Medicare Coverage for Vision Assistive Equipment

Morse, Alan R.; Massof, Robert W.; Cole, Roy G.; Mogk, Lylas; O'Hearn, Annemarie M.; Hsu, Yu Pin; Faye, Eleanor E.; Wainapel, Stanley F.; Jackson, Mary Lou

doi:10.1001/archophthalmol.2010.228

Cited by 12 publications

(18 citation statements)

References 49 publications

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“…Other technologies are designed to substitute for vision loss through complete or partial use of alternative senses, especially tactile and auditory. These technologies and the associated training in their use are classic vision rehabilitation strategies that can be applied to a wide range of activities that a person needs to accomplish [35]. Low vision rehabilitation that includes eye examination, eye disease education, and low-vision therapy, including training in use of prescribed assistive devices, has been shown to be effective [43].…”

Section: Technologies In the Home And Communitymentioning

confidence: 99%

“…To date, vision rehabilitation frequently includes use of assistive technologies to compensate for vision impairment and focuses primarily on people with acquired eye diseases due to their increas-ing prevalence in the aging population [35]. Interventions are typically focused around individual diseaseand injury-related eye structure and function problems.…”

Section: Introductionmentioning

confidence: 99%

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Assistive technology and home modification for people with neurovisual deficits

Copolillo

Ivanoff

2011

NRE

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People with neurovisual deficits from acquired brain injuries and other neurological disabilities can benefit from the array of assistive technologies and home modifications available to the larger vision impairment population, especially when symptoms are mild and associated neurological conditions are few. Optics, proper lighting, and magnification to increase the perceived size of both objects and reading material and to improve contrast sensitivity have been shown to be beneficial. Innovative technologies, universally designed for safe independent living and community participation are gradually developing and show promise for addressing the needs of this population. This article highlights technologies that may be useful for people with neurovisual deficits and describes the evidence to support their training and use. The use of various types of eyewear to reduce falls; prisms and telescopic lenses to improve visual attention and minimize the impact of visual field deficits; and technologies to improve computer use, wayfinding, and home safety are discussed. While there remains substantial need for further research and development focusing on the needs of people with vision impairments from neurological conditions, practitioners can use technology with caution to improve functional outcomes.

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Section: Technologies In the Home And Communitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assistive technology and home modification for people with neurovisual deficits

Copolillo

Ivanoff

2011

NRE

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“…We also considered the economic sustainability of the program. Although VAE acquisition and VRT-rendered training are non-covered services in low vision[52], OT services are reimbursable. Ten hours of MORE-LVR training is provided by an OT, while practice at home is aided by an unpaid, informal caregiver.…”

Section: Discussionmentioning

confidence: 99%

A Low-Vision Rehabilitation Program for Patients With Mild Cognitive Deficits

et al. 2013

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“…In addition, low-vision devices can be quite costly as most third-party insurance plans don't pay for them [71]. With some prices reaching several thousands of dollars, this places many higher tech devices out of reach for many patients.…”

Section: Low-vision Devicesmentioning

confidence: 99%

The Implantable Miniature Telescope and Quality of Life Improvements in Patients with End-Stage Age-Related Macular Degeneration

Primo¹

2017

J Community Med Health Educ

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Age-related macular degeneration (AMD) is a progressive, degenerative eye disease that leads to central vision loss in people older than 60. End-stage AMD, for which there is no cure, is the leading cause of blindness in highincome countries. Often underappreciated by physicians, AMD is an important public health problem as patients can experience significant emotional distress, reduced cognitive function and a decrease in quality of life from depression, isolation, reduced mobility, and independence. These patients are more likely to suffer from falls and injuries, which may result in serious, life-threatening complications and significant medical costs. There are no medical interventions that can halt the visual outcome of end-stage AMD; patients can only make the best of the vision they have left through low-vision rehabilitation and external devices and tools. In 2010, the U.S. Food and Drug Administration approved the implantable miniature telescope (IMT; VisionCare Ophthalmic Technologies, Saratoga, CA) prosthesis for severely visually impaired patients with bilateral end-stage AMD. Patients with no other treatment options may have improved quality of life after implantation due to visual gains, increased mobility and independence, and improved overall function.

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Medicare Coverage for Vision Assistive Equipment

Cited by 12 publications

References 49 publications

Assistive technology and home modification for people with neurovisual deficits

Assistive technology and home modification for people with neurovisual deficits

A Low-Vision Rehabilitation Program for Patients With Mild Cognitive Deficits

The Implantable Miniature Telescope and Quality of Life Improvements in Patients with End-Stage Age-Related Macular Degeneration

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