A CASE OF PUNCTATE INNER CHOROIDOPATHY AND THE USE OF LOW VISION DEVICES AND TECHNOLOGY FOR REHABILITATION

Title A CASE OF PUNCTATE INNER CHOROIDOPATHY AND THE USE OF LOW VISION DEVICES AND TECHNOLOGY FOR REHABILITATION
Author, Co-Author Esther Choi
Topic
Year
2008
Day
Thursday
Program Number
85207
Room
Affiliation
Marshall B. Ketchum University, College of Optometry
Abstract PURPOSE: To report a low vision evaluation findings in a case of punctate inner choroidopathy.

METHODS: Low vision devices and a technology assessment were demonstrated and carried out on a 29 year old female who presented with features typical of punctuate inner choroidopathy. She was also referred out to an ophthalmologist for a FANG and anti-VEGF treatment, if possible.

RESULTS: A low vision evaluation was performed on our patient who is interested in working again. A 6.5x PowerMag illuminated hand magnifier, a 4x PowerScope monocular telescope and an Ocutech 4x focusable bioptic was prescribed for the patient in order to enhance near needs, spot distance objects and to gain better mobility, respectively.

Due to her desire to work again, a technology assessment was also performed at a follow up visit. We then recommended an Amigo portable electronic magnifier, Zoomtext screen magnifying software and customized keyboard and the Kurzwell 1000 software, which scans text and converts it to speech.


CONCLUSIONS: In patients with punctuate inner choroidopathy with large central scotomas as well as possible multiple choroidal neovascularization, low vision aids and technological advancements have allowed these patients to go back to work or school. If treated early, PIC patients with choroidal neovascularization may also benefit from anti-VEGF treatments; previously, PDT with Visudyne was the main treatment. Although the etiology of this disease is still unknown, there are many ways we can improve a patient’s independence and confidence using different low vision aids.
Affiliation of Co-Authors
Outline