Jackson Mary Lou
Vancouver Island Health Authority, Victoria, BC.
Can J Ophthalmol. 2006 Jun;41(3):355-61. doi: 10.1139/I06-021.
Traditionally, vision rehabilitation was directed towards patients who were blind or had very low vision. There is increasing evidence that less severe vision loss is associated with increased risk of falls, hip fractures, medication errors, poor nutrition, reduced physical activity, social isolation, clinical depression, longer hospitalizations, and mortality. The American Academy of Ophthalmology (AAO) 2003 SmartSight initiative in low vision rehabilitation outlined a model of graduated low vision interventions. This paper is a review of the AAO SmartSight model and how it can apply in the Canadian setting. All patients with visual acuity less than 20/40, a scotoma, field loss, or loss of contrast sensitivity would be offered information about available low vision rehabilitation. Eye physicians would be encouraged to communicate with other health care providers to coordinate existing services and integrate graduated services. Enhanced communication among caregivers about the consequences of vision loss, such as depression, falls, and visual hallucinations, could help ensure that all patients who would benefit receive appropriate vision rehabilitation.
传统上，视力康复主要针对失明或视力极低的患者。越来越多的证据表明，不太严重的视力丧失与跌倒、髋部骨折、用药错误、营养不良、身体活动减少、社交孤立、临床抑郁、住院时间延长和死亡率增加的风险相关。美国眼科学会（AAO）2003年的低视力康复智能视力倡议概述了一个分级低视力干预模型。本文是对AAO智能视力模型及其在加拿大环境中如何应用的综述。所有视力低于20/40、有暗点、视野缺损或对比敏感度丧失的患者都将获得有关现有低视力康复的信息。将鼓励眼科医生与其他医疗保健提供者沟通，以协调现有服务并整合分级服务。护理人员之间加强关于视力丧失后果（如抑郁、跌倒和视幻觉）的沟通，有助于确保所有受益患者获得适当的视力康复。
