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Functional vision assessments: what are they and what are they for?

Saturday, November 2, 2024
10:35 AM - 10:45 AM
Panorama Rooms 2 & 3

Overview

Dr Lynne Loh


Speaker

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Dr Lynne Loh
Flinders University

Functional vision assessments: what are they and what are they for?

Abstract

Purpose: All students have equal rights to a quality education and learning, however for students with a vision impairment, access to class materials and therefore educational outcomes, can be negatively impacted by their vision impairment. Current support for a student in education is based on vision function measures of visual acuity. This presentation reports the outcomes of a PhD thesis and highlights the necessity and impact of functional vision assessments to support students through education.
Method: Eighty students were recruited through the South Australian School and Services for Vision Impaired. Vision function measures (visual acuity, contrast sensitivity and electrophysiology) were compared with functional vison measures (reading performance, vision processing and visual search).
Results: Measures of visual acuity and contrast sensitivity were poor indicators of functional vision performance in children with a vision impairment. Additionally, electrophysiology measures indicated that children with pathology causing glare, and children with retinal dystrophies, had an improved reading performance using reverse polarity print (white writing on a black background). The results highlight the complexity of childhood vision impairment and its functional impact, which varies depending on the cause of vision loss and environmental conditions.
Conclusions: From these findings a new and comprehensive assessment framework was developed, to tailor classroom support around an individual's functional vision, thereby enhancing curriculum accessibility. This framework is currently in use within South Australia to support students with a vision impairment, enabling a more inclusive and equitable educational experience, ensuring that unique visual needs are understood and adequately addressed in the classroom.

Biography

Lynne Loh qualified as an optometrist with the UK College of Optometrists in 1997, then undertook a Masters in Vision Science at Ulster University, UK. Her Master’s research was conducted at Flinders Ophthalmology, Flinders Medical Centre, South Australia, and investigated the compliance, and barriers to adherence, of glaucoma medication. Since completing her Masters, Lynne has worked with children with a vision impairment over the last 10 years assessing their functional vision and providing supports for these students to effectively access classroom content. She completed her doctoral thesis in January 2024 at Flinders University. Her thesis investigates the functional vision of children with a vision impairment and outlines a framework to assess and enable tailored support of these students within the classroom environment. Lynne is a Lecturer in Optometry at Flinders University and also performs functional vision assessments at iSight specialists in Adelaide. Her current research is investigating an objective method to diagnose a brain-based vision impairment in children.
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