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Visual Hallucinations in Patients with Age-Related Macular Degeneration (AMD) 老年性黄斑变性(AMD)患者的视幻觉
Pub Date : 2006-01-01 DOI: 10.1080/13882350600805761
Simon P. Lannon, M. Stevenson, Steven T. White, J. F. Logan, A. Reinhardt-Rutland, A. Jackson
Background: Charles Bonnet Syndrome is defined as visual hallucinations in psychologically normal people and has been associated with low vision for over two hundred years. Objectives: To evaluate the prevalence and complexity of visual hallucinations in patients with low vision. Design: A cross-sectional comparative analysis of clinical visual data and hallucinatory phenomena in two groups of patients with age-related macular degeneration and a third control group. Methods: A questionnaire on visual hallucinations was administered to 145 patients and 58 control individuals. Measurements: Visual hallucination type (simple, complex) was examined and group comparisons were made using analysis of variance, cross-tabulations, and percentages. Results: Those individuals reporting visual hallucinations had a significantly lower mean visual acuity than comparative groups. Materialization and frequency of visual hallucinations were dependent on hallucination type. Hallucination type was not dependent on visual ac...
背景:查尔斯邦纳综合征被定义为心理正常的人出现的视觉幻觉,200多年来一直与低视力有关。目的:了解低视力患者视幻觉的发生率和复杂性。设计:对两组年龄相关性黄斑变性患者和第三组对照组的临床视觉数据和幻觉现象进行横断面比较分析。方法:对145例患者和58例对照者进行视幻觉问卷调查。测量方法:检查视幻觉类型(简单、复杂),并使用方差分析、交叉表和百分比进行组间比较。结果:报告视幻觉的个体的平均视敏度明显低于对照组。视幻觉的物化程度和频率与幻觉类型有关。幻觉类型不依赖于视觉ac。
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引用次数: 12
A New Method to Train and Measure 90° Turns in Visually Impaired and Deaf-Blind Subjects 视障和聋盲受试者90°转身训练和测量的新方法
Pub Date : 2006-01-01 DOI: 10.1080/13882350601061968
Airi Surakka, T. Kivelä
Purpose: The primary purpose of this study was to develop an effective and simple method for training the accuracy of 90° turns in visually impaired and deaf-blind subjects. The secondary purpose was to develop a quick, reliable, non-interfering method for measuring 90° turning. Method: Pre-training measurements were performed in four visually impaired and four deaf-blind subjects (6 females, 2 males; mean age: 53.4 years). Seven of these subjects underwent training followed by post-training measurements. The training was carried out using the corner of a rubber-backed doormat as the angle of reference. The turning angle was measured with the help of reflectors attached to the heels of the subjects' shoes. The positions of the reflectors before and after turning were captured by a camera. Special software calculated the means and standard deviations of the turning angles and compared pre-training and post-training deviations using the Fligner-Policello statistical test. Results: The 20-minute-long trainin...
目的:本研究的主要目的是开发一种有效和简单的方法来训练视障和聋盲受试者90°转弯的准确性。第二个目的是开发一种快速,可靠,无干扰的方法来测量90°车削。方法:对4名视障和4名聋盲受试者(女6名,男2名;平均年龄:53.4岁)。其中7名受试者接受了训练,随后进行了训练后测量。训练是用橡胶门垫的角作为参考角度进行的。转动角度是通过安装在受试者鞋跟上的反射器来测量的。反光镜转动前后的位置由相机捕捉。专用软件计算转角均值和标准差,并采用Fligner-Policello统计检验比较训练前和训练后的偏差。结果:20分钟的训练…
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引用次数: 3
The economics of vision loss 视力丧失的经济学
Pub Date : 2005-09-01 DOI: 10.1080/13882350500290254
H. Taylor
This paper first presents a snapshot of the impact of vision loss in Australia. It then reviews the demographic changes in our community and shows how these changes also affect blindness rates around the world. It finally discusses the exciting work being done by Vision 2020, the global initiative to eliminate avoidable blindness by the year 2020 (www.vision2020.org).
本文首先简要介绍了澳大利亚视力丧失的影响。然后,它回顾了我们社区的人口变化,并展示了这些变化如何影响世界各地的失明率。它最后讨论了2020年愿景所做的令人兴奋的工作,这是到2020年消除可避免失明的全球倡议(www.vision2020.org)。
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引用次数: 2
Priorities for Technological Research for Visually Impaired People 视障人士技术研究重点
Pub Date : 2005-01-01 DOI: 10.1080/13882350500290270
John Gill
It can take a number of years from the specification of a research project to the outcome being of practical benefit to blind and partially sighted people. Since there are finite resources, both of funds and skilled staff, for research, it is important to carefully analyse the likely future unmet needs of the target user population before determining priorities for research. This is not trivial since both technology and user needs will change with time. At present, much of the technological research is targeted at people using non-visual means of communication and who do not have additional impairments. The demographic trends, however, are for an increasing proportion of visually impaired people to have a significant additional impairment. Much of the current technological research relates to developing sophisticated devices for blind people of above average intelligence. Yet, there is an unmet need for many low-cost devices: for instance, devices for opening new types of packaging of domestic products. T...
从一个研究项目的具体说明到结果对盲人和弱视人群有实际的好处,可能需要几年的时间。由于用于研究的资金和熟练的工作人员资源都是有限的,因此在确定研究的优先次序之前,必须仔细分析目标用户人口未来可能未满足的需要。这不是微不足道的,因为技术和用户需求都会随着时间的推移而变化。目前,许多技术研究都是针对使用非视觉交流手段的人,他们没有额外的障碍。然而,从人口统计学的趋势来看,越来越多的视障人士有严重的额外损害。目前的许多技术研究都涉及为智力高于平均水平的盲人开发复杂的设备。然而,对许多低成本设备的需求尚未得到满足:例如,用于打开国内产品新型包装的设备。T…
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引用次数: 6
The Benefits of Guide Dog Ownership 导盲犬的好处
Pub Date : 2005-01-01 DOI: 10.1080/13882350590956439
L. Whitmarsh
There is an apparent discrepancy between the actual number of guide dog owners and the proportion of visually impaired people who might benefit from a guide dog. This research aimed to provide an understanding of the reasons why many visually impaired people have not applied for a guide dog, the range of benefits offered by guide dogs, and how these might vary amongst different populations and under different circumstances. While previous research described a number of psychological and social benefits of assistant animal ownership, consistent with the companion animal literature, it also pointed to the importance of personal and social context on the impact and effectiveness of assistance animals. The study described here involved a telephone survey of over 800 visually impaired people and found that independence, confidence, companionship, increased and changed social interaction, as well as increased mobility, are commonly cited benefits of guide dog ownership. These psychological and social dimensions...
拥有导盲犬的实际人数与可能从导盲犬中受益的视障人士的比例之间存在明显的差异。这项研究旨在了解为什么许多视障人士没有申请导盲犬的原因,导盲犬提供的好处范围,以及这些好处在不同人群和不同情况下的差异。虽然之前的研究描述了辅助动物所有权的一些心理和社会效益,与伴侣动物文献一致,但它也指出了个人和社会背景对辅助动物的影响和有效性的重要性。这项研究对800多名视障人士进行了电话调查,发现拥有导盲犬的好处包括:独立、自信、陪伴、社交互动的增加和改变,以及行动能力的提高。这些心理和社会层面……
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引用次数: 95
Rehabilitation strategies used to ameliorate the impact of centre field loss 用于改善中央野区丧失影响的康复策略
Pub Date : 2005-01-01 DOI: 10.1080/133882350500377762
M. Vukicevic, K. Fitzmaurice
It has been shown that loss of macular vision has an impact upon a person's ability to read normal-size print and perform daily living tasks. The aim of this study was to report the results of a random control trial of eccentric viewing and magnification interventions on the performance of activities of daily living, including a clinical evaluation of client perceptions. A random control design was used to compare the impact of three interventions (eccentric viewing, magnification, and combined intervention) upon near print size and the performance of daily living tasks. Data were analysed using one-way analysis of variance. Results of the random control study in relation to the dependent variables of near print size and performance of activities of daily living demonstrated that intervention significantly improved performance. Eccentric viewing intervention demonstrated greater improvement in dynamic activities such as shopping, whilst magnification intervention demonstrated the greatest improvement in h...
研究表明,黄斑视力的丧失会影响一个人阅读正常尺寸印刷品和执行日常生活任务的能力。本研究的目的是报告偏心观察和放大干预对日常生活活动表现的随机对照试验结果,包括对患者感知的临床评估。采用随机对照设计比较三种干预措施(偏心观察、放大和联合干预)对近打印尺寸和日常生活任务表现的影响。数据分析采用单因素方差分析。随机对照研究的结果表明,干预显著提高了患者的日常生活活动能力和近印刷品大小的因变量。偏心观看干预在购物等动态活动中表现出更大的改善,而放大观看干预在视觉活动中表现出最大的改善。
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引用次数: 10
Optometric and Multidisciplinary Approaches in Prescribing Low Vision Aids 验光和多学科方法处方低视力辅助
Pub Date : 2005-01-01 DOI: 10.1080/13882350500460923
M. Burggraaff, R. Nispen, M. R. Boer, G. Rens
Introduction: It is expected that the number of visually impaired elderly will increase dramatically over the next decades. This will result in more ophthalmic consultations and an increased demand on visual rehabilitation. In the Netherlands there seem to be great differences in optometric and multidisciplinary approaches in prescribing low vision aids. Purpose: To describe possible differences between optometric and multidisciplinary approaches in their prescription of low vision aids. Methods: A non-randomised prospective cohort study among elderly > 50 years of age in the Netherlands to compare the number and type of prescribed low vision aids by optometric and multidisciplinary services and the relation of these aids to characteristics such as visual acuity and age. This study is part of a large ongoing study in the Netherlands on the outcome on the quality of life of visually impaired elderly of rehabilitation. Results: Optometric services prescribed significantly more low vision aids per patient (m...
导读:预计在未来几十年,视障长者的人数将急剧增加。这将导致更多的眼科咨询和对视力康复的需求增加。在荷兰,验光和多学科方法在处方低视力辅助方面似乎存在很大差异。目的:描述验光和多学科方法在低视力助视器处方中的可能差异。方法:在荷兰进行一项非随机前瞻性队列研究,比较验光和多学科服务规定的低视力辅助设备的数量和类型,以及这些辅助设备与视力和年龄等特征的关系。这项研究是荷兰正在进行的一项关于视力受损老年人康复后生活质量结果的大型研究的一部分。结果:验光部门为每名患者开具的低视力助视器数量显著增加。
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引用次数: 11
Mental Manipulation, Thus Recognition of Familiar Shapes: The Influence of Pre-cuing When Touch Replaces Vision as the Dominant Sense Modality 心理操纵,从而识别熟悉的形状:当触觉取代视觉成为主要感觉形态时,预提示的影响
Pub Date : 2005-01-01 DOI: 10.1080/13882350500290296
Torø Graven
The present study investigated whether newly blinded individuals, i.e., when touch replaces vision as the dominant sense modality, show improved proficiency (operationalized as accuracy and exploration time) in mental (unfamiliar shape) manipulation, thus recognition of familiar shapes, when they are (1) visually and (2) tactually pre-cued. Explicitly, would pre-cuing, or prompting of experiences stored prior to total sight loss, improve their proficiency in mentally manipulating unfamiliar tactile shapes, i.e., subtracting, relocating, etc. familiar features and thereby, based on this mental (unfamiliar shape) manipulation, recognizing familiar shapes? Two experiments were conducted to investigate the influence of two separate precursors, i.e., preliminary training aimed at pre-cuing: Experiment 1. a visual precursor (pre-cuing prior to total sight loss) and Experiment 2. a tactual precursor (pre-cuing after total sight loss). Experiment 1 examined 32 newly blinded (i.e., blindfolded-sighted) individuals...
本研究调查了当新失明的个体,即当触觉取代视觉作为主要感觉方式时,当他们(1)视觉和(2)实际预先提示时,是否在心理(不熟悉的形状)操作中表现出更高的熟练程度(可操作性为准确性和探索时间),从而识别熟悉的形状。明确地说,在完全失明之前储存的经验的预提示或提示是否会提高他们在心理上操纵不熟悉的触觉形状的熟练程度,即减去、重新定位等熟悉的特征,从而基于这种心理(不熟悉的形状)操纵来识别熟悉的形状?我们进行了两个实验来研究两种不同的前体的影响,即以预提示为目的的初步训练:实验1。视觉前体(完全失明前的前兆)和实验2。一种触觉前体(完全失明后的前兆)。实验1检查了32名新失明(即蒙眼视力)的个体……
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引用次数: 7
Visual Contrast Functions in Children with Severe Visual Impairment and the Relation to Functional Ability 重度视力障碍儿童的视觉对比功能及其与功能能力的关系
Pub Date : 2005-01-01 DOI: 10.1080/13882350590956448
A. Siddiqui, A. Rydberg, G. Lennerstrand
The purpose of this study was to evaluate the contrast sensitivity of children with severe visual impairment and to correlate these findings with the children's performance in five areas of functional capability. Twenty children, 6–16 years of age, with severe visual impairment were included in the study. The children were divided into two groups: Group I (n = 9, all with visual deprivation) and Group II (n = 11, with retinal-related diseases). The children were assessed with six different high- and low-contrast visual acuity tests. Functional vision was assessed with regard to communication, orientation, mobility, ADL (activities of daily living) and sustained near-vision tasks. The performances were graded on a scale of 1–5 in the five different areas. High-contrast distance visual acuity tests were generally not well correlated amongst themselves in either group, whereas near-vision and low-contrast tests were well correlated in Group I but not in Group II. The low-contrast tests were well correlated a...
本研究的目的是评估严重视力障碍儿童的对比敏感度,并将这些发现与儿童在五个功能领域的表现联系起来。20名6-16岁的严重视力障碍儿童被纳入研究。将儿童分为两组:第一组(n = 9,均为视力丧失)和第二组(n = 11,均为视网膜相关疾病)。研究人员对这些儿童进行了六种不同的高对比度和低对比度视力测试。功能视力评估包括沟通、定向、移动、日常生活活动和持续的近视力任务。在5个不同的领域中,表演按1-5分进行评分。在两组中,高对比度的距离视力测试之间通常没有很好的相关性,而近视力和低对比度测试在第一组中有很好的相关性,而在第二组中没有。低对比度测试与…
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引用次数: 7
Causes of Low Vision and Patient Preference for Different Types of Visual Aids: A Pilot Study 低视力的原因和患者对不同类型的助视器的偏好:一项初步研究
Pub Date : 2005-01-01 DOI: 10.1080/13882350500431130
A. Riazi, S. Parhizgar
Background: In accordance with the objectives envisaged by the Vision 2020 WHO global initiative, this study was designed to reveal the causes of low vision (LV) and also patient preference for and acceptance of different visual aids. The study was performed between March 2002 and October 2003 in the Low Vision Clinic of the SABA Research and Education Center of Iran. Methods: A descriptive clinical study of patients complaining of low vision was performed. All patients were examined by an ophthalmologist for retinal disease. Non-corrected visual acuity (VA), best-corrected VA, and patient preference for a specific visual aid were registered. Results: Of the 468 (315 male) patients included in the study, age-related macular degeneration (ARMD) was the cause of low vision in 19.9%, congenital disease (albinism, nystagmus, rod & cone dystrophies, different syndromes, etc.) in 17.5%, retinitis pigmentosa in 16%, diabetic retinopathy in 12.4%, retinal disease (different types of maculopathies, retinal scars, ...
背景:根据世界卫生组织愿景2020全球倡议所设想的目标,本研究旨在揭示低视力(LV)的原因以及患者对不同助视器的偏好和接受程度。该研究于2002年3月至2003年10月在伊朗SABA研究和教育中心的低视力诊所进行。方法:对主诉视力低下患者进行描述性临床研究。所有患者均由眼科医生检查视网膜疾病。记录非矫正视力(VA)、最佳矫正视力(VA)和患者对特定助视器的偏好。结果:纳入研究的468例(315例男性)患者中,年龄相关性黄斑变性(ARMD)是导致视力低下的原因(19.9%),先天性疾病(白化病、眼球震颤、杆状锥体营养不良、不同综合征等)占17.5%,视网膜色素变性占16%,糖尿病性视网膜病变占12.4%,视网膜疾病(不同类型的黄斑病变、视网膜瘢痕、…
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引用次数: 5
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Visual impairment research
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