Wirral Low Vision Service

Gillian Rudduck Wirral University Teaching Hospital

Helen CorcoranWirral Vision Support Service

Aims of Paed LVA service

To improve level of ownership and use of LVA

reduce dependency on enlargement work in an atmosphere of co-

management monitor usage of LVA review usage and make adjustments

Referral Route

Protocol agreed at a multidisciplinary level Referral may be requested by

– teacher/support worker

– parent

– GP

– ophthalmologist Referred to vision support service

rehabilitation officer

Consent for cross referral – parent– GP– ophthalmologist

Preliminary assessment by rehab– reason for referral– current LVA ownership– current LVA usage– distance vision tasks– classroom assessment

• ergonomics

• environment

– near vision tasks– lighting– desired outcome

Multidisciplinary assessment Child parent rehabilitation officer teacher for visually impaired

Paediatric Low Vision Routine

History and Symptoms Visual Acuity Near Acuity Refraction, Colour vision Visual fields Selection of aid

Target setting- agreed Arrangement for follow up/training Re-referral Report to parents, education, healthcare

etc..

Post clinic follow up Training with Rehabilitation Officer

– tracking, spotting– number games– blackboard,whiteboard– in class– real world– mobility

Reassessment of use Re-referral as necessary

Service developments

User group user satisfaction survey- parents carers

& children Service redesign

Multi-disciplinary,multi-agency approach

needs based not dependent on registration locally designed

Recommended standards for low vision

Acknowledgements

Vision Support Service, Wirral Local Consultant ophthalmologists Colleagues in optometry department Wirral paediatric eyecare group

Patients and their families

Thankyou