Welcome to the Principles and Practice of Low Vision Rehabilitation (PPLVR) Learning Community

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    In honor of the lifetime achievements of Dr. Arnall Patz, Emerald Education Systems, is proud to present a video of Dr. Patz telling the story of his identification and treatment of retrolental fibroplasia, known today as Retinopathy of Prematurity (ROP). This video was recorded in 2004 to celebrate the 50th anniversary of his significant contribution to curing blindness in premature infants.

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  • Background

    In North America vision loss (low vision) is strongly associated with aging. Over the age of 80, 1 in 5 have some significant reduction of vision, primarily from age related macular degeneration (AMD).1 The elderly have a variety of co-morbidities related to the aging process including but not limited to arthritis, or other joint pain, and poor stamina due to heart disease. From the perspective of safety, visually impaired seniors describe a high number of falls2-4 and a fear of falling.5-7 Falls amongst the elderly has been identified by the Center for Disease Control (CDC) as a major health issue with a national public relations campaign going on right now to educate Americans about falls, the importance of fall prevention, and methods by which to reduce the risk of falls in homes and elsewhere.8

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  • Demographic aging will lead to an increased demand for medical care, including low vision rehabilitation. Therefore, in the near future, low vision rehabilitation centers need to make efficient decisions and choose the rehabilitation program that has the greatest likelihood of benefiting each individual. The growing demand for service by our aging population probably means that low vision centers will no longer be able to afford spending too much time on any one patient without being sure the patient is going to benefit from the offered treatment.

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  • The loss of the privilege of driving is perhaps the number one issue of concern to the low vision population. In a world of instant gratification where people can just hop in the car and everything is at their fingertips, the loss of America’s primary mobility tool can be devastating. Many people are unable to drive to work or continue living in an area without public transportation. People who have been independent for a lifetime suddenly must rely on relatives or friends to drive them to where they want to go. Since the driver’s license is such a symbol of independence, the loss can result in psychological and emotional trauma.1-2 However, with proper instruction, and in some cases the right tools, many people with low vision can remain safely on the road.

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  • Approximately 80% of the U.S. low vision population is over age 65.1 Consequently, Medicare coverage policies have a large impact on the types and levels of low vision rehabilitation services provided by the health care system and on the choice of health care professionals who provide those services. Medicare policies relevant to low vision rehabilitation have undergone significant revisions over the past several years and are expected to evolve with the Center for Medicare and Medicaid Services (CMS) 5-year Medicare Low Vision Rehabilitation Demonstration Project.

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