CONFIDENTIAL EDUCATIONAL LOW VISION EVALUATION Student: Maya Date of Birth: October 26, 1986 Age: 15 years, 0 months Grade: 9th Grade Date of Evaluation: November 7, 2001 Evaluator: Silvia Correa-Torres Evaluator Title: Teacher of Students with Visual Impairments Eye Specialist Diagnosis: Achromatopsia & Nystagmus Visual Acuity: 20/200 OD 20/200 OS OD OS Visual Fields: Other Medical Diagnosis: Test(s) Administered: Visual Skills Appraisal Distance Test for the Partially Sighted Near Vision Test for Children Sloan Reading Cards for Low Vision Patients PV-16 The Lighthouse Functional Vision Screening Questionnaire Informal Reading Inventory GENERAL INFORMATION Maya is a 15 year-old female who is currently in the 9th grade at Pathways High School. She was evaluated in order to determine her visual skills in an educational environment. Maya was referred for an Educational Low Vision Evaluation in order to update her educational records and to comply with the Individuals with Disabilities Education Act, which requires the reevaluation of a student who receives special education services at least every three years. This is the functional vision component of the multidisciplinary team evaluation. The reader is urged to refer to additional reports from the multidisciplinary team for further information. The following is a functional vision assessment for educational purposes only and should not be substituted for regular, ophthalmologic evaluations. Maya was diagnosed with achromatopsia, and nystagmus. Achromatopsia is a congenital condition in which there is an inability to see colors caused by the deficit or absence of cones. Nystagmus refers to involuntary eye movements, which can result in an inability to maintain 1 fixation, reduced visual acuity, visual fatigue, and dizziness. Photophobia (light sensitivity) also tends to accompany these eye conditions. The inability to use the eyes together and maintain binocular vision is also affected with nystagmus. Thus, Maya may experience problems with depth perception. Accommodation problems are also typical which would affect Maya’s ability to shift her gaze between near tasks and distance tasks. Maya’s eye condition is stable at this time. Maya was reluctant to participate in this evaluation. However, once it was explained that the test was designed to help her make educated choices about her visual needs, she was cooperative. Due to the fact that this evaluation was not a high priority for Maya, the results give a limited sampling of her visual abilities. Furthermore, it should be noted that Maya is not interested in receiving vision services or using optical aids in the classroom. RESULTS OF EVALUATIONS When given a choice, Maya preferred to work in conditions with normal overhead lighting. Maya indicated that she usually completes tasks in pen or pencil on standard, college ruled paper. From a distance of approximately 3 inches, Maya was able to read the equivalent of 8-point type with relative ease. This is a sample of 8-point type. Eight-point type is characteristic of print found in paperback novels. Using an 8x magnifier, Maya was able to read 6-point type. This is a sample of 6-point type. Six-point type is the size of print found in a newspaper article. Maya currently uses regular print and will use large print on occasion. She showed a preference for 18-point type, which she indicated would allow her to read more pages than regular print before she experiences visual fatigue This is a sample of 18-point type. Eighteen-point type is typically used in large print books. Maya indicated that she can read 3 or 4 regular print pages or 6 large print pages before becoming fatigued. When reading standard textbook print, Maya read approximately 58 words per minute. When reading large print, she read approximately 133 words per minute. When using regular print with a 15X, hand-held tri-lens magnifier, she read approximately 55 words per minute. Maya selected the tri-lens magnifier because it could easily be concealed in her hand during use. However, it significantly reduced her viewing field to approximately 17 characters. Students of comparable age typically read 185-195 words per minute. Maya indicated that her parents usually help her complete reading assignments because it is quicker. From a distance of 10 feet, while using both eyes, Maya was able to read the 10/80 line on the Distance Test for the Partially Sighted. Using an 8X monocular with her right eye, Maya was able to read the 10/10 line. This indicates that Maya would be a good candidate for using a distance prescription aid. The results of this test indicate that Maya’s distance vision is poor. Basically she sees at a distance of 20 feet or less what the healthy eye sees at 160 feet. The Visual Skills Appraisal consists of several subtests, which assess the student’s visual functioning in different areas. Although Maya is over the age limit for comparing her with norm data, the test yields information useful in educational programming. Upon Maya’s request, the functional vision evaluation was condensed. Therefore, only one subtest was administered. This particular subtest in the Visual Skills Appraisal assesses the student’s ability to use the eyes as a team by having them trace an alternating red and green line while wearing glasses with red and green lenses. Maya did not appear to have a dominant eye. However, she also did not use her eyes as a team. She completed each segment of the line separately (i.e. she did all one color first and then the other). This indicates that Maya does not achieve binocular vision and may experience difficulty with depth perception. 2 In order to assess her color vision, Maya was asked to arrange colored tiles in a hue progression. As expected, the results indicate that she experiences color blindness. Maya’s peripheral fields are restricted. Normal fields range from 90-110 degrees. Her right field measured 35 degrees, and her left field measured 40 degrees. This type of field restriction can severely impact her ability to respond to moving objects, such as traffic. SUMMARY AND RECOMMENDATIONS Maya is a legally blind student with a stable eye condition. Over the years, she has learned to compensate for her visual difficulties with the assistance of family and friends. Thus, Maya does not tend to use optical aids on a regular basis, which might improve her efficiency. This report reflects one portion of the multidisciplinary team evaluation. Maya’s IEP committee should consider information in all the reports from the multidisciplinary team when determining educational programming and transition issues. Recommendations for educational modifications are as follows: Preferential seating away from windows and glare Extended time to complete tasks involving reading The use of large print materials for extended reading tasks An 8X monocular for distance viewing An 8X hand-held magnifier Desk copies of board work and overheads Adaptation of color coded maps, tables, & graphs Opportunities to interact with other people who have visual impairments Silvia Correa-Torres Teacher of Students with Visual Impairments/Certified Orientation & Mobility Specialist Pathways to Independence 970-123-4567 3 IEP Planning Notes (For service provider use only) Student: Maya Area: Visual Efficiency Service Provider: Silvia Correa-Torres, TVI/COMS Present Level of Performance Strengths Understands her visual impairment Uses vision well in familiar settings Needs Self-advocacy at school Understanding of various optical aids and how they can enhance visual functioning in different environments and on different tasks IEP Recommendations Goal: Visual Efficiency: Maya will increase her ability to advocate with school personnel regarding her visual needs. Objectives: By the end of the first day of classes, Maya will make appropriate arrangements with all of her teachers to get desk copies of notes in 2 out of 2 trials. Given a particular optical aid, Maya will accurately demonstrate its use and describe appropriate situations for use in 2 out of 3 trials. Given an 8x monocular, Maya will identify environmental signs with at least 80% accuracy in 3 out of 3 trials. Service Recommendation: 1 hour per month 4