Eyeworld

69 EW GLAUCOMA June 2015 Recommend that patients take advantage of low vision services such as audiobooks, podcasts, telephone directory assistance, and virtual newsstands. Suggest mobile phone aids such as voice commands, text-to-speech converters, and apps that can read money, talk, and magnify. Refer, refer, refer When there is no simple solution, refer patients to the appropriate specialist or clinic that can provide further evaluation and treatment. If patients need help with daily activities, refer them to occupation- al therapists (OTs) who specialize in low vision. Low vision OTs can conduct in-home evaluations to help optimize lighting conditions and teach adaptive strategies such as eccentric viewing techniques. Low vision clinics can provide patients with optical and non-optical aids, including hand magnifiers and acetate paper that reduces glare and improves contrast while reading. For mobility issues, refer the pa- tient to an orientation and mobility specialist or a physical therapist who can offer strength training exercises and provide assistive devices for ambulation. If driving is a concern, refer the patient for an on-road driving evalu- ation or to a driver safety program or rehabilitation clinic. These programs offer driver refresher courses, driving optical aids, and teach on-road adaptive strategies. Driving cessation is often difficult for older adults to accept, so if the patient is deemed unsafe to drive, use the American Medical Association's (AMA) published guide for advice on counseling patients through the pain of driving retire- ment. For hearing loss, refer the pa- tient to an audiologist for a hearing evaluation and hearing aids. If a patient suffers from depression or is having difficulty adjusting to life with decreased vision, refer to a mental health specialist or even a glaucoma support group. These strategies will help to ease the burden of living with significant vision loss, Dr. Bhorade said, allow- ing patients—and clinicians—to lead more fulfilled lives. EW Editors' note: Dr. Bhorade has no finan- cial interests related to this article. Contact information Bhorade: bhorade@vision.wustl.edu 888-myLENSTAR myLENSTAR.com © 2015 Haag-Streit USA. All Rights Reserved. LENSTAR LS 900 Improving outcomes. Barrett & Olsen Formulas on Board Measured lens thickness and two of the latest generation multivariable IOL formulas allow for premium IOL power prediction with the LENSTAR. T-Cone Toric Platform The optional t-cone complements LENSTAR's measurement pallet with true Placido topography of the central cornea and a powerful surgical planner using the Barrett toric calculator. EyeSuite IOL Toric Planner The optional IOL toric planner allows optimisation of the incision location and planning of the surgery on real eye images to reach advanced refractive results.

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