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Basic concepts and terms for low vision rehabilitation

A Colenbrander1, D C Fletcher

  • 1Department of Ophthalmology, California Pacific Medical Center, San Francisco USA.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|October 1, 1995
PubMed
Summary
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Occupational therapists need clear terminology for visual impairment rehabilitation. Replacing "legally blind" with detailed ICD-9-CM classifications improves communication and recognizes multiple levels of visual performance.

Area of Science:

  • Rehabilitation Medicine
  • Ophthalmology
  • Public Health

Background:

  • Growing role of occupational therapists in visual impairment rehabilitation.
  • Need for standardized and precise terminology in the field.
  • Limitations of the traditional "legally blind" vs. "legally sighted" classification.

Purpose of the Study:

  • To advocate for the accurate use of terminology in visual impairment.
  • To recommend a shift from binary classifications to nuanced descriptions of vision loss.
  • To improve interprofessional communication regarding visual performance.

Main Methods:

  • Literature review on visual impairment classification systems.
  • Analysis of current terminology used in occupational therapy.

Related Experiment Videos

  • Recommendation for adopting the International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM).
  • Main Results:

    • The dichotomy of legally blind versus legally sighted is insufficient.
    • The ICD-9-CM offers a more detailed classification of visual performance levels.
    • Adoption of ICD-9-CM facilitates better understanding of patient needs.

    Conclusions:

    • Accurate terminology is crucial for effective visual impairment rehabilitation.
    • The ICD-9-CM classification system should replace outdated dichotomies.
    • Standardized terminology enhances collaboration among healthcare professionals.