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Visual Impairments
Our world is visually rich, and there is a high density
of visual information necessary to drive a car, read maps, figure out
a bus schedule, look up a taxi in the phone book.
Any loss of ability to gather information by seeing
might be considered a visual impairment.
Definitions
Defining visual impairment is complex.
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Low vision - able to use sight
to learn, but visual impairment interferes with daily functioning |
Legally blind - vision cannot be corrected
to 20/200 in the better eye or peripheral vision is limited to 20
degrees |
Congenitally blind - born with
a severe visual impairment |
Blindness
- does not have functional use of enough vision to able to use sight
to learn or function - may see shadows or some movement |
Totally blind - individuals who use their tactual
and auditory senses to acquire information about their environment
and who do not receive meaningful input through vision. |
Tunnel vision - the area of vision is restricted
to a small central area and peripheral vision is limited |
Adventitiously blind - acquire a severe visual
impairment after age two |
Snellen Chart
developed in 1862 and used as a screening
device for distance vision
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Cornea - transparent curved part of the
eye that shows as the surface
Pupil - This is the little opening that
changes, based on the amount of light that is needed to enhance
vision
Iris - colored part of the eye -- regulates
the amount of light that gets into the eye
Lens - the focus on the eye - made of
muscles that thicken or thin out as needed and this is the part
of the eye that accommodates for distance
Retina - inside lining of the eye with
photosensitive cells that react to light
Optic Nerve - Main nerve that carries
messages from the eye to the part of the brain that decodes and
makes meaning of it
Sclera - strong protective covering that
protects the eye
Ciliary body - helps balance the fluid
in the eye and also changes the shape of the eye as a function
of the focusing process
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Illustration from the National
Eye Institute
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Parts of the Visual System
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Cross-section of the Eye
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Category
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Area of eye affected
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Resulting condition
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Transmission of light energy |
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Conversion of light to impulses |
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Brain connection |
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Timing |
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Table fromTurnbull, 1999
Portrait
of Helen Keller, Anne Sullivan and Alexander Graham Bell using various
forms of communications
Cultural Information
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"The style and ways of the dominant American culture are
often in conflict with other cultures that comprise the United
States. Because the dominant culture typically dictates how services
are delivered, these services are either inappropriate or ineffective
for many Native American children with disabilities and their
families. Professionals might be more culturally sensitive by
remembering that the circle is a recurring theme of life and health,
particularly in Native American cultures. People are born into
a circle of family and community that embraces mutual support
and oneness. When one member is affected by something or an event,
the entire community is also affected. So, when one member is
involved, everyone should be involved. Rather than focusing on
the individual, the focus of services should be with the family
and its extended members. For example, when working with students
with visual impairments, Ponchillia (1993) recommends that all
family members be shown how to use equipment and adaptive techniques
so they can better support the individual with the disability.
- Smith, 1998
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The leading causes of visual impairment in those persons not
considered to be legally blind are cataracts, refractive errors,
and glaucoma.
The leading causes of visual impairment for those defined as
legally or totally blind are retinal disorders, glaucoma and cataract.
Most children in the special education programs with visual impairments
have one of these disorders. The most accurate prevalence figure
for the school aged population is that 1 percent of children have
a visual impairment.
Identification of vision impairments is made through
the combined efforts of preschools, Child Find programs,
and school vision screenings. Vision acuity testing is done by
preschools and schools. Observation is done by teachers, parents
and others who have close association with the child. Referrals
are made to ophthalmologists, or optometrist on children where
a possible problem is detected.
Developmental Characteristics: Psychomotor - The
physical development of children who have visual impairments resembles
that of children whose vision is normal. Visual impairments can
often have indirect effects on children’s physical development.
Visual impairments do not retard physical development. Motor development
does not differ markedly from the child with normal vision in
the first few months of life. Differences that occur later are
largely the result of the limits that are placed on the physical
activities of many children with visual impairments. Cognitive
- There are no significant differences in intelligence of children
with visual impairments and children with normal vision. However,
there are differences in concept development. These differences
result from the restrictions placed on visually impaired children,
rather than the loss of vision itself. The visually impaired child
must learn through direct experiences, and are unable to use imitation.
Although visually impaired children go through the same sequence
of developmental stages as other children, they go through them
considerably slower. Some visually impaired children may never
grasp some concepts. School Achievement: Visually impaired children
tend to lag behind children with normal vision in school. The
visual impairment is not necessarily the cause of school under
achievement School under achievement is an indirect result of
the visual impairment. Affective - Social development of
children with visual impairments does differ when compared to
that of children with normal vision. Most of the social and emotional
problems that effect the visually impaired child are caused by
the attitudes and reactions of those who can see. This is an issue
that the visually impaired child will have to deal with throughout
not only his school age years, but his entire life. All efforts
must be made to enable the visually impaired to lead a normal
life independently. Children who have visual impairments will
have to learn special skills that will be different than the normal
school curriculum.
Visually impaired children will need to learn orientation and
mobility skills as well as daily living skills. Some visually
impaired children will need to learn Braille and also have written
materials in larger print. In some cases optical aids and different
lighting and contrast can be effective for some children.
There are several people who have achieved greatness while being
visually impaired:
Helen Keller Louis
Braille Stevie Wonder
Roy Orbison
- contributed by Laurel Padilla - Northern Arizona U Student
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Tips and Strategies
Basic
Needs
Youngsters with visual
impairments need to be seen as children first. There are an infinite
number of things sighted children do automatically that we will
want to consider when we provide children with ways to meet basic
needs in spite of visual impairment.
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SO
. . . .
First things first.
I am a person first, and a label second.
I am living in a world that is increasingly visual and that trend affects
my ability to be independent.
I have needs, and my ability to express those needs is critical to being
happy or feeling unfulfilled.
If I am feeling unfulfilled, I may behave in ways that express how unfulfilled,
thwarted and unhappy I am.
These statements are statements
of human nature -- this is the way healthy people feel.
It is normal for human
beings to respond with strong emphasis when not getting needs met.
Student action
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Needs
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Creative solution
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Need for stimulation may lead to verbal
self stimming, acting out, going beyond established bounds |
Student - to learn and be stimulated while being safe
Teacher - to teach each student adequately
Class - to learn, concentrate, fulfill their own need to know
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Increase the level of comfort and safety
for the student who is acting out and provide increased opportunities
to learn, to work alone, to be a part of the class and to get the
support to exchange visual learning materials for alternate learning
formats; help class to increase tolerance by helping them
understand the actions in a positive frame - ways they self soothe,
and ways they can assist in their fellow student's learning. Teacher
- observe processes and look for ways to enhance student stimulation,
enhance learning opportunities and utilize students, aides, retired
teachers, community resources to help the student move forward with
the lesson. |
Student becomes agitated |
Student - to be soothed, to know that the bell is going to ring
and be ready for the next set of activities
Teacher - to make transitions easily
Class - to make transitions easily
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Set up a system that communicates by gesture computer
or Braille, the sequence of events and the schedule so the student
can feel adequately involved and adjust to changes. |
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Fill in the next three cell rows, using the ideas you
gain from experience, from materials in the text and in your web searches.
Identify a likely student behavior that may hamper learning and then
go through the process of defining needs, then finding a solution that
allows everyone to get needs met [25 points have been allotted for this
activity].
Activity
List
1. Read a book written by a family member, telling about
their personal insights and challenges being involved with a youngster
with visual impairment. Make a list of the ways a teacher might support
the parent experiences. Make a second list of things parents might
tell an educator about a child. [50 points].
2. There are specific courtesy rules for working with
those who have visual impairments and for letting the student know
of your presence and intentions. One place to locate these is the
National Federation of the Blind. Another place with suggestions is
the Deaf-Blind Link. Obtain a list and personalize it before attempting
to spend time observing or working with those who have visual impairments.
(25 points for finding them; 25 points for personalizing them].
3. Locate a parent who will allow you to visit the child
at the school or in the home and spend a minimum of 4 hours observing
the youngster. As part of the observation experience, identify at
least three student strengths. Look for the youngster's interests
and determine some of the ways the student engages others. [25 points
per hour for observing].
3. Watch one of the movies about visual impairment for
50 points and send a review of the characterization of visual impairment
for another 25 points. A few great movies are Patch of Blue,
The Miracle Worker, Butterflies are Free. Scent of
a Woman is about a person becoming visually impaired as an adult.
You may watch and report on this movie, too.
4. Learn about different forms of communications. Try
to find an opportunity to watch someone use different kinds of Assistive
communication devices. After looking at the pros and cons, develop
a paragraph stating your personal feelings about the different techniques
and potential usefulness. [25 points] Add another dimension by learning
Braille yourself, or using talking books, augmented communications
devices, etc.
5. Identify three commonly held fallacies about visual
impairment and then provide three fact based beliefs about people
with different forms or severity of visual disabilities. [15 points]
6. Locate and review one of the diagnostic instruments
used to evaluate visual impairment. In general, do you expect students
to score in a wide range of intellectual abilities, or will more students
score at or below average intelligence? [25 points].
7. Remember to feel free to develop your own personal
response to the material. Allot yourself approximately 25 points per
hour for your work.
8. There are several very different kinds of visual
impairments that are included in the broad diagnosis of visual handicaps.
Choose one of the categories and find at least 10 articles or discussions
about the characteristics of the condition. Feel free to use materials
off the web, as well. Then write a paper of 500-100 words, discussing
the challenges these young people have and provide a set of methods
or materials that might address strengths and diminish barriers to
education. [100 points each]
Movies and Films
Blind Rage |
The Blindness |
Butterflies Are Free |
Bright Victory |
Blind Swordsman and the Chess Expert |
Cat o' Nine Tails |
Day of Despair |
Cutter's Way |
Blink Blues for Lovers |
City Lights |
Eyes in the Night |
Eyes of a Stranger |
The City for Conquest |
The Dead Man's Eyes |
Fists in the Pocket |
The Hanging Tree |
The Day of the Triffids |
Freak City |
The Hidden Eye |
Footfalls |
How Awful About Allan (TV Film) |
Ice Castles |
King Lear |
Lady's Morals |
Journey From Darkness |
Journey Into Light |
Life on a String |
Light That Failed |
A Land of Silence and Darkness |
Longstreet (TV) |
Patch of Blue |
The Mask |
The Scent of a Woman |
Night Is My Future |
A Love Story (TV) |
Mesmer |
If You Could See What I Hear |
Night on Earth |
Love Leads the Way |
Road to Mandela |
Love! Valour! Compassion! |
Wait Until Dark |
To Race the Wind |
Whales of August |
Movie Music From Another Room |
Night Song |
No Road Back |
Ordinary Heroes |
On Dangerous Ground |
Sea Wolf |
Orphans of the Storm |
Second Sight |
Story of Esther Costello |
Tommy Torch Song |
The Thunder Below |
Wedding Gift |
The Unconquered,(Helen Keller Story) |
West Side Girl |
Union Station |
What Love Sees |
Wild Hearts Can't Be Broken |
Showdown for Zatoichi |
Wise Blood |
Wolf Larsen |
You should now:
Go back to Characteristics
E-mail J'Anne Ellsworth at Janne.Ellsworth@nau.edu
Course developed by J'Anne
Ellsworth
Copyright © 1999
Northern Arizona University
ALL RIGHTS RESERVED
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