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Authors
Ihrig, Carolyn

Vision Rehabilitation Team Management of Acquired Monocular Vision

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Abstract/Introduction

Purpose 

Existing low-vision programs do not readily meet the needs of the monocular patient. This case report illustrates the implementation and benefits of an Acquired Monocular Vision Rehabilitation (AMVR) evaluation and training program from the patient’s perspective. The AMVR program guides and teaches specific skills to each monocular patient. Adaptive skills are demonstrated to enhance and maximize the person’s remaining monocular vision; to teach visual skills; to acquire and maintain independence, living, and functioning; and prevent depression. The purpose of this article is to illustrate the potential for monocular vision rehabilitation and justify adding monocular rehabilitation therapy to current vision rehabilitation programs and encourage future clinical case studies to measure functional outcomes.

Case Report 

This case report illustrates one example of concurrent vision rehabilitation team management including low-vision optometrists, ophthalmologists, blind rehabilitation specialists (also known as vision rehabilitation therapist), and orientation and mobility instructors (O&M) of a later stage acquired monocular patient within a 1-year period.


Conclusion/Results

Conclusions 

After completion of the AMVR program (detailed components available in Appendices, available at http://links.lww.com/OPX/A114), our patient expressed an increase in self-confidence, improved motor skills, and less depression since learning more about his condition and adaptations he can maintain. He stated that he feels he is a “better me.” The patient’s positive feedback encourages further data to be collected with future monocular patients evaluated at an earlier stage of their vision loss and to continue to structure supportive services by demonstrating new adaptive techniques and exercises to show each person “is-able” and not “dis-abled.”


Testimonials


  • Such a nice optician. My grandson is only 4 and needs glasses. We were so sad, but he explained the issues, and we will follow up as he suggested.


    Anna P.

  • I had such a good experience with the clinic. Very friendly staff and doctor, did not have to wait for long to be called, and was treated respectfully. Thanks, American Family.


    June S.

  • Dr. Zurcher has gone above and beyond what any other eye doctor has ever done to figure out what is going on with my eyes. Very happy with American Family Vision.


    Christine R.

  • Family Vision Clinic changed our lives! My daughter was frequently car sick, and she was getting headaches every day, often painful enough that they brought her to tears. We saw a string of doctors and therapists, but we made no progress. Finally, we found Dr. Levi Zurcher and his eye therapist Rain. After ten weeks of eye therapy my daughter no longer gets headaches, and she no longer gets car sick. Daily tears are a thing of the past. I really can’t say enough about this clinic. It was fascinating to watch Dr. Zurcher work. For the first time, someone who knew what they were doing was intently studying my daughter, really trying to figure out all of her eye issues, and his therapist Rain is one of the most patient and lovely people that I’ve ever had the good fortune to meet. We’re finished with eye therapy—yay!—and I have switched to American Family Vision Clinic for all of my family’s other eye health needs.


    Lars Wulff

  • Very professional, yet kind and helpful. They do what they can to make the appointment comfortable. I was running a bit late, I made sure ti call. They were able to switch me with a patient who was already there, they treated me with respect, and helped my son have confidence by getting him the eye care he needed that day. Thank you so much! Would recommend to anyone. It's a blessing that they care enough to work with people who have all different types of insurance from work to state coverage.


    Justin E.

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