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A Standardized Obstacle Course for Assessment of Visual Function in Ultra Low Vision and Artificial Vision

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Published on: February 11, 2014

Developing consensus-based referral criteria for low vision services in Australia.

Khyber Alam¹, Heather Connor¹, Alex Gentle¹

¹School of Medicine, Deakin University, Geelong, Victoria, Australia.

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)

|October 12, 2021

Summary

Expert consensus in Australia recommends basing low vision referrals on functional impact, not just visual acuity. Early patient involvement and clear pathways are crucial for timely vision rehabilitation services.

Keywords:

Delphi consensus low vision referral guidelines visual impairment

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Area of Science:

Ophthalmology
Optometry
Vision Science

Background:

Low vision services are essential for individuals with uncorrectable vision impairment.
Current referral criteria for low vision services in Australia lack expert consensus.
Standardized referral pathways are needed to ensure timely access to care.

Purpose of the Study:

To establish expert consensus on referral criteria for low vision services in Australia.
To define best-practice guidelines for referring patients to low vision services.
To improve the timeliness and appropriateness of low vision referrals.

Main Methods:

A modified online Delphi process involving 38 Australian low vision experts.
Three rounds of consensus building over five months (commencing 2019).
Refinement of 90 initial statements into four key consensus points.

Main Results:

Referral should primarily consider the functional impact of vision impairment on well-being.
Clinical measures (visual acuity, visual field) are secondary considerations.
Consensus reached on informing patients early and involving them in referral decisions.

Conclusions:

Adoption of these recommendations can improve healthcare professional referrals for low vision services.
Clear referral pathways and shared responsibility between ophthalmologists and optometrists are vital.
Timely and appropriate referrals benefit individuals with vision impairment.