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April 2018

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Greenlane ups low<br />

vision services<br />

The low vision (LV) clinic at Greenlane<br />

Clinical Centre has recently welcomed<br />

two new optometrists to its team. Deepa<br />

Kumar and Deborah Chan, have joined Sandy<br />

Grant, LV clinic coordinator and therapist, to<br />

provide a multi-disciplinary low vision service<br />

to patients referred by eye health specialists,<br />

general practitioners, the Blind Foundation and<br />

other ADHB departments.<br />

The most common referrals are for patients<br />

with macular degeneration (MD) and<br />

glaucoma, although the clinic will accept<br />

anyone with functional vision issues, said<br />

Grant.<br />

Patients seen at early stages of MD often<br />

identify reading, handwriting and glare issues<br />

as their main difficulties, while patients with<br />

glaucoma, retinitis pigmentosa, hemianopias<br />

or monocular vision may experience mobility<br />

and reading issues. Other visual concerns<br />

highlighted in the assessment are also<br />

addressed through LV strategies such as<br />

eccentric viewing, low vision aids, both optical<br />

and non-optical (eg. magnifiers, task lamps,<br />

signature guides), basic training with aids or<br />

sighted-guide, information, peer support or<br />

referrals, such as Blind Foundation membership.<br />

Early intervention often alleviates many<br />

patients and helps the patient develop coping<br />

mechanisms, said Grant.<br />

The low vision clinic runs Tuesday and<br />

Thursday afternoons and on average about<br />

four patients per clinic are seen. Wednesday<br />

afternoons is a therapist-only clinic, though<br />

Grant said she hopes to add another fullservice<br />

clinic in the near future.<br />

Patients referred to the clinic are interviewed<br />

first by Grant and then the optometrist,<br />

who refracts the patient and determines<br />

magnification requirements. Follow-up<br />

appointments are often required, or patients<br />

can self-refer back should they feel their vision<br />

has deteriorated.<br />

Originally from Canada, and trained in<br />

rehabilitation teaching, orientation and<br />

Greenlane low vision optometrists Sandy Grant and Deepa Kumar<br />

mobility, Grant came to New Zealand in 1992<br />

to work for the Blind Foundation. “As the clinic<br />

coordinator, I love the interaction with patients<br />

and in playing my part on the LV team.<br />

“It’s rewarding work, encouraging and<br />

demonstrating what is possible to patients<br />

through a variety of strategies, low vision<br />

aids, appropriate support, referrals to enable<br />

the patient to approach their low vision with<br />

added confidence, motivation and a boost in<br />

self-esteem.”<br />

Grant said she’s excited about the recent<br />

expansion of the clinic and is looking forward<br />

to providing more patients with a range of<br />

services to start them on their journey to living<br />

successfully with low vision.<br />

The LV clinic at Greenlane also recently made<br />

a sizeable donation of older model (and never<br />

used) magnifiers to volunteer ophthalmic<br />

services overseas (VOSO) for their trip to the<br />

Pacific Islands in an effort to support LV work<br />

on this history-making VOSO trip. We wish<br />

Naomi Meltzer and the rest of the VOSO team<br />

all the very best for this new chapter in VOSO’s<br />

evolution, said Grant. ▀<br />

If you would like to a refer a patient to the low<br />

vision service at Greenlane Clinical Centre,<br />

referral forms can be found on the Healthpoint<br />

website or email sandy@adhb.govt.nz. For<br />

questions, call 09 3074949 extn 27641.<br />

Calling mentors<br />

The School of Optometry and Vision Science<br />

(SOVS) at the University of Auckland needs more<br />

externship mentors for their final year BOptom<br />

students.<br />

During their last year of study, each New Zealand<br />

BOptom student undertakes a three-week externship<br />

in a community-based optometry practice. Through<br />

these externships, students gain further experience in<br />

the direct examination and management of patients<br />

away from the confines of the university clinics, says<br />

Dr Geraint Phillips, SOVS senior lecturer and clinic<br />

director. “Feedback from the profession shows many<br />

optometrist mentors enjoy the exchange of ideas and<br />

information with the next generation of optometrists.”<br />

The externship period can be broken up so that the<br />

student attends more than one practice, for example,<br />

when a practice is keen on taking part, but cannot<br />

host the student for the full three weeks. Optometrist<br />

mentors supervise the student during their externship,<br />

which includes being available to check the clinical<br />

findings for every patient the student examines. Mentors<br />

also complete an evaluation at the end of the student’s<br />

externship; a format is provided with pre-set questions.<br />

Optometrist mentors are invited to become<br />

New vision-tech hub<br />

Australian low vision service provider, Vision<br />

Australia, has opened a new interactive<br />

site so people who are visually-impaired<br />

can experience the abundance of new technology<br />

available to help them today.<br />

Located in Vision Australia’s new Parramatta centre<br />

in Western Sydney, the new Vision Store and Tech Hub<br />

showcases the latest specialist adaptive technology and<br />

how more mainstream devices can be optimised and<br />

used to support people who are blind or have low vision.<br />

“Whether it’s living independently, being active in their<br />

community, finding employment or staying connected<br />

with family and friends, technology is often the key to<br />

unlocking opportunities for people who are blind or<br />

have low vision,” said Ron Hooton, Vision Australia’s CEO.<br />

“Individuals have different circumstances and goals and<br />

what we have at Parramatta is a location where anybody<br />

who is blind or has low vision can come and be exposed<br />

to a huge range of technology that can support them<br />

Honorary<br />

Teaching<br />

Fellows with<br />

the University<br />

of Auckland,<br />

a position SOVS: Calling more optometry mentors<br />

which offers full access to the extensive resources the<br />

Auckland University library offers, including all of its<br />

electronic resources (encompassing many excellent<br />

journals); use of the title “Honorary Teaching Fellow<br />

affiliated with the School of Optometry & Vision<br />

Science at the University of Auckland”; preferential<br />

and cost-reduced access to continuing professional<br />

development events within SOVS; use of the following<br />

phrase on practice websites and similar: “Our practice<br />

provides teaching services for the University of<br />

Auckland’s School of Optometry & Vision Science for<br />

their Bachelor of Optometry degree”.<br />

The School of Optometry & Vision Science is keen to<br />

welcome new and returning mentors for externships<br />

in June and July <strong>2018</strong>. If you are interested in becoming<br />

a new or returning externship mentor, please contact<br />

Gini Parslow, practicum placement co-ordinator at<br />

v.parslow@auckland.ac.nz or phone 027 406 8543. ▀<br />

and get expert advice about what is likely to best suit<br />

their needs.”<br />

Technology advice is provided by Vision Australia<br />

staff plus representatives from tech organisation<br />

partners, including Samsung, Apple and Google,<br />

and specialist adaptive technology providers such as<br />

IrisVision and OrCam.<br />

Other highlights of the new space include<br />

demonstration home environments, including an<br />

accessible kitchen and cooking aids (both low and<br />

high-tech solutions); a living room with TV/voice<br />

integration home devices; workplace/home study<br />

tools; Google Home to control lighting and provide<br />

audio cooking instructions; and other tools such as<br />

Samsung’s voice-controlled screen magnification tech.<br />

“Accessibility is a key consideration for people who<br />

are blind or have low vision and we’ve taken that into<br />

account with the design, layout and other features in<br />

the space,” Mr Hooton said. ▀<br />

We’re bringing more<br />

optometry events and<br />

webinars to you<br />

MyHealth1st is revolutionising digital customer engagement<br />

for independent optometrists.<br />

Don’t miss our free events and webinars on how you can join<br />

the digital revolution and put your business growth 1st.<br />

Sign up now at:<br />

myhealth1st.co.nz/optometryevents<br />

<strong>April</strong> <strong>2018</strong><br />

NEW ZEALAND OPTICS<br />

7

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