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Presentation transcript:

<Typ titel via Beeld, Koptekst en voettekst, Koptekst> Datum 12-1-2019 Startdia EBU Low Vision Conference 2018 Slovenia <Typ subtitel via Beeld, Koptekst en voettekst, Voettekst>

Joyce van Boven, Optometrist, The Netherlands <Typ titel via Beeld, Koptekst en voettekst, Koptekst> Datum 12-1-2019 11 juni 2018 Low vision and fatigue Titeldia Joyce van Boven, Optometrist, The Netherlands <Typ subtitel via Beeld, Koptekst en voettekst, Voettekst>

<Typ titel via Beeld, Koptekst en voettekst, Koptekst> Datum 12-1-2019 11 juni 2018 General fatigue and visual fatigue Subjective Awareness Reading test Titeldia <Typ subtitel via Beeld, Koptekst en voettekst, Voettekst>

stop when getting tired or having problems to read Reading test Optimal conditions stop when getting tired or having problems to read A person with full sight reads 200-300 words per minute How long? 11 juni 2018

Female, 57 years old, DRP, Visus 0.33; 1 minute / 73 words per minute Reading test Female, 57 years old, DRP, Visus 0.33; 1 minute / 73 words per minute Female, 48 yo, RP, V 0,12; 2 minutes / 70 wpm Male, 38 yo, LHON, V 3/300; 1 minute / 75 wpm 11 juni 2018

Female, 36 yo, opticopathie, V 0.30 1 minute, 107 wpm Reading test Male, 18 yo, NAH, V 0.10; 5 minutes / 37 wpm Female, 44 yo, glaucoma, V 1.0 5.45 minutes / 113 wpm Female, 36 yo, opticopathie, V 0.30 1 minute, 107 wpm 11 juni 2018

Research The economic burden of visual impairment and comorbid fatigue (W. Schakel et al.) Severe fatigue in 57% of the participants with vision loss, In 22% of the particpants with full vision. 11 juni 2018

This effect was not observed in participants with full sight. research Associated with significantly increased social cost for participants with vision loss This effect was not observed in participants with full sight. 11 juni 2018

<Typ titel via Beeld, Koptekst en voettekst, Koptekst> Datum 12-1-2019 11 juni 2018 Exploring the patient perspective of fatigue in adults with visual impairment (W. Schakel et al.) Symptoms Causes Consequences Coping strategies Titeldia <Typ subtitel via Beeld, Koptekst en voettekst, Voettekst>

Relaxation External support Socialising Physical exercise Coping strategies Relaxation External support Socialising Physical exercise Acceptence of fatigue 11 juni 2018

Amound and intensity of activities Effort for visual perception Causes (top 5): High cognitive load Amound and intensity of activities Effort for visual perception Difficulties with light intensity Negative cognitions 11 juni 2018

Possible interventions? 11 juni 2018

<Typ titel via Beeld, Koptekst en voettekst, Koptekst> Datum 12-1-2019 11 juni 2018 Optimize conditions / structure Raise awareness Enforcing bounderies New practical interventions should not exeed energy capacity of the cliënt. Cognitive behavioural therapy Titeldia <Typ subtitel via Beeld, Koptekst en voettekst, Voettekst>

research http://bmjopen.bmj.com/content/7/8/e015023.long http://iovs.arvojournals.org/article.aspx?articleid=2678190 11 juni 2018

<Typ titel via Beeld, Koptekst en voettekst, Koptekst> Datum 12-1-2019 Startdia EBU Low Vision Conference 2018 Slovenia <Typ subtitel via Beeld, Koptekst en voettekst, Voettekst>

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