Child with Special Needs Part 2

Diagnosis and Management: Patients with Special Needs

Dominick M. Maino, O.D., M.Ed., F.A.A.O . Professor, Pediatrics/Binocular Vision Service Illinois College of Optometry Illinois Eye Institute 3241 S. Michigan Ave. Chicago, Il. 60616 312-949-7280 (Voice) 312-949-7358 (fax) [email_address] www.ico.edu nw.optometry.net

Diagnosis ,[object Object],Use everything you know, be creative, and trust your objective evaluation skills!

Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treat the patient the way you would want to be treated!

Remember the 10 Commandments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Remember the 10 Commandments ,[object Object],[object Object],[object Object],[object Object],The Ten Commandments of Communicating with People With Disabilities

Case History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Visual Acuity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Visual Acuity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],E F P T O Z H O V T

Visual Acuity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Visual Acuity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],preferential looking cards that use form discrimination with vanishing optotypes

Refractive Error ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Refractive Error ,[object Object],[object Object]

Refractive Error ,[object Object],[object Object],[object Object],[object Object]

Binocular Vision Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Binocular Vision Assessment Incidence of Strabismus CEREBRAL PALSY 15-60% MENTAL RETARDATION 16-40% DOWN SYNDROME 41-75% DEAFNESS 29% NORMAL CHILDREN 2-4% ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Binocular Vision Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Binocular Vision Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://opt.pacificu.edu/ce/catalog/14041-GO/14041-GO.html

Ocular Health ,[object Object],[object Object],[object Object],[object Object],http://opt.pacificu.edu/ce/catalog/14041-GO/14041-GO.html

Ocular Health ,[object Object],[object Object],[object Object],[object Object],[object Object]

Ocular Health ,[object Object],[object Object],[object Object],[object Object]

Tangential Penlight Angle Estimation ,[object Object],[object Object],[object Object],[object Object]

Special Testing ,[object Object],[object Object],[object Object],[object Object],[object Object]

Special Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],Ultrasound, B-Scan CPT 76512 (contact B-scan); Indications Examination of the posterior portion of the eye when direct view is precluded by media opacities. Evaluation of intraocular or orbital masses. For more info: http://www.healthgate.co.uk/dp/dph.0253.shtml

Special Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],The Test of Variables of Attention (T.O.V.A.®), a 21.6 minute computerized continuous performance test used by professionals in the diagnosis and monitoring of treatment of attention deficit disorder (ADD)/attention deficit hyperactivity disorder (ADHD) in children and adults. The standardized test is well normed and extremely helpful in predicting responsiveness to treatment modality. More info at: http://www.tova.net/

Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object]

Referral Resources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]

Questions? Contact: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Child with Special Needs Part 2

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Child with Special Needs Part 2