeolum, hyperopia, eye
health unremarkable
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Rehabilitation of cortical visual impairment in children. Denise E Malkowicz, Ginette
Myers, Gerry Leisman in The International journal of neuroscience (2006)
Optom Vis Sci. 2005 Sep;82(9):807‐16. Retrospective analysis of refractive errors
in children with vision impairment. Du JW, Schmid KL, Bevan JD, Frater KM,
Ollett R, Hein B.
….We found that cortical or cerebral vision impairment (CVI) was the most
common condition causing vision impairment, accounting for 27.6% of cases.
This was followed by albinism (10.6%), retinopathy of prematurity (ROP; 7.0%),
optic atrophy (6.2%), and optic nerve hypoplasia (5.3%). Vision impairment was
associated with ametropia; …. The mean spherical equivalent refractive error of
the children (n = 813) was +0.78 +/‐ 6.00 D with 0.94 +/‐ 1.24 D of astigmatism
and 0.92 +/‐ 2.15 D of anisometropia. …..
….Criteria were set to extract a fairly homogeneous group of 21 children with
CVI due to perinatal HIE or postnatal anoxia who had extensive gray and white
matter injury and multiple neurological deficits; 20 of 21 (95%) had
symptomatic epilepsy as well. Subjects entered the study with responses
ranging from just a pupillary light reflex to rudimentary perception of outline.
Each subject underwent an at‐home treatment
program. Twenty of 21 children (95%) manifested significant
improvement after 4 to 13 months on the program. Results
indicate that even in this challenging group, there may
be considerable neuroplasticity in visual systems
leading to reintegration and visual recovery.
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The relative frequency of ocular conditions causing vision
impairment in children has changed since the 1970s.
Children with vision impairment often have an
associated ametropia suggesting that the
emmetropization system is also impaired.
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Cortical Visual Impairment Pediatric Visual Diagnosis Fact
Sheet http://www.aph.org/cvi/articles/bbf_1.html
Social Media
Pinterest
http://pinterest.com/pediastaff/visual‐
impairment/
Facebook
Present Blindness American
https://www.facebook.com/preventblindness?fre
f=ts
Thinking Outside the Lightbox
https://www.facebook.com/Thinkingoutsidetheligh
tbox?ref=ts&fref=ts
Cortical Visual Impairment
http://www.aapos.org/terms/conditions/40
Blind Babies Foundation
http://blindbabies.org/learn/diagnoses‐and‐strategies/
Perkins: Cortical/Cerebral Visual Impairment
http://www.perkins.org/assets/downloads/webinars/cvi
‐webinar‐session‐1.pdf
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Social Media
Resources:
Dutton GN, Bax M (eds). Visual Impairment in Children due to Damage to the
Brain. Clinics in Developmental Medcine No. 186. Mac Keith Press, London, UK.
2010
Blogs
http://adayinourshoes.com/tag/cortical‐visual‐
impairment/
Taub M, Bartuccio M, Maino D. (Eds) Visual Diagnosis and Care of the Patient
with Special Needs; Lippincott Williams & Wilkins. New York, NY. 2012
Lantzy C. Cortical Visual Impairment: An Approach to Assessment and
Intervention. AFB Press, NY, NY. 2007
Hyvarinen L, Jacob N. What and How does this Child See? Vistest, Ltd. Helsinki,
Finland. 2011
Brown, C. (2004). A guide for teachers and therapists working with my child.
Chapel Hill, NC: Early Intervention Training Center for Infants and Toddlers With
Visual Impairments, FPG Child Development Institute, UNC‐CH.
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Resources
Resources
Internet
Internet
http://drleahyvarinen.com/
This lecture is available from
http://Mainosmemos.com
http://www.slideshare.net/DMAINO/
http://www.slideshare.net/DMAINO/
https://www.facebook.com/Thinking
outsidethelightbox?ref=ts&fref=ts
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Next PCVIS
Conference:
June 27‐28,
2014 Oaha, NE
Treatment of Functional Vision Anomalies in PCV
Suggestions from members
OD Speakers
include:
Dr. Joseph Maino,
Dr. Curt Baxstrom,
Dr. Dominick Maino
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Treatment of Functional Vision Anomalies in PCV
Treatment of Functional Vision Anomalies in PCV
Increase contrast‐
Use electrical colored tape, stickers, decals to add to objects
(bottles, cups) walls, cribs
Use plain colored sheets, poster board to hang on
walls/corners to then attach objects, fabrics to make play
spaces or rooms around the home more stimulating
Use patterned fabrics, carpet squares, cellophane, clear
plastic‐ to add to walls, windows, play spaces
Make a “stained glass” window or mobile‐ use cellophanes,
CD’s, Mylar wrapping papers
Use carpet squares on floor to mark areas; paint/tape on
floor moldings or door jams
How To Modify your Home for Visual Stimulation
Environment‐ directly impacts visual development and
brain cells
Lighting‐ to increase stimulation of brain cells
Open drapes‐ position child’s back to windows/doors
Use In‐direct lighting – floor or desks lamps are best and
reduce glare (direct light may damage retinal tissues);
compact fluorescent bulbs ‐16 or 22 Watt with warm color
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Treatment of Functional Vision Anomalies in PCV
Treatment of Functional Vision Anomalies in PCV
Suggested Materials and Activities to try‐
Mobiles‐ suspend colorful Mylar, CD’s, strings‐ provides movement
and shiny objects
Screen savers‐ computer backgrounds are very stimulating and can
become a cause and effect activity
Household items‐ use soup cans, quacker oats containers, spoons,
metal bowls, colorful cups
Adhesives‐ wall decals, stickers; add to lower places on walls
Show, Tell & Reach‐
**Be aware of what you wear or what other sounds are in the environment; competing
stimuli make it harder to visually attend and focus
Barbara Halton‐Bailey, Education Coordinator Virginia Dept. f/t Blind
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Develops understanding of objects and immediate
world through hands on experience
Helps understand daily routines
Develops better visual and/or motor responses
Builds sound localization
Increases active involvement
Lays the groundwork for crawling and walking
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Treatment of Functional Vision Anomalies in PCV
Treatment of Functional Vision Anomalies in PCV
Show, Tell & Reach‐ How to do‐
Defined Spaces or Play spaces‐
Provides incentive for movement, exploration, and independent
interaction
A life‐long organizational strategy to enhance efficiency of
movement, independence and self‐esteem‐the use of defined spaces
expands and grows with the child
Use walls and furniture as reference points in each room of the
house
First place toys touching body as baby plays on tummy, back, side or
seated on the play space.
Move objects further away and make sounds with the object for
baby to reach for
Slow down the pace during activities
Routinely take 5 minutes or so; tell what object is and what is
happening, allow extra time for baby to “study” with hands, ears,
eyes and body
Provide assistance with reaching
Babies may need to hold and “get to know” it by touching it before
understanding and reaching for it away from the body
Gradually put familiar toys a few inches away (after initially touching)
and make a sound for baby to reach for the object
Barbara Halton‐Bailey, Education Coordinator Virginia Dept. f/t Blind
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