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Chapter 10 Blindness and Low Vision Definitions of Visual Impairment Legal definition of blindness • The legal definition is based on visual acuity and field of vision – A person whose visual acuity is 20/200 or less after the best possible correction with glasses or contact lenses is considered legally blind – A person whose vision is restricted to an area of 20 degrees or less is considered legally blind Educational definitions of visual impairments • The IDEA definition emphasizes the relationship between vision and learning – Totally blind: Receives no useful information through the sense of vision – Functionally blind: Learns primarily through the auditory channel – Low vision: Uses vision as a primary means of learning Causes • Causes of visual impairments: Damage or disturbances to any part of the eye’s optical, muscular or nervous system – Refractive errors: Myopia (nearsightedness) and hyperopia (farsightedness) – Structural impairments: Cataracts, glaucoma, nystagmus, strabismus – Cortical visual impairments: Suspected damage to parts of brain that interpret visual information Characteristics of Students with Visual Impairments • Cognition and language – Impaired or absent vision makes it difficult to see the connections between experiences • Motor development and mobility – Visual impairment often leads to delays and deficits in motor development – low motivation to move – Physical Stereotypy • Social adjustment and interaction – Children with visual impairments interact less and are often delayed in social skills – Many persons who have lost their sight report that the biggest difficulty socially is dealing with the attitudes and behavior of those around them Educational Approaches • The age of onset has implications for how children with low vision should be taught – Visual impairment can be congenital (present at birth) or adventitious (acquired) Special adaptations for students who are blind • Braille • Tactile aids and manipulatives • Computer technological aids for reading print – Hardware/software that magnifies screen images – Speech recognition software – Software that converts text files to synthesized speech Special Adaptations for Students with Low Vision • Functional vision – Teaching a child to use the vision that she has • Optical devices – – – – Glasses Contacts Small hand-held telescopes Magnifiers • Print reading – Approach magnification – Lenses – Large print • Classroom adaptations – – – – Special lamps Desks with tilting tops Off-white writing paper Chairs with wheels Expanded Curriculum Priorities • • • • • • • Orientation and mobility training (O&M) Cane skills Guide dogs Sighted guides Electronic travel aids Listening skills Functional life skills – Cooking – Personal hygiene – Shopping – Financial management – Transportation – Recreational activities Educational Placement Alternatives 86% of children are educated in public schools • Itinerant teacher model – Most students who are included in general education classrooms receive support from itinerant teacher-consultants – The most important factor to the successful inclusion of students with visual impairments is the regular classroom teacher’s flexibility • Other important aspects – Peer acceptance and interaction – Availability of support personnel – Adequate access to special supplies and equipment • Residential schools – About 7.5% of school-age children with visual impairments attend residential schools Current Issues and Future Trends • Specialization of services – Children with visual impairments are likely to receive special education services in the future in both regular and residential schools – Greater emphasis will be placed on intervention with infants and young children and on training older students for independence • Emerging technology and research – It is hoped that all people with visual impairments will benefit from new technological and biomedical developments – Artificial sight may be possible in the future • Fighting against discrimination and for self-determination – Career opportunities will likely expand as individuals with visual impairments become more aware of their legal and human rights