MUSC - AGING RESEARCH Aging, Strokes, and the Effect on the Eyes and Vision



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- AGING RESEARCH Aging, Strokes, and the Effect on the Eyes and Vision FELDBERG CENTER FOR VISION REHABILITATION Storm Eye Institute MEDICAL UNIVERSITY OF SOUTH CAROLINA - Charleston, SC

TEACHING FACULTY Stephen E. Morse, O.D., M.P.H., Ph.D. Associate Professor & Director e-mail: morsese@musc.edu Kelly Singleton, O.D., MS Clinical Instructor e-mail: singleke@musc.edu Shirley Anderson, OTR/L Adjunct Faculty &Therapy Coordinator e-mail: andes@musc.edu Feldberg Center for Vision Rehabilitation 735 Johnnie Dodds / Suite 103 Mt. Pleasant, SC 29464 voice: (843)876-1089 fax: (843)388-8477

Feldberg Center for Vision Rehabilitation Mission Clinical care Education and Training Research Community Service

WHAT IS LOW VISION? Vision loss that cannot be corrected by glasses, medication or surgery is called low vision. Caused by many different conditions, macular degeneration, diabetes, glaucoma, stroke, retinitis pigmentosa

LOW VISION EXAMINATION

REHABILITATION OF VISUAL PROBLEMS ASSOCIATED WITH STROKES

Patterns of Vision Loss

TYPES OF VISUAL FIELD LOSS o

What Problems Do People Experience after Acquired Brain Injury VISUAL FIELD LOSS Orientation and mobility Reading - far and near Balance and stability All of the above can contribute to a devastating functional loss

What is NovaVision VRT? VRT = Vision Restoration Therapy NovaVision VRT Vision Restoration Therapy is an FDA-cleared, patented medical device that non-invasively restores vision in stroke and brain injury patients who have visual deficits.

Vision Rehabilitation Approaches to Visual Field Loss Compensatory- The ability to make eye movements to address the affected area of visual field loss Neuroplasticity - The ability of the nervous system to modify its structural and functional organization to compensate for injury

NovaVision, Inc. Partner Clinics Nationally recognized rehabilitation institutions offering VRT Storm Eye Institute at the Medical University of South Carolina () Charleston, South Carolina Doheny Eye Institute at the University of Southern California (USC) Los Angeles, California Bascom Palmer Eye Institute at the University of Miami Miami, Florida Emory Eye Clinic Atlanta, Georgia Wilmer Eye Institute at Johns Hopkins Baltimore, Maryland Neurological Institute of New York at Columbia University Medical Center New York, New York New Jersey Neuroscience Institute at JFK Medical Center Edison, New Jersey

VRT testing and training protocol Initial evaluation and demonstration in clinic; Automated Visual Field can show baseline In-home training daily in 3 month increments Repeat Automated Visual Field to document progress

Who is Eligible for VRT Stroke Traumatic brain injury (e.g. motor vehicle accident, violence, fall, etc.) Focal brain lesions Brain tumors Aneurysms Infections

What Improvement is Provided by VRT

Vision Rehabilitation for Stroke and Traumatic Brain Injury Orientation and Mobility training ADL and home management Reading scanning and tracking training Prism visual field expansion therapy

ORIENTATION & MOBILITY TRAINING Sighted guide training and long guide cane mobility training

Vision Rehab Community Reintegration

Activities of Daily Living Vision Rehabilitation in the Home

READING (scanning & tracking) TRAINING Examples of devices used to help read after stroke specific scanning/tracking training depends on the side where vision loss has occurred.

Vision Rehab in the Clinic

PRISM VISUAL FIELD EXPANSION THERAPY

RESEARCH PROGRAM Project Magnify Eccentric Viewing Partial Occlusion Therapy Johns Hopkins Outcomes Study Partner

PROJECT MAGNIFY

TEACHING AND COMMUNITY Ophthalmology Resident lectures Occupational Therapy MS students Low Vision Doctors and Occupational Therapists Support Groups Macular Degeneration Diabetic Retinopathy SERVICE

TEACHING FACULTY Stephen E. Morse, O.D., M.P.H., Ph.D. Associate Professor & Director e-mail: morsese@musc.edu Kelly Singleton, O.D., MS Clinical Instructor e-mail: singleke@musc.edu Shirley Anderson, OTR/L Adjunct Faculty &Therapy Coordinator e-mail: andes@musc.edu Feldberg Center for Vision Rehabilitation 735 Johnnie Dodds / Suite 103 Mt. Pleasant, SC 29464 voice: (843)876-1089 fax: (843)388-8477