Explore the vast range of titles available.

\"Visual agnosia is a rare but fascinating disorder of visual object recognition that can occur after a brain lesion. This book documents the case of John, who worked intensively with the authors for 26 years after acquiring visual agnosia following a stroke. It revisits John's case over twenty years after it was originally described in the book To See But Not To See, in 1987. As in the previous book, the condition is illuminated by John and his wife, Iris, in their own words. A Case Study in Visual Agnosia Revisited discusses John's case in the context of research into the cognitive neuroscience of vision over the past twenty years. It shows how John's problems in recognition can provide important insights into the way that object recognition happens in the brain, with the results obtained in studies of John's perception being compared to emerging work from brain imaging in normal observers. This book presents a much fuller analysis of the variety of perceptual problems that John experienced, detailing not only his impaired object recognition but also his face processing, his processing of different visual features (colour, motion, depth), his ability to act on and negotiate his environment, and his reading and writing. A Case Study in Visual Agnosia Revisited will be a key reference for those concerned with understanding how vision is implemented in the brain. It will be suitable for both undergraduate students taking courses in cognitive psychology and neuropsychology, and also researchers in the cognitive neuroscience of vision. The presentation of John's case, and the human aspects of the disorder, will also be of great interest to a general audience of lay people interested in perception\"-- Provided by publisher.

This book presents an emerging rehabilitation program for improving the reading abilities of individuals with low vision who undergo therapy for visual impairment. Its interdisciplinary framework for visual training through reading skills development aligns its goals with those of special education programs and features anatomical and psychological background chapters, diverse perspectives on rehabilitation, and empirical supporting data. Program details span theoretical bases, strategies and planning, pedagogical considerations, use of assistive technologies, and assessment of client progress and program efficacy. And by locating rehabilitation in the psychosocial experience of visual disability, the program can be used as a means of building confidence and motivation, contributing to improved quality of life.

Background/aimsHospital-based low vision services in the UK typically involve one consultation with an optometrist. In this study we investigated the effect of adding further low vision device training.MethodsParticipants were recruited from those attending their first low vision assessment (LVA). Participants completed the Mass of Activity Inventory (MAI) questionnaire by telephone before their appointment. After LVA, participants were randomised to an intervention group (who received a further appointment to review device handling) or a control group. The MAI was readministered 1 and 3 months after the initial LVA. MAI data were converted to Rasch scores for goal difficulty.ResultsNinety-six participants completed the study. Both groups experienced a significant improvement in goal difficulty following low vision intervention (p<0.0001), equivalent to a visual acuity improvement of approximately 0.55 logarithm of the minimum angle of resolution (logMAR). There was no significant difference in improvement between the group randomised to the training visit and those in the control arm (p=0.80).ConclusionSelf-perceived difficulty with daily visual tasks decreases following a low vision appointment. An additional visit for device handling training resulted in no further improvement. This could be due to the relatively simple nature of the devices prescribed in this clinic.Trial registration numberISRCTN05434212.

Background Visual Rehabilitation Officers help people with a visual impairment maintain their independence. This intervention adopts a flexible, goal-centred approach, which may include training in mobility, use of optical and non-optical aids, and performance of activities of daily living. Although Visual Rehabilitation Officers are an integral part of the low vision service in the United Kingdom, evidence that they are effective is lacking. The purpose of this exploratory trial is to estimate the impact of a Visual Rehabilitation Officer on self-reported visual function, psychosocial and quality-of-life outcomes in individuals with low vision. Methods/design In this exploratory, assessor-masked, parallel group, randomised controlled trial, participants will be allocated either to receive home visits from a Visual Rehabilitation Officer ( n  = 30) or to a waiting list control group ( n  = 30) in a 1:1 ratio. Adult volunteers with a visual impairment, who have been identified as needing rehabilitation officer input by a social worker, will take part. Those with an urgent need for a Visual Rehabilitation Officer or who have a cognitive impairment will be excluded. The primary outcome measure will be self-reported visual function (48-item Veterans Affairs Low Vision Visual Functioning Questionnaire). Secondary outcome measures will include psychological and quality-of-life metrics: the Patient Health Questionnaire (PHQ-9), the Warwick-Edinburgh Mental Well-being Scale (WEMWBS), the Adjustment to Age-related Visual Loss Scale (AVL-12), the Standardised Health-related Quality of Life Questionnaire (EQ-5D) and the UCLA Loneliness Scale. The interviewer collecting the outcomes will be masked to the group allocations. The analysis will be undertaken on a complete case and intention-to-treat basis. Analysis of covariance (ANCOVA) will be applied to follow-up questionnaire scores, with the baseline score as a covariate. Discussion This trial is expected to provide robust effect size estimates of the intervention effect. The data will be used to design a large-scale randomised controlled trial to evaluate fully the Visual Rehabilitation Officer intervention. A rigorous evaluation of Rehabilitation Officer input is vital to direct a future low vision rehabilitation strategy and to help direct government resources. Trial registration The trial was registered with ( ISRCTN44807874 ) on 9 March 2015.

Background Visually impaired older people (VIOP) have a higher risk of falling than their sighted peers, and are likely to avoid physical activity. The aim was to adapt the existing Falls Management Exercise (FaME) programme for VIOP, delivered in the community, and to investigate the feasibility of conducting a definitive randomised controlled trial (RCT) of this adapted intervention. Methods Two-centre randomised mixed methods pilot trial and economic evaluation of the adapted group-based FaME programme for VIOP versus usual care. A one hour exercise programme ran weekly over 12 weeks at the study sites (Newcastle and Glasgow), delivered by third sector (voluntary and community) organisations. Participants were advised to exercise at home for an additional two hours over the week. Those randomised to the usual activities group received no intervention. Outcome measures were completed at baseline, 12 and 24 weeks. The potential primary outcome was the Short Form Falls Efficacy Scale – International (SFES-I). Participants’ adherence was assessed by reviewing attendance records and self-reported compliance to the home exercises. Adherence with the course content (fidelity) by instructors was assessed by a researcher. Adverse events were collected in a weekly phone call. Results Eighteen participants, drawn from community-living VIOP were screened; 68 met the inclusion criteria; 64 participants were randomised with 33 allocated to the intervention and 31 to the usual activities arm. 94% of participants provided data at the 12 week visit and 92% at 24 weeks. Adherence was high. The intervention was found to be safe with 76% attending nine or more classes. Median time for home exercise was 50 min per week. There was little or no evidence that fear of falling, balance and falls risk, physical activity, emotional, attitudinal or quality of life outcomes differed between trial arms at follow-up. Conclusions The intervention, FaME, was implemented successfully for VIOP and all progression criteria for a main trial were met. The lack of difference between groups on fear of falling was unsurprising given it was a pilot study but there may have been other contributory factors including suboptimal exercise dose and apparent low risk of falls in participants. These issues need addressing for a future trial. Trial registration Current Controlled Trials ISRCTN ID: 16949845 Registered: 21 May 2015.

Objective: To evaluate the visual rehabilitation after phacoemulsification with rigid intraocular lens implantation. Study Design: Prospective longitudinal study. Place and Duration of Study: Institute of Ophthalmology, Liaquat University of Medical and Health Sciences, Jamshoro Pakistan, from Jul to Dec 2020. Methodology: Ninety-four subjects diagnosed with unilateral cataracts were evaluated completely. Subjects with any other ocular disease were excluded from the study. Pre-operative and post-operative, surgical and visual outcomes along with follow-up of 4 weeks and 12 weeks best-corrected visual acuity, were recorded. Results: The mean age of study participants was 61.77±7.34 years. Post-operative complications were evaluated within one week of surgery. 22(23.4%) subjects showed striate keratopathy, 2(2.1%) indicated bullous keratopathy, and 7(7.4%) reported residual lens matter as a complication. The difference between good visual outcomes was 33(35.1%) within eight weeks (4th week till 12th week); similarly, the difference between satisfactory visual outcomes was 22(23.4%). The visual outcomes improved more than two folds after phacoemulsification with a rigid intraocular lens. Conclusion: The foldable intraocular lens is comparatively expensive and unaffordable for many patients in developing countries. Rigid IOL with phacoemulsification is a cost-effective method to remove cataracts and restore patient visual acuity.Accurate diagnosis, evaluation, and surgeon’s experience are important factors in achieving the required results.

Examining post-acute care for vision rehabilitation following brain injury, this multidisciplinary book combines theory and practice, presenting clinical information and scientific literature to support the diagnostic and therapeutic strategies discussed.

The purpose of this study was to investigate the effectiveness of visual rehabilitation of a computer-based visual stimulation (VS) program combining checkerboard pattern reversal (passive stimulation) with oddball stimuli (attentional modulation) for improving the visual acuity (VA) of visually impaired (VI) children and children with amblyopia and additional developmental problems. Six children (three females, three males; mean age = 3.9 ± 2.3 years) with impaired VA caused by deficits along the anterior and/or posterior visual pathways were recruited. Participants received eight rounds of VS training (two rounds per week) of at least eight sessions per round. Each session consisted of stimulation with 200 or 300 pattern reversals. Assessments of VA (assessed with the Lea symbol VA test or Teller VA cards), visual evoked potential (VEP), and functional vision (assessed with the Chinese-version Functional Vision Questionnaire, FVQ) were carried out before and after the VS program. Significant gains in VA were found after the VS training [VA = 1.05 logMAR ± 0.80 to 0.61 logMAR ± 0.53, Z = -2.20, asymptotic significance (2-tailed) = 0.028]. No significant changes were observed in the FVQ assessment [92.8 ± 12.6 to 100.8 ±SD = 15.4, Z = -1.46, asymptotic significance (2-tailed) = 0.144]. VEP measurement showed improvement in P100 latency and amplitude or integration of the waveform in two participants. Our results indicate that a computer-based VS program with passive checkerboard stimulation, oddball stimulus design, and interesting auditory feedback could be considered as a potential intervention option to improve the VA of a wide age range of VI children and children with impaired VA combined with other neurological disorders.