Authors:
L. David Ormerod, MD
Susan Mussatt, RN
School of Medicine, University of Missouri-Columbia
Contributing authors:
Shelley Baker, OTR,
Occupational Therapist
Alphapointe Center for Blindness and Low Vision, Kansas City, MO
Roselie Backer-Thompson
Missouri Assistive Technology, Telecommunications Access Program for the Internet, Independence, MO
Nan Borchert
Certified Diabetic Educator,
Alphapointe Center for Blindness and Low Vision, Kansas City, MO
Brenda Kennedy
Vision Rehabilitation Teacher,
Missouri Rehabilitation Services for the Blind, Jefferson City, MO
Mary Secora
Technology Specialist,
Show-Me Tech Services for Independent Living, Columbia, MO
Low Vision Assessment and Rehabilitation
L. David Ormerod, MD
Susan Mussatt, RN
Overview
This case reviews diabetic retinopathy and its
management. The main purpose is to describe low vision assessment and
rehabilitation in a patient with markedly impaired vision.
The case is intended for low vision specialists, rehabilitation professionals,
ophthalmologists and optometrists, and for
patients with low vision and their families who desire a better understanding of
how patients with visual impairment can be helped to use the remaining
vision to its maximum potential.
Objectives
- Achieve a reasonable understanding of several aspects of diabetic retinopathy
and its management.
- Comprehend the psychosocial considerations of a patient in employment faced with visual
loss and loss of independence.
- Understand the necessary components of a low vision assessment and their significance.
- Understand the use of environmental modifications,
the principles underlying the selection of specific low vision aids, and
the use of adaptive computing solutions.
- Appreciate the role of state agencies for blindness rehabilitation and understand
the fiscal environment for rehabilitation.
- Grasp the concepts underlying the multidisciplinary approach to comprehensive
low vision, vocational rehabilitation, diabetes education for the
visually impaired.

The authors express their sincere thanks to the
Pearle Vision Foundation
for their generous contribution which made possible the creation of this
Low Vision site, an endeavor consonant with the committment of Pearle Vision to all
individuals with vision problems. We are grateful to the Pearle
Vision Foundation for their support and help with this project. The opinions expressed
by the authors do not necessarily represent those of Pearle Vision.

The authors also express their gratitude for support for this project from
Optelec, a company offering solutions for people with low vision. The opinions expressed
by the authors do not necessarily represent those of Optelec.