march 9, 2006driving with the bioptic telescope1 presented by dr. dennis kelleher california...

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March 9, 2006 Driving with the Bioptic Telescope 1 Presented By Dr. Dennis Kelleher California Department of Education

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March 9, 2006 Driving with the Bioptic Telescope 1

Presented By

Dr. Dennis Kelleher

California Department of Education

March 9, 2006 Driving with the Bioptic Telescope 2

What is a Bioptic TelescopeWhat is a Bioptic Telescope

Miniature apertureExpanded field (Keplerian)Standard field (Galilean)Magnification Range 1.7X to 6X2.2X, 3X & 4X most commonly used

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Bioptic Telescope AssortmentBioptic Telescope Assortment

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When is a Bioptic TelescopeWhen is a Bioptic Telescope Recommended for Driving?Recommended for Driving?

Visual Acuity of less than 20/80Visual Acuity of greater than 20/200Near normal peripheral visual fields of

at least 150 degreesNear normal eye motility

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Vision FactorsVision Factors to Considerto Consider

Static Visual Acuity Dynamic Visual Acuity Visual Fields Stable Eye Pathology Color Perception Depth Perception & Binocularity Contrast Sensitivity & Glare Recovery

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Vision Standards & Vision Standards & Guidelines Guidelines

Greater than 20/200 VA without Bioptic Minimum 20/40 Visual Acuity with Bioptic Minimum 150 Degree Visual Field Stable Eye Condition Contrast Sensitivity & Image Brightness Ability to Differentiate Color Ability to Track Objects Peripheral Vision in Both Eyes

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Vehicle Code 12805 (b) Vehicle Code 12805 (b)

The Department shall not issue a driver’s license to, or renew a driver’s license of, any person:

(b) Whose best corrected visual acuity is 20/200 or worse in that person’s better eye, as verified by an optometrist or ophthalmologist. No person may use a bioptic telescope or similar lens to meet the 20/200 visual acuity standards.

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Form DL 62 ReportForm DL 62 Report VA without lenses VA with standard lenses VA through Bioptic in better eye Date and type of most recent prescription Visual fields Diagnosis (cause of low vision) Prognosis (stability) Advice for re-exam, restrictions, lighting, glare. use

of other aids etc.

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Non-Visual Safety Margin Non-Visual Safety Margin FactorsFactors

Emotional Status Reaction Time & Mental Alertness Substance Abuse Inexperience & Over-Exposure Age Other Impairments A Need to Drive

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Bioptic Training SequenceBioptic Training Sequence

Locate Stationary Objects while Still Locate Moving Objects while Still Locate Moving Objects while Moving Develop Rapid, Accurate Perception Spatial Awareness & Memory Adjustments to various lighting

conditions Use of tracking cues

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Other Considerations for Other Considerations for Low Vision DriversLow Vision Drivers

Use Other Low Vision Devices Appropriately Know Where You Are Going in Advance Use Non-Visual Cues Be Attentive to Driving at All Times Drive During Less Demanding Conditions Impose Voluntary Self-Restrictions Periodic Professional Training

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Driving TasksDriving Tasks

Steering, Shifting & TurningSpeed Control & BrakingBacking Up and ParkingDepth PerceptionUse of MirrorsKnow Driving Laws & Use Courtesy

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Defensive Driving SkillsDefensive Driving Skills

Keep Your Eyes MovingSee the Entire PictureBe Sure You are SeenFollow at a Safe Distance (4 seconds)Anticipate what Other Driver(s) ActionLeave Yourself an Escape

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Effective Bioptic UseEffective Bioptic Use

Spotting DeviceVary Amount of Bioptic UseMaximizing Eye MovementScanning Driving Environment

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Indicators of Effective Indicators of Effective Bioptic UseBioptic Use

See traffic lights/stop signs, pedestrians in crosswalks through carrier lens

Spots & reads freeway signs within one second

Determines distance before intersection to spot for breaking

Varies use between freeways, residential & business areas

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RestrictionsRestrictions

Geographic AreaHours Specific RoadsSpecial Vehicle & EquipmentDriving to specific destinationsNo Restrictions

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Objections to Bioptic Objections to Bioptic Telescope UseTelescope Use

Restricted Visual Field through Bioptic Ring Scotoma Causing Blind Spot Vibration and Speed Blur Telescopic Parallax & Depth Perception Bioptic Use with Mirrors Sensitive Bioptic Frame Adjustments

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RESOURCESRESOURCES

Association for Driver Rehabilitation SpecialistsPO Box 49, Edgerton, WI 53534 (t) 608-884-8833(fax) 608-884-4851; http://www.driver-ed.org

BiOptic Driving Networkwww.BiOpticDriving.orgwww.BiOpticDriving.org.uk

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FOR MORE INFORMATIONFOR MORE INFORMATION

Dr. Dennis KelleherSpecial Education DivisionCalifornia Department of Education515 L Street Suite 270Sacramento, CA 95814916-327-0842 voice916-445-4550 [email protected]