British Journal of Visual Impairment

Despite over 70% of guide dog owners reporting that their emotional wellbeing had been affected by a dog attack on their guide dog, in-depth qualitative studies examining this issue are lacking. The aim of this work was to further our understanding of the impact of a dog attack on the overall, holistic wellbeing of the guide dog owner. A total of 20 in-depth semi-structured interviews were conducted with guide dog owners whose dogs had been the victim of a dog attack. The data were analysed thematically. Findings suggest that a dog attack can have a long-term impact on a guide dog owner’s physical, emotional, social, and spiritual wellbeing. As such, service providers who manage the aftermath of an attack should recognise the potentially multiple and long-term effects on guide dog owner wellbeing and the importance of more holistically oriented support.

Older adults are prone to have multiple chronic health conditions. The purpose of this study was to investigate whether older adults with age-related macular degeneration (AMD) who experience Charles Bonnet syndrome (CBS) are at a higher risk of developing depression and mild cognitive impairment (MCI). A total of 42 participants (31 females, 11 males; age: 68–99 years, M = 85.5 years; visual acuity [VA] in the better eye ranging from 20/70 to 20/1200) diagnosed with AMD were recruited in a vision rehabilitation center. They completed the Montreal Cognitive Assessment (MoCA) in its blind version, the Geriatric Depression Scale, and responded to questions designed to determine whether they experienced visual hallucinations consistent with CBS. Participants were then categorized into whether or not they experienced CBS, were at risk of depression or were at risk of MCI. Participants in the group experiencing CBS did not statistically show a higher likelihood of developing depression and/or MCI than those without CBS. Overall, the risk of depression (30%) was consistent with previous studies. In our sample of 42 older adults with visual impairment, 62% failed the MoCA suggesting they were at risk of cognitive decline. Our study was not able to replicate previous reports of a possible relationship between CBS and MCI in older adults with AMD; however, the observed level of possible cognitive impairment warrants further investigation. Future studies should include participants with other ocular pathologies to investigate whether a relationship among CBS, MCI, and/or depression may exist independently of AMD.

This study examined the effects of the first 2 years of the ongoing Project CHANGE, aimed at improving interaction and communication in adults with congenital deafblindness (CDB) and an intellectual disability (ID). Six adults with no history of deafblind education participated in this study. These first 2 years of CHANGE involved an improvement in living conditions, including a transition to a new group home and interactions with specialized caregivers. Video recordings and file information were used to measure interaction and communication during baseline (T0) and two subsequent periods (T1 and T2). The results show an improvement in interaction: attention by the caregiver, confirmation by the caregiver, and affective involvement all improved. An improvement was also shown in the participants’ level of expressive communication and in the variety of their communicative behaviors. The improvements over time emphasize the need for a specific approach for persons with CDB and an ID.

The purpose of the study was to determine the epidemiology of ocular disorders and visual impairment among junior high school children in the Cape Coast Metropolis, Ghana.

A cross-sectional study was conducted among junior high school children from both public and private schools. Participants underwent ophthalmic examination that included visual acuity testing, external eye examination, fundus examination, cover testing, and objective and subjective refraction. Socioeconomic statuses of the children were also determined. A principal cause of visual impairment was determined for participants with uncorrected visual acuities of 6/12 or worse in the better eyes. A total of 1252 were enumerated and 1029 children examined. Overall, ocular disorders were found among 104 (10.1%) pupils: refractive errors (37), conjunctival disorders (33), eyelid disorders (5), corneal disorders (4), retinal disorders (4), heterophoria (14), heterotropia (3), and amblyopia (4). Prevalence of visual impairment of 6/12 or worse in the better eye was 47 (4.6%), with refractive error being the major cause accounting for 37 (78.7%). Other causes were amblyopia, 4 (8.5%); retinal disorders, 4 (8.5%); and corneal disorders, 2 (4.3%). By the International Classification of Diseases (ICD) criteria, mild and moderate visual impairment using the better eye was 7.3% and 1.1%, respectively. Visual impairment was not significantly associated with age, gender, or socioeconomic status. Only 209 (20.3%) school pupils had had a previous eye examination, among whom 7 were wearing glasses. Majority (754 [73.3%]) of pupils were within low socioeconomic status (p < .001). The prevalence of eye disorders among junior high school pupils in the Cape Coast Metropolis was high compared to the global estimates. The cause of visual impairment was largely preventable, refractive error being the major cause. Uptake of eye care services among the school pupils was poor as majority of them had never had a previous eye examination. Incorporation of school eye screening programs into the school curriculum is recommended.

The use of guide dogs by people with visual impairment is relatively new in many Asian societies. The case study research explores the mobility experience of a guide dog team (a person with visual impairment and a guide dog) in Singapore. Emergent themes of adaptation, knowledge, symbiosis, advocacy, and agency, with overarching themes of functional-instrumental and symbolic-expressive were identified. The study identified themes and issues surrounding the use of guide dogs in the Singapore context.

This article describes and reflects upon the use of diffusely coloured tents to enclose both child and therapist which, in our service, has brought about remarkable transformations in attention, engagement, and understanding for severely impaired children with multiple disabilities and cerebral visual impairment (MDVI). A brief overview of how to construct this simple tent is presented, and the ways in which these tents have proved effective are described by means of two case studies of students with complex needs. The positive impact over a 2-year period was considerable. The changes brought about persisted into typical environments, and parents and carers expressed surprise and delight at the outcome. The proposed explanation is that the children who benefitted had profound impairment in seeing more than one or two items at once (simultanagnosia) due to presumed damage in the posterior parietal lobes of the brain, related to their cerebral palsy, and that elimination of distraction allowed this limited visual function to be recruited, to afford meaningful experience and enhance learning.

Corrigendum to “Child-friendly procedures and accommodations for the use of a self-report fear survey with children who have visual impairments: Reflections on a South African case study, British Journal of Visual Impairment, September 2014 32: 179-190, doi:10.1177/0264619614535373, by Lisa Visagie and Helene Loxton.