Article

Specific to individuals with glaucoma: (1) provide an overview of the
role of occupational therapists (OTs) as part of the vision rehabilitation team,
(2) outline evaluation and intervention approaches provided by OTs, and (3)
summarize the evidence to support those intervention approaches. METHODS:
Literature on vision rehabilitation and the typical practice patterns of OTs
working with individuals with glaucoma are reviewed and the occupational therapy
process is applied to evaluation and intervention approaches.
The evidence which
supports intervention approaches for individuals with glaucoma is presented.
RESULTS: The strength of the evidence to support common intervention approaches
employed by OTs is weak or inconclusive; many studies lack quality methodological
rigor. Moderate evidence supports patient education programs and strong evidence
supports problem-solving and self-management strategies; this evidence is based
on a limited number of studies. CONCLUSION: The prevalence of eye diseases is
increasing; knowledge of how visual impairment affects disability will inform
resource allocation and development of rehabilitation programs that address the
unique needs of individuals with glaucoma. Rehabilitation specialists are key
members of the healthcare team aligned to proactively recognize and develop
comprehensive rehabilitation programs to maximize individuals' function, quality
of life and independence in everyday living. IMPLICATIONS FOR REHABILITATION:
Glaucoma is one of the four major eye diseases that may result in visual
impairment leading to disability. Research supports intervention approaches and
vision rehabilitation techniques used by occupational therapists to optimize the
health and well-being of individuals with glaucoma. Rehabilitation specialists
are key members of the healthcare team who need to be alert to subtle behaviors
that may be indicative of visual impairment versus attributed to other client
factors.

Langue : ANGLAIS