Fall Prevention & Vision Aids January 15, 2020 12:00 PM EST Dr. Ana M. Juricic T HIS WEBINAR IS BEING RECORDED . S TAY IN THE L OOP ! T HE SLIDE DECK AND RECORDING WILL BE WWW . FALLSLOOP . COM EMAILED AFTER THE WEBINAR . WWW . JR . FALLSLOOP . COM
Fall Prevention & Vision Aids January 15, 2020 12:00 PM EST Dr. Ana M. Juricic T HIS WEBINAR IS BEING RECORDED . S TAY IN THE L OOP ! T HE SLIDE DECK AND RECORDING WILL BE WWW . FALLSLOOP . COM EMAILED AFTER THE WEBINAR . WWW . JR . FALLSLOOP . COM
Fall Prevention: What you need to know about vision DR. ANA M. JURICIC LOW VISION OPTOMETRIST LOOP FALL PREVENTION – JANUARY 15, 2020 TORONTO, ONTARIO
What field of health care are you in? A. Occupational Therapy B. Physiotherapy/Kinesiology C. Nursing Poll Question D. Eye health care professional E. Low Vision Therapist/Orientation and Mobility F. Government and/or Management G. None of the above www.DrLowVision.com
If you are in health care, how many hours on average a week are you involved with direct patient care? A. 0-5 hours Poll Question B. 6-10 hours C. 11-20 hours D. 21-30 hours E. 31 or more hours www.DrLowVision.com
Canadian Patient Charter for Vision Care: Estimated 5.5 million Canadians Patients have a right to: Receive The Canadian Patient Charter for live with a vision threatening eye a timely referral and access to Vision Care was signed on May condition the full spectrum of care in their 7, 2015 and was signed by all the journey through vision loss, from leaders in Vision Health and CNIB Of whom nearly 500,000 already are blind an ophthalmologist’s or or partially sighted optometrist’s initial assessment to the rehabilitation professional’s delivery of intensive therapy, including any required specialized training to allow them to live safely, independently and with dignity www.DrLowVision.com
Vision Loss Facts BY AGE 65, 1 IN 3 CANADIANS 1 IN 9 SENIORS WILL HAVE WITH VISION LOSS IT IS COMMON WILL HAVE AN EYE DISEASE IRREVERSIBLE VISION LOSS TO LOSE INDEPENDENCE LEADING TO CHANGES IN VISION www.DrLowVision.com
Vision Loss Can Lead to: Declining health Disability Need for Assisted Living/Retirement Facilities Depression Frequent Falls www.DrLowVision.com
Statistics of Falls in Canada 1 in 3 Canadians over the age of 65 are at risk of falling at least once Having impaired vision more than doubles the risk of falls Unintentional falls resulted in almost 1,800 reported emergency department (ED) visits and 417 hospital stays EVERY DAY in 2016-2017 in Canada www.DrLowVision.com
How to avoid vision loss? Vision loss is avoidable under regular care of an optometrist Comprehensive eye examinations will detect any eye health or vision problems before they have a toll on day to day life For seniors, annual eye examinations are recommended (more often if being monitored for an eye condition) For 20-65 yrs old, eye examinations every 2 years or sooner if any eye conditions Children, eye examinations every year www.DrLowVision.com
Poll Question: How many clients/patients a month do you see who live with vision loss? A. 0-5 B. 6-20 C.21-50 D. 51 or more www.DrLowVision.com
Vision Loss can lead to 6X increase risk of depression www.DrLowVision.com
Poll Question: Do you have a family member or friend who is living with vision loss? A. YES B. NO www.DrLowVision.com
DID YOU KNOW… 1 in 3 Canadians will suffer from vision loss by the age of 75 1 in 3 will have difficulty: Reading the paper Driving Watching TV Identifying peoples faces Increased Risk of Falls www.DrLowVision.com
Main causes of Vision Loss: Macular Degeneration Glaucoma Cataracts Diabetic Retinopathy Hereditary conditions Ocular injury www.DrLowVision.com
How does the eye work? www.DrLowVision.com
LEADING CAUSE OF VISION LOSS IN ▪ WESTERN WORLD MACULAR DEGENERATION APPROX 2 MILLION CANADIANS AND 13 ▪ MILLION AMERICANS ARE AFFECTED www.DrLowVision.com
WHAT IS MACULAR DEGENERATION? MACULA RESPONSIBLE FOR FINE DETAIL AT THE BACK OF THE EYE WITH MACULAR DEGENERATION THERE IS DISRUPTION OF THE RETINAL LAYERS AT THE MACULA LEADING TO DISTORTED VISION www.DrLowVision.com
TWO TYPES OF AMD Macular Degeneration DRY WET Macular Macular Degeneration Degeneration (~85%) (~15%) 10 – 20 % of Severe Vision Loss 80 – 90 % of severe vision loss www.DrLowVision.com
AMD and Stargardt’s – central vision loss www.DrLowVision.com
Over 4 million Americans and 350,000 Canadians have glaucoma, but only half of them know they have it. Glaucoma Statistics Glaucoma is second leading cause of blindness according to World Health Organization www.DrLowVision.com
Glaucoma – peripheral vision loss www.DrLowVision.com
Cataracts Cloudiness of the natural lens of the eye located behind the iris More than 2.5 million Canadians have cataracts www.DrLowVision.com
Cataracts- overall blurriness www.DrLowVision.com
www.DrLowVision.com Approx. 2 million Canadians are diabetic 500,000 have diabetic retinopathy of which Diabetic 100,000 have severe vision threatening forms Retinopathy Leading cause of new cases of blindness among adults aged 20-64 yrs old
Diabetic Retinopathy – vision loss www.DrLowVision.com
Retinitis Pigmentosa – tunnel vision Approx. 1 in 3500 Canadians are affected 100, 000 in the US 20-30% of RP individuals also have other conditions such as Usher’s syndrome which has hearing loss www.DrLowVision.com
Albinism Individuals with albinism have little or no pigment in their eyes and possibly with their skin and hair Do not produce usual amounts of a pigment called melanin 1 in 17,000 in USA have some degree of albinism www.DrLowVision.com
Stroke and Ischemic Optic Neuropathy Often can cause visual field loss which will increase risk of bumping into things and people Missing steps Walking into doors/glass walls www.DrLowVision.com
Legally Blind = central acuity is 20/200 or less in the better eye, even with What Is corrective lenses OR if the peripheral field is restricted to a diameter of 20 degrees or less Legally Blind vs Low Vision? Low Vision = central acuity is 20/70 or less in the better eye even with correction www.DrLowVision.com
FACT: Approx. 80-90% of legally blind individuals have some degree of usable vision Only 2% of legally blind people use a guide dog and 35% use a white cane according to the Braille Institute. www.DrLowVision.com
There are many faces to vision loss… www.DrLowVision.com
…and many solutions. What may help some may not help others even if they have the same condition. www.DrLowVision.com
WHAT SOLUTIONS ARE AVAILABLE? www.DrLowVision.com
Low Vision Exams can help provide solutions to maximize the intact vision www.DrLowVision.com
Low Vision Exams are different than routine exams www.DrLowVision.com
Low Vision Exams are customized to each specific patient Exam will take 1-1.5 hrs • Vision Goals will be addressed • Updated refraction • Glare and photosensitivity will be addressed • Distance and Near aids will be shown • Will show NEW electronic aids Specialized exam • Many provinces there may be a fee for Low Vision Rehab Assessments www.DrLowVision.com
Vision Goals Need to Be Addressed Near Distance Glare See faces of loved Read Sunlight • • • ones newspaper/books/mail Indoor glare • TV watching • Read medication bottles • Glare from screens • Theatre and live events • See price tags, labels (computer etc) • www.DrLowVision.com
Medication Side Effects Can Affect Vision causing: Dizziness, dryness of eyes and muscle weakness Increased risk of medication error Double the risk of falls Triple the risk of depression Quadruple the risk of hip fractures www.DrLowVision.com
“CAN’T YOU JUST MAKE THE GLASSES STRONGER?” A GOOD REFRACTION IS IMPORTANT www.DrLowVision.com
Stronger glasses for near may be prescribed in the form of reading glasses or bifocals/progressives Very important to educate patient that the focal point in the reading area is much closer and if they look in this area while looking at floor – RISK OF FALLING If a patient has COGNITIVE issues this may not be the best option if does not have a caregiver or family member who can supervise www.DrLowVision.com
Glare cutting lens tints • Corning lenses • Noir tints • Fitovers • Polarized Sunglasses • Blue Blocking Lenses www.DrLowVision.com
U2 lead singer Bono wears glare blocking sunglasses due to his glaucoma www.DrLowVision.com
Goal of Low Vision Exams Address the patient’s goals Increase a sense of independence Decrease risk of depression by providing vision solutions to be able to accomplish important daily living tasks Address any safety issues especially if at higher risk of falls www.DrLowVision.com
Recommend
More recommend
