Bioptics (device)

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Bioptics, also known as a bioptic in the singular, and sometimes more formally termed a bioptic telescope, is a term for a pair of vision-enhancement lenses. They magnify between two and six times, and are used to improve distance vision for those with severely impaired eyesight, especially those with albinism. They can either be a combination of head-mounted eyeglasses (termed the "carrier") and binoculars, or be designed to attach to existing glasses. Some use monoculars which have small telescopes mounted on, in, or behind their regular lenses, so that they can look through either the regular lens or the telescope. Newer designs use smaller lightweight mini telescopes magnifying up to six times, which can be embedded into the spectacle glass and improve aesthetic appearance. [1] The mini telescopic eyeglasses have been shown to be used in the treatment of nystagmus. [2] In some jurisdictions, those with low vision may be permitted to drive automobiles when using Bioptics. [3] [4]

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Bioptic driving

Bioptic driving [sometimes written with uppercase O as biOptic, or hyphenated as bi-optic, to differentiate with other types of bioptic] is a method of driving that utilizes the patient's unmagnified vision in combination with intermittent spotting through a small telescopic system that improves the sharpness of the patient's far vision. Bioptic patients look through just their carrier lens about 95% of the time. When they want magnification, the patient quickly glances through the binocular portion to see details such as street signs, traffic lights and far distant objects. The brief use of the bioptic telescope is much like the quick look all drivers make into their rear view mirror. Bioptic driving requires careful fitting of the system followed by extensive training in both the use of the bioptic and behind-the-wheel driver's training.

Determining whether a visually impaired individual may become a bioptic driver requires a multidisciplinary approach. This may include the low vision specialist, physicians, driving rehabilitators, occupational therapists and orientation and mobility instructors. The process includes a number of checks and balances to rule out those patients who would not be safe, while identifying those with the potential to be a safe bioptic driver.

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<span class="mw-page-title-main">Albinism in humans</span> Condition characterized by partial or complete absence of pigment in the skin, hair and eyes

Albinism is a congenital condition characterized in humans by the partial or complete absence of pigment in the skin, hair and eyes. Albinism is associated with a number of vision defects, such as photophobia, nystagmus, and amblyopia. Lack of skin pigmentation makes for more susceptibility to sunburn and skin cancers. In rare cases such as Chédiak–Higashi syndrome, albinism may be associated with deficiencies in the transportation of melanin granules. This also affects essential granules present in immune cells leading to increased susceptibility to infection.

<span class="mw-page-title-main">Lens</span> Optical device which transmits and refracts light

A lens is a transmissive optical device which focuses or disperses a light beam by means of refraction. A simple lens consists of a single piece of transparent material, while a compound lens consists of several simple lenses (elements), usually arranged along a common axis. Lenses are made from materials such as glass or plastic, and are ground and polished or molded to a desired shape. A lens can focus light to form an image, unlike a prism, which refracts light without focusing. Devices that similarly focus or disperse waves and radiation other than visible light are also called lenses, such as microwave lenses, electron lenses, acoustic lenses, or explosive lenses.

<span class="mw-page-title-main">Glasses</span> Form of vision aid

Glasses, also known as eyeglasses or spectacles, are vision eyewear, with lenses mounted in a frame that holds them in front of a person's eyes, typically utilizing a bridge over the nose and hinged arms that rest over the ears.

<span class="mw-page-title-main">Monocular</span> Optical device

A monocular is a compact refracting telescope used to magnify images of distant objects, typically using an optical prism to ensure an erect image, instead of using relay lenses like most telescopic sights. The volume and weight of a monocular are typically less than half of a pair of binoculars with similar optical properties, making it more portable and also less expensive. This is because binoculars are essentially a pair of monoculars packed together — one for each eye. As a result, monoculars only produce two-dimensional images, while binoculars can use two parallaxed images to produce binocular vision, which allows stereopsis and depth perception.

<span class="mw-page-title-main">Tunnel vision</span> Medical condition

Tunnel vision is the loss of peripheral vision with retention of central vision, resulting in a constricted circular tunnel-like field of vision.

<span class="mw-page-title-main">Presbyopia</span> Medical condition associated with aging of the eye

Presbyopia is physiological insufficiency of accommodation associated with the aging of the eye that results in progressively worsening ability to focus clearly on close objects. Also known as age-related farsightedness, it affects many adults over the age of 40. A common sign of presbyopia is difficulty reading small print which results in having to hold reading material farther away. Other symptoms associated can be headaches and eyestrain. Different people will have different degrees of problems. Other types of refractive errors may exist at the same time as presbyopia. This condition is similar to hypermetropia or far-sightedness which starts in childhood and exhibits similar symptoms of blur in the vision for close objects.

<span class="mw-page-title-main">Optician</span> Profession

An optician, or dispensing optician, is a technical practitioner who designs, fits and dispenses lenses for the correction of a person's vision. Opticians determine the specifications of various ophthalmic appliances that will give the necessary correction to a person's eyesight. Some registered or licensed opticians also design and fit special appliances to correct cosmetic, traumatic or anatomical defects. These devices are called shells or artificial eyes. Other registered or licensed opticians manufacture lenses to their own specifications and design and manufacture spectacle frames and other devices.

<span class="mw-page-title-main">Magnifying glass</span> Convex lens used to magnify images

A magnifying glass is a convex lens that is used to produce a magnified image of an object. The lens is usually mounted in a frame with a handle. A magnifying glass can be used to focus light, such as to concentrate the sun's radiation to create a hot spot at the focus for fire starting.

<span class="mw-page-title-main">Telescopic sight</span> Sighting device for firearms

A telescopic sight, commonly called a scope informally, is an optical sighting device based on a refracting telescope. It is equipped with some form of a referencing pattern – known as a reticle – mounted in a focally appropriate position in its optical system to provide an accurate point of aim. Telescopic sights are used with all types of systems that require magnification in addition to reliable visual aiming, as opposed to non-magnifying iron sights, reflector (reflex) sights, holographic sights or laser sights, and are most commonly found on long-barrel firearms, particularly rifles, usually via a scope mount. The optical components may be combined with optoelectronics to add night vision or smart device features.

<span class="mw-page-title-main">Coloboma</span> Hole in one of the structures of the eye

A coloboma is a hole in one of the structures of the eye, such as the iris, retina, choroid, or optic disc. The hole is present from birth and can be caused when a gap called the choroid fissure, which is present during early stages of prenatal development, fails to close up completely before a child is born. Ocular coloboma is relatively uncommon, affecting less than one in every 10,000 births.

Visual impairment, also known as vision impairment, is a medical definition primarily measured based on an individual's better eye visual acuity; in the absence of treatment such as correctable eyewear, assistive devices, and medical treatment– visual impairment may cause the individual difficulties with normal daily tasks including reading and walking. Low vision is a functional definition of visual impairment that is chronic, uncorrectable with treatment or correctable lenses, and impacts daily living. As such low vision can be used as a disability metric and varies based on an individual's experience, environmental demands, accommodations, and access to services. The American Academy of Ophthalmology defines visual impairment as the best-corrected visual acuity of less than 20/40 in the better eye, and the World Health Organization defines it as a presenting acuity of less than 6/12 in the better eye. The term blindness is used for complete or nearly complete vision loss. In addition to the various permanent conditions, fleeting temporary vision impairment, amaurosis fugax, may occur, and may indicate serious medical problems.

<span class="mw-page-title-main">Macular hypoplasia</span> Medical condition

Macular hypoplasia is a rare medical condition involving the underdevelopment of the macula, a small area on the retina responsible for seeing in detail and sensing light. Macular hypoplasia is often associated with albinism.

<span class="mw-page-title-main">Loupe</span> Magnifying device

A loupe is a simple, small magnification device used to see small details more closely. They generally have higher magnification than a magnifying glass, and are designed to be held or worn close to the eye. A loupe does not have an attached handle, and its focusing lens(es) are contained in an opaque cylinder or cone. On some loupes this cylinder folds into an enclosing housing that protects the lenses when not in use.

<span class="mw-page-title-main">IOLVIP</span>

The Intraocular Lens for Visually Impaired Patients is an intraocular lens system aiming to treat patients with poor central vision due to age related macular degeneration. The IOLVIP procedure involves the surgical implantation of a pair of lenses that magnify and divert the image using the principals of the Galilean telescope. By arranging the lenses it is possible to direct the image to a different part of the eye than the fovea, which is the centre of the macula and is usually used for detailed vision. The magnified image is projected on to a part of the eye not normally used for detailed vision. Magnification and patient training are both necessary to allow useful vision from this part of the retina.

The National Organization for Albinism and Hypopigmentation (NOAH) is a non-profit organization that assists people who have albinism. NOAH was created in 1982 and is based in East Hampstead, New Hampshire.

<span class="mw-page-title-main">Nystagmus</span> Dysfunction of eye movement

Nystagmus is a condition of involuntary eye movement. Infants can be born with it but more commonly acquire it in infancy or later in life. In many cases it may result in reduced or limited vision. Due to the involuntary movement of the eye, it has been called "dancing eyes".

Oculocutaneous albinism type I or type 1A is an autosomal recessive skin disease. This subtype of oculocutaneous albinism is caused when the gene for tyrosinase does not function properly.

Bioptics may refer to:

Vision rehabilitation is a term for a medical rehabilitation to improve vision or low vision. In other words, it is the process of restoring functional ability and improving quality of life and independence in an individual who has lost visual function through illness or injury. Most visual rehabilitation services are focused on low vision, which is a visual impairment that cannot be fully corrected by regular eyeglasses, contact lenses, medication, or surgery. Low vision interferes with the ability to perform everyday activities. Visual impairment is caused by factors including brain damage, vision loss, and others. Of the vision rehabilitation techniques available, most center on neurological and physical approaches.

Ocular albinism late onset sensorineural deafness (OASD) is a rare, X-linked recessive disease characterized by intense visual impairments, reduced retinal pigments, translucent pale-blue irises and moderately severe hearing loss from adolescence to middle-age. It is a subtype of Ocular Albinism (OA) that is linked to Ocular albinism type I (OA1). OA1 is the most common form of ocular albinism, affecting at least 1/60,000 males.

References

  1. "Low Vision Aids". NOAH.org. East Hampstead, NH: National Organization for Albinism and Hypopigmentation. 2002. Archived from the original on April 3, 2009. Retrieved April 22, 2009.
  2. Cerman, E. "Mini-telescopic eyeglasses suppress nystagmus". 3rd World Congress of Paediatric Ophthalmology and Strabismus 4-6 September 2015 in Fira Gran Via, Barcelona, Spain.
  3. "A Small Device Helps Severely Nearsighted Drivers Hit The Road". NPR . 2014-06-07. Retrieved 2014-06-07.
  4. "Albinism and Driving". NOAH.org. East Hampstead, NH: National Organization for Albinism and Hypopigmentation. 2002. Archived from the original on April 3, 2009. Retrieved April 22, 2009.