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Biomedical subjects

M E Wilkinson

Publications and source records attributed to M E Wilkinson.

5 recordsLinked to original sources
PubMed2001

Ceroid lipofuscinosis, neuronal 3, Juvenile-Batten disease: case report and literature review.

BACKGROUND: Ocularly, Batten disease is characterized by a rapid deterioration of vision, progressing to blindness within a few years. Onset typically occurs at between 5 and 10 years of age. The fundus shows a bull's eye maculopathy, diffuse pigmentary degeneration, arteriolar attenuation and optic atrophy, and an extinguished ERG. CASE REPORT AND LITERATURE REVIEW: The visual acuity and ocular health findings of a 7-year-old child, eventually diagnosed with Batten disease, are reviewed. Additionally, a review of the literature concerning the ocular and systemic manifestations of the various ceroid lipofuscinoses is presented. CONCLUSION: Batten disease is the most likely of the ceroid lipofuscinoses to be manifested in an ophthalmic practitioner's office before the diagnosis of the underlying condition. Although there currently is no treatment for this condition, making the correct diagnosis is important for appropriate low-vision management, educational planning, and genetic counseling.

Age of Onset↗
PubMed2000

Iowa's pediatric low-vision services.

BACKGROUND: Reports in the literature concerning best practice for the evaluation and management of children with visual impairments are limited, with a resulting lack of information concerning the potential for optimizing vision to enhance general development and assist with the educational needs of this population. METHOD: The development of a multidisciplinary approach to provide low-vision services for children with visual impairment has occurred over the past 18 years in Iowa. In that time, 1,348 children from around the state of Iowa have been evaluated through an itinerant low-vision service program, coordinated by the Iowa Braille School. RESULTS: A low-vision clinic model--designed to provide services (primarily) for academic students--was not meeting the needs of the pediatric low-vision population in the state. After a statewide review of the program, changes were made that have resulted in low-vision services being provided to a greater and more diverse number of students. The roles of the various members of the multidisciplinary team will be reviewed. Changes in large-print orders and use by special education teachers in the state as a direct result of the low-vision services will also be discussed. CONCLUSION: Ongoing, comprehensive multidisciplinary low-vision services--including optometric low-vision care as a key component--are necessary to help children with visual impairments meet their educational, vocational, and avocational needs. With ongoing low-vision services, unnecessary costs such as those associated with large-print materials can be reduced, thereby creating significant savings to local, state, and federal special educational services.

Child↗
PubMed1998

Driving with a visual impairment.

Driving is a highly prized activity for individuals of all ages. The decision to continue driving after a decrease in central acuity or visual field can be a source of anxiety for the individual and his or her family, as well as the ophthalmic practitioner. Although a great deal of research has been done concerning vision and driving, much controversy still surrounds this subject. This article reviews the literature concerning visual impairment and driving and makes suggestions for what should be considered when determining who should and should not continue to drive.

Automobile Driver Examination↗
PubMed1996

Iowa's pediatric low vision services.

BACKGROUND: Reports in the literature concerning the evaluation and low vision management of visually impaired children are limited, resulting in a lack of information about the characteristics and needs of this population. METHODS: A review was performed of 762 children evaluated over a 14-year period in a low vision clinic program coordinated by the Iowa Braille and Sight Saving School. RESULTS: The age, sex, ocular condition, best corrected visual acuity, habitual near point working distance, and optical devices recommended for use by these children were analyzed. CONCLUSIONS: Ongoing, comprehensive multidisciplinary low vision services are necessary to help children with visual impairments meet their educational, vocational and avocational needs. With ongoing low vision care unnecessary costs-such as those for large print material-can be avoided, therefore creating a significant savings to local or state educational services.

Adolescent↗