1. Library Patrons and Computer Access Jean Kalscheur Wisconsin Council of the Blind & Visually Impaired Madison, WI

2. Agenda Changing Vision with Age Eye Diseases Hardware Accessibility Options Magnification and Screen Reader Software

3. Changing Vision with Age

4. Decreased Up-Close Focus “My arms aren’t long enough”

5. Reduced Color Perception & Contrast Sensitivity

6. Increased Lighting Needs

7. Questions / Comments

8. Eye Diseases

9. Degradation of image; cloudy or blurry Reduced contrast sensitivity Difficulty seeing in poorly lit environments Increased sensitivity to light and glare Cataracts

10. Dark spaces in center area of vision Blurred or distorted central vision Wavy or bent appearance of straight lines Glare sensitivity Age-Related Macular Degeneration

11. Loss of peripheral vision Increased light/dark adaptation time Glare sensitivity Reduced contrast sensitivity Glaucoma

12. Scotomas Blurred, hazy vision Light and glare sensitivity Diabetic Retinopathy

13. Legally Blind No better than 20/200 corrected vision in the better eye Or Visual field not extending beyond 20 degrees in the better eye www.afb.org/Section.asp?SectionID =7&TopicID=116&SubTopicID=70& DocumentID=2887

14. Low Vision Significant reduction of visual function that cannot be fully corrected by ordinary glasses, contact lenses, medical treatment and/or surgery http://low-vision.org/en/About_Low_Vision

15. Vision Loss in Wisconsin Total 88,014 Gender Male 40,734 Female 47,280 Age Under 5 1,327 5-17 4,708 18-64 42,631 65-74 10,194 75 and older 29,154 www.census.gov/acs/www/SBasics/SQuest/QbyQfact/disability.pdf

16. Prevalence of Vision Problems in U.S. Vision Problems in the US: Prevalence of Adult Vision Impairment and Age-Related Eye Disease in America http://www.preventblindness.net/site/DocServer/VPUS_report_web.pdf?docID=1322

17. Questions / Comments

18. Hardware

19. Monitor

20. High Contrast Keyboards

21. Mouse or Trackball

22. Questions / Comments

23. Accessibility Options

24. Change Appearance (W7) Start button Control panel Ease of access Ease of access center Optimize visual display Choose a high contrast theme Change the size of text and icons Set the thickness of the blinking cursor

25. Change Desktop (XP) Right click on desktop Properties Desktop tab Background – choose None Select color

26. Resize Icons (XP) Right click on desktop Properties Appearance tab Effects Check Use large icons

27. Resize Elements (XP) Right click on desktop Properties Appearance tab Advanced Select element and make changes

28. High Contrast (XP) Start Control panel Accessibility options Display Select Use High Contrast check box Settings

29. High Contrast (XP)

30. Change Cursor Blink Rate (W7) Start button Control panel Search for Keyboard Keyboard Cursor blink rate

31. Change Cursor Blink Rate (XP) Start button Control panel Keyboard Speed tab Cursor blink rate

32. Questions / Comments

33. Keyboard Changes (W7) Start button Control panel Ease of access Ease of access center Make the keyboard easier to use Turn on Sticky Keys Turn on Toggle Keys Turn on Filter Keys

34. Keyboard Changes (XP) Start button Control panel Accessibility options Keyboard tab Use StickyKeys Use ToggleKeys Use FilterKeys

35. Mouse Changes (W7) Start button Control panel Ease of access Ease of access center Make the mouse easier to use Change the color and size of mouse pointers Turn on Mouse Keys Mouse settings Button Pointer options

36. Mouse Changes (XP) Start button Control panel Mouse Buttons Pointers Pointer options

37. Mouse Buttons (XP)

38. Mouse Pointers (XP)

39. Mouse Pointer Options (XP)

40. Questions / Comments

41. Magnifier (W7) Start button All programs Accessories Ease of access Magnifier Views Zoom level Lens size Color inversion

42. Narrator (W7) Start button All programs Accessories Ease of access Narrator Voice settings Know keyboard shortcuts

43. On-Screen Keyboard (W7) Start button All programs Accessories Ease of access On-Screen Keyboard Options Text prediction

44. Start button All programs Accessories Accessibility Magnifier Magnification level Resize zoom window Invert colors Narrator OnScreen keyboard Magnifier, Narrator, & OnScreen Keyboard (XP)

46. Internet Explorer Zoom CTRL + and CTRL – Magnifier button Page to Zoom Tools Internet options General tab  Colors  Fonts  Accessibility

47. Questions / Comments

48. Magnification Software

49. ZoomText www.aisquared.com ZoomText Magnifier CD Version - $399 USB Version - $499 ZoomText Magnifier / Reader CD Version - $599 USB Version - $699 Demonstration

50. Other Magnification Software iZoom www.issist1.com $299-$399 MAGic www.freedomscientific.com $245 - $445 WinZoom www.getwinzoom.com $299 - $399

51. Screen Reader Software

52. JAWS www.freedomscientific.com $895 http://assistivetechnology.tv/media/jaws- screen-reader http://assistivetechnology.tv/media/jaws- screen-reader

53. Other Screen Readers Window-Eyes www.gwmicro.com $895 Non-Visual Desktop Access (NVDA) www.nvda-project.org Free; donation requested Speech or Braille feedback

54. Considerations Dedicated computer USB on loan for any computer Magnification - Monitor location in relation to traffic flow Screen Reader – Earphones / ear buds Learning curve Large print, audio and Braille tip cards Large print and audio desktop tutorials On-going training sessions One-on-one appointments

55. Letting Patrons Know Examples of web page information Los Angeles Public Library http://www.lapl.org/central/low_vision.html Seattle Public Library http://www.spl.org/audiences/adaspecial- services http://www.spl.org/audiences/adaspecial- services

56. Questions / Comments Thank You!