[Aer-div07] FW: Low Vision List-Serve

Gina di Grazia ginavisione at yahoo.com
Fri Sep 21 20:21:26 EDT 2007


A better web address to see the LV Rehab chapter is:
   
  http://www.slackbooks.com/excerpts/37344/37344.asp
   
  

Jim Gandorf <jgandorf at aerbvi.org> wrote:
        st1\:*{behavior:url(#default#ieooui) }                From Steve Whittaker

   
   
  We organized our book around the issue maintaining a collaboration between optometrists/ophthalmologists and therapists  You might refer to our book by Slack publishers (Scheiman, Scheiman and Whittaker) 
 Introduction to low vision rehabilitation:
.) A free downloadable chapter relevant to this topic is in the www.slack.com website.  
   
  In a nutshell.  I do not recommend any optical device without a prescription from an optometrist or ophthalmologist even if I make a recommendation for purchase through a catalogue.  I also have an optometrist or ophthalmologist sign off on my treatment plans.  If I recommend a device like a loupe or hand held device, I call the optometrist and ask for a script for the record.  With a good working relationship the paperwork can be handled post-hoc.  This is a standard model of practice for adult medical rehab- a physician authorizes treatment and signs off on any equipment paid for by insurance.
   
  There are very few optometrists nationwide who have diplomats in low vision.  A therapist anywhere can find a general optometrist-  all of whom have has some training in low vision- most of whom have has clinical training.  Find an optometrist who is trying to build a practice and who is willing to learn more about low vision.  Refer your pts to this person for a refraction and make sure they are willing and able to prescribe high near add, and mounted telescopes.  They will welcome the referrals, and the opportunity to dispense devices without the high rate of device returns and lengthy exams that go-along with solo –low vision practitioners who work without therapists.
   
  Steve
   
   
  -----Original Message-----
From: aer-div07-bounces at lists.aerbvi.org [mailto:aer-div07-bounces at lists.aerbvi.org] On Behalf Of Jim Gandorf
Sent: Thursday, September 20, 2007 11:51 AM
To: aer-div07 at lists.aerbvi.org
Subject: [Aer-div07] Low Vision List-Serve
   
  This question recently came up on the O&M Division List Serve; I am cross posting to the Low Vision List Serve for your input as well.
   
  FYI, for everyone on the list serve to see your reply click “REPLY TO ALL”
   
   
  Subject: Scope of Practice for LVT, VRT, O&M
   
  I would like to ask you for some feedback about low vision aids recommenced by VRT, LVT and O&M specialists.
   
  According to ACVREP Certification Handbook "the CLVT shall work as part of an interdisciplinary team with an ophthalmologist and or optometrist who manages ocular health, provide the clinical low vision examination, prescribes optical devices and approves treatment plans.".... What about areas where low vision examination is not available???
   
   In Colorado field teachers (VRT,O&M,LVT)  introduce our clients to a variety of low vision aids and let them make the choice of what meets their needs. Doing so we use our best professional judgment.
   
  What about other states? How do you handle this? 
   
  It would be nice to have more clarification from ACVREP about scope of  work for VRT, LVT, O&M  when and where clinical low vision examination is not available. 
   
  Thank you for your response.
   
  Jadwiga Brown COMS, RT
Denver Metro Rehabilitation Office
2211 W Evans Ave Bldg A
Denver, CO 80223
Email: jadwiga.brown at state.co.us
Phone: (303) 866-3910
Fax: (303) 866-3419
   
   
  Jim
   
  ==========================================
  Jim Gandorf, CAE
  Executive Director
  AER
  1703 N. Beauregard St., Ste 440
  Alexandria, VA 22311
  jgandorf at aerbvi.org
  703-671-4500 ext 205
   
  SAVE THE DATE!
   
  AER International Conference 2008
Chicago: My AER Kind of Town
July 22-27, 2008 – Chicago Downtown Marriott
   

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