adapting to visual impairment at home, at school, and in the workplace
TRANSCRIPT
Adapting to Visual Impairment at Home, at
School and in the Workplace
Kevin Huff , O.D.ViewFinder Low Vision Resource
Centerwww.viewfinderlowvision.com
Adaptability
Single biggest predictor of success
Adaptability
Must be willing to try new things
You can’t worry about how things look to other people
Key Tools
Magnification
Contrast
Illumination
Magnification
Relative Size
Relative Distance
Angular
Electronic
Relative Size Relative Size
Relative Distance
Angular
Electronic
Contrast
Helps with ability to differentiate objects or qualities
Contrast decreases with age and visual impairment
Contrast
Enhance Contrast
Illumination Increase task lighting
Decrease glare
Incandescent vs. florescent vs. halogen vs. LED
Illumination
• A person in their 80’s requires nearly three times as much light as a 20 year old
• A person who is visually impaired will need even more lighting
Illumination
• Use gooseneck lamps, flashlights and illuminated magnifiers• Task lamps will provide the needed light
without causing glare
Illumination
Note poor lamp position
Illumination
Proper light positioning
IlluminationTop photo … 75
watt can flood lights 12 feet above counter top
Bottom photo … same flood lights 12 inches from page
Task Lighting
Glare Control
Glare Control
Goals of Home Adaptation
Remain Independent
Safe environment
Enjoy life
Room by Room Discussion
In The Kitchen … Label grocery items with large white
labels and felt tip marker
Organize products alphabetically on shelves
Carry liquid filled pots, ice cube trays etc. on rimmed cookie sheets to avoid spills
Avoid loose fitting clothes around the stove
In The Kitchen …
Large print food timer
Contrast measuring cups
Electronic Aids
• DaVinci is a high performance desktop video magnifier (CCTV).
• Featuring HD, text-to-speech and a Sony HD autofocus 3-in-1 camera.• HD provides a beautiful crystal clear
picture and vibrant color.• Small Footprint allows Davinci to be
used on countertops, etc.
• 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.
Electronic Aids
• Large portable CCTV• Extremely large field of view for
portable CCTV• Screen tilts up and down to allow
for comfortable use• Great for reading recipes on countertop
• Can be connected to TV Monitor for even larger field of view• Able to freeze images and adjust
contrast and size
• Crisp, high-definition image• Lightweight and portable• 3.5x to 14x magnification• Large 6.5” anti-glare LCD screen• 6 viewing modes to optimize
contrast and brightness• 2 year warranty
• Can be used for reading and many near spotting tasks• Seeing household items like stove dials
and thermostats• Shopping- seeing price tags and labels• Reading menus• Signing documents such as checks and
receipts
• Adjustable magnification 2x to 10x• 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.• 2 year warranty
Contrast in the Kitchen
Label Appliances
Eating
Set dishes on contrasting placemats
Utensils with contrasting handles
Eating
Use dishes with a dark and light side
Plates with raised rims for scooping food
No clear plates or glasses … invisible
Eating
Have a system for placing food on the plate
Meat at 6 o’clock Starch at 9 o’clock Vegetables at 3 o’clock
EatingPlace a goose neck lamp over your food
Portable lighting in restaurants
In The Kitchen …
Task lighting under cabinets▪Most work done on countertops▪ Our bodies cast shadows on our work
In The Kitchen …Talking meat thermometers
Full arm oven mitts
Turn handles of hot pots & pans inwards away from edge of stove
Bedroom Contrast bed cover
to flooring
Keep nightlights on … bathroom, bedroom and hallways
Be organized … don’t leave items on the floor
BedroomWear good loafer style slippers
with traction on the bottoms
Slippers and shoes should contrast with your flooring
Put shoes and slippers away when removed
BathroomA dangerous room
Surfaces are slippery and hard Glare from reflective surfaces
BathroomBathtub
Textured, non-skid bathmat of contrasting color Install grab bars that contrast to wall color Place contrasting tape around edge of tub or drape contrasting towel over the edge Color of soap should contrast bathmat if dropped Place a bright color sponge in tub to monitor water level
Bathroom
BathroomChoose a contrasting color toothbrush that can be easily seen where it is stored
OK to put toothpaste in the mouth, instead of on the toothbrush
Bathroom MirrorsWall mounted or
table
With and without illumination
Magnification mirrors are made up to 10X
Medicine
Bold print on white label attached to medicine bottle
MedicineCCTV can be used for numerous
tasks
Medicine
MedicineDiabetic aids▪Syringe magnifier▪Large print register▪Talking blood sugar tester
MedicineTalking
Pharmacist▪ Pharmacist
records name and dosage ▪ Medicine placed
insideMedicine bottle
magnifier
Living AreasReplace sharp edge tables and
chairs with softer and rounder edges
Furniture should contrast with the flooring beneath it … no glass tables!
Use drapes, blinds, shades or shutters to regulate light and glare
Window coverings should contrast with walls to increase their visibility
Living Areas Most falls on steps occur on the top
step Think Contrast & Illumination again! Paint or use tape on the top and
bottom steps in a contrasting color Illuminate at least the top and
bottom steps Theatre strip lighting on steps Handrails should contrast wall color
Living Areas
Label Appliances
Living AreasPaint door frames in a contrasting color to the walls for greater visibility
Remove doors from rooms where privacy is not an issue
Contrast
Telephone Large print Speed dial
important numbers
Voice activation Free 411
▪ For visually impaired▪Requires Dr. signature
WritingBold paper
Felt tip pen
Use magnifier or CCTV
• When the Acrobat LCD was introduced, it created the standard for a new class of CCTV
• The portable desktop CCTV
• Moving camera head allows patient to use this device for multiple tasks• Reading• Writing• Working with hands
• See their own face, i.e. makeup, shaving etc.
• See others faces, i.e. grandchildren
• Distance vision
• Auto focus 3-in-1 camera • 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
At SchoolMajor key to adapting to visual impairment in a school setting is to have portability in the tools you use
Magnifiers at School
Can use optical magnifiers when visual impairment is moderate
However, advantages of portable electronic magnification devices often make them ideal tool to use
• Similar Advantages to Acrobat LCD with a few extras• Even more portable• Able to capture images
• Excellent option for students or people who attend presentations/ conferences often
• 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
Angular Magnification
• Telescopes• Spectacle mounted: permanent mount
or clip-on• Hand held with either neck cord or finger
ring• Used for computer, music, TV - distance
or intermediate tasks
Telescopes
Telescopes
Bioptic Telescopes Steadier view
than hand held Some are able
to walk/drive with them
Relative Size Magnification
Students should receive reading materials in large print when available
Relative Distance Magnification
Visually impaired students should be given preferential seating in the classroom If student moves from 20 feet from
board to 5 feet from board, they will see letters 4X larger
Students should be allowed to use short working distances (i.e. hold reading material close to their face)
Contrast at School
Harder to control contrast in a school environment than at home
Remember the basic concept that contrast helps and get creative in your environment at school
Contrast at School
Teachers should be taught to present materials in high contrast Writing on boards, powerpoints etc.
Portable Task Lamps
GlareStudents should be allowed to use tinted lenses when necessary indoors
Use blinds etc. to control glare in room
At WorkThe tools that will work best for
someone at work can vary greatly depending on the job
A person who works at the same desk everyday has more options because they don’t need to worry about portability
Work AssessmentA work assessment is often
necessary to decide what tools will be best
The exam I do in the office can help determine what options are available, but the work assessment is needed to decide which of those options would be best
• Merlin elite is a high performance desktop video magnifier (CCTV).
• HD provides a beautiful crystal clear picture and vibrant color.
• Text-to-speech• Experience the joy of reading
with the push of a button.
• Sony HD auto focus camera – work on hobbies and see small details.
• 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.
Work Computer
Four variables we can control with computer Size of monitor (relative size
magnification) Size of print on monitor, i.e. Zoom print
up (relative size magnification) Distance person is from monitor (relative
distance magnification) Contrast of material on screen
Merlin LCD Plus Full computer connectivity Split-screen mode Horizontal and vertical line markers and
windowing modes Feature Kit and foot pedal control included 7 viewing modes to optimize contrast &
brightness 2.7 to 85x adjustable magnification (varies
with LCD screen size) Computer compatible with toggle capability
(additional hardware required)
28 custom programmable color select options available
Auto focus 19″, 22″, or 24″ LCD monitor Fully assembled, one-piece unit is ready to use Simple built-in controls move with the screen Fast response, high quality LCD for a clear crisp
picture Screen pivots, tilts and swivels in all directions
for your comfort Adjustable brightness 3 year warranty
Contrast and Illumination
Use concepts presented earlier to enhance contrast, increase illumination, and control glare
Thank You!
To Schedule a Free – No Obligation in Home
Demonstration
Call: 888-811-3161
Email: [email protected]
www.enhancedvision.com