5) Assistive Technology in Vision Rehabilitation

There is SO much technology being developed to assist those in need

!!!

Not for memory but rather to be aware of diff apps available between IOS and android

*these are built in features *reminder to not completely change your pts phone but rather show them what's available

Besides the optometrist that can start the AT demonstration, who else is involved (4)

1. AT specialist 2. Teacher of the visually impaired 3. Rehabilitation counselor 4. On the job trainer

Wearable electronic magnification What are 2 examples of wearable EMs to be familiar with?

1. Acrobat 2. Transformer From EVS and graduate from humanware

General guidelines for when do you consider supplementing/replacing visual reading and access with speech? What are 4 complaints the pt may present with for you to replace visual reading and access with speech instead?

1. Acuity reduction 2. Field reduction 3. Contrast 4. Glare

Prosthetic vision What are 4 products to know?

1. Argus II 2. Or cam 3. AIRA 4. Brainport - lollipop goes on the roof of the mouth and sends impulses to stimulate image **Argus is no longer abvailbnle

What are 3 apps/technology that uses Artificial intelligence in AT?

1. Ask envision 2. Be my AI 3. Seeing AI **All use GPT4

Wayfinding and navigation: What are some apps that allow for Live assistance for turn by turn navigation? (5)

1. Be my eyes 2. AIRA 3. Envision 4. Blind squared 5. Lazarillo

What are 2 online free audio products for the visually impaired

1. Book share 2. Leaning ally 3. NSL - free library service available inthe US

What are 3 Android basic EM and OCR apps to know?

1. Brighterbigger 2. Envision 3. Google lookout

Electronic magnification: What are 5 types?

1. Desktop 2. Portable 3. Wearable 4. Connecting to computer 5. OCR

What are 4 key smartphone features to know?

1. Enlargement 2. Contrast enhancement 3. Text to speech 4. Voice assistance So much more

Wearable electronic magnification There are virtual reality glasses. What are 4 apps?

1. Irisvision inspire 2. Vision buddy 3. Esight 4 or go 4. Jordy *she said likely not tested **these are NOT for walking around, except for Esight which HAS a bioptic mode

Computer Adaptation: enlargement (visual) and speech (non visual aka hearing) can be built in accessibility or added programs What are 3 non visual (SCREENREADERS) to be famialr with?

1. JAWS $ 2. Window eyes $ 3. NVDA (free)

Name a bunch of notable apps you can recommend to your pt to download base do their needs

1. Seeing AI 2. Envision 3. Be my AI 4. Be my eyes 5. Aira 6. Vision Sim Etc etc

What are 2 great uses for Join.me?

1. Student - to see what teacher is writing on smart board 2. At work - a person can interact with what is being presented

What are 2 iPhone basic EM and OCR apps to know?

1. Supervision+ Magnifier 2. Seeing AI

E readers can be used as AT to help with what 2 things?

1. Text enlargement/enhancement 2. Screen readers

What are two media players to be familiar with?

1. Victor reader stream 2. Blaze EZ

Here are all the types of AT we'll be discussing

:)

What is Window eyes? Is it free?

A non visual Screen reader - no its not free

What is NVDA? Is it free?

A non visual Screen reader - no its not free NVDA = non visual desktop access

What is JAWS? Is it free?

A non visual screen reader - no its not free *recall from this dudes video how he pressed keys and hovered over other tabs and JAWS READ what he was pressing or hovering over

Assistive tech (AT): what the OD needs to remember to do What else can we consider to best "clear" the eye to screen distance? (2)

A/R coating and tints in cases of glare sensitivity

What is AIRA?

Accessible device that the pt wears (e..g google glasses and Vizix) to be paired with the smart phone You connect with a certified agent who are able to assist the pt based on the tiny camera mounted n the wearable device to provide instant feedback to the AIRA agent to safely guide you with any activity **subscription service

Artificial intelligence in AT AI helps devices ________ to the user but leaning the user's habits and preferences - this requires _____ skill from the user, and makes it ____ for the user

Adapts, less, easier

Wayfinding and navigation: What application has INDOOR navigation?

Apple Maps

Term to incorporate technology, equipment, devices, appliances, services, systems, processes and environmental changes used by people with disabilities or older people to over social, infrastructural barriers, to actively participate in society and to perform activity easily and safely

Assistive technology

Prescribing AT for our patients Helping out pts be ________ of what is available and what may help them is important part of low vision rehab

Aware

How can the visually impaired download free audio products from the library (NSL)?

BARD app (works on phones, tablets, computers)

What's the one optical character recognition (OCR) app to be familiar with?

Blaze EZ

What does BARD stand for?

Braille and audio reading download

What can NVDA be used with?

Braille display

Series of raised dots that can be read with the fingers by ppl who are blind or whose eyesight is not sufficient for reading printed material.

Braille-tactile learning

Prescribing AT for our patients This can be a ___________ to the optometrist to remain up to date on AT

Challenge

Artificial intelligence in AT AI intakes images and texts and outputs _________ responses. Provides the user more details about what they're "looking at" and the world around them.

Conversational

In recent years, some teachers have chosen to begin teaching grade 1 braille first, transitioning to grade 2 brail by the mid elementary years. There is currently no research that supports the superior guy of one approach over the other.

Cool

Esight Bioptic image

Cool!

What is always an issue with AT?

Cost **but with all the accessibility features, the cost has significantly reduced

Media players like Victor reader stream and blaze EZ come in various media formats. What is an important media format?

DAISY format - especially good for students since you can search for terms or chapters, not just listen to it

Assistive tech (AT): what the OD needs to remember to do Clearing the eye to screen distance, what do you mean by this

Do not only show the pt an app that can be used, but rather make sure they can SEE what's on the app and use it

Zoom text fusional combines Zoom text with a screen reader. What is another product that is a combo of a magnifier and screen reader?

Dolphin supernova

Between changing a pts setting on their phone and downloading apps, which is a better suggestion as an AT?

Download apps!!

Assistive tech (AT): what the OD needs to remember to do Clearing the _____ to _____ distance

Eye to screen

Teachers, parents, and other who are not visually impaired ordinarily read braille with their ________

Eyes

General guidelines for when do you consider supplementing/replacing visual reading and access with speech? What Feq value do you consider that the acuity is so reduced and the pt may benefit form AT?

Feq > +20

General guidelines for when do you consider supplementing/replacing visual reading and access with speech? What level of glare do you consider the pt benefiting from AT?

Glare discomfort/disability

Wearable electronic magnification Can be mounted on _____ or on a _____ that the pt can rotate to look at distance and then down at reading material

Head, stand

Artificial intelligence in AT AI ________ devices/features that help someone with VI or blindness read, shop, or travel

Improves

Artificial intelligence in AT Greatly _________ the level of info provided

Increases

What does Super vision + Search provide?

Interactive magnifier - speak or type in what you're looking for

What is an app that allows smart board to be shared to personal computer/tablet/phone - great for students or a person interacting with what is being presented

Join.me

Grade 1 (or uncontracted) braille has nothing to do with the first grade. Most children learn grade 2 (contracted) braille from ______________

Kindergarten.

Independent travel - orientation and mobility What is the purpose for the cane on the left vs right of the image?

Left - guidance Right - ID cane to let others know you are visually impaired if walking through crowed where the left cane isnt possible to use

General guidelines for when do you consider supplementing/replacing visual reading and access with speech? What degree of VF do you consider being more beneficial for the pt to use AT?

Less than 5-10 degrees of VF *RP pts!

What does SuperVision + Magnifier provide?

Magnification

Computer Adaptation: enlargement (visual) and speech (non visual aka hearing) can be built in accessibility or added programs What are some computer built in features?

Magnification (+ or -) aka zoom in or out Contrast Color filter Mouse pointer Test cursor Read aloud Dictation

Assistive tech (AT): what the OD needs to remember to do How do you clear the eye to screen distance?

Make sure they have proper correction and add power on and working at appropriate working distance (RDM)

What is Blaze EZ?

Media players

What is Victor reader stream?

Media players

General guidelines for when do you consider supplementing/replacing visual reading and access with speech? What severity of contrast loss would you consider the pt benefiting for AT?

Moderate to severe contrast lost

Case

Next slide

Artificial intelligence in AT Is AI perfect?

No - it can be flaws but its still evolving

Is braille a language?

Nope, its a code

Blaze EZ has a camera with what?

OCR **blaze EZ can scan and read printed materials immediately or save

Who starts the AT demonstration for the pt?

Optometrist

What does Super Vsiion + goggles provide?

Pt can turn smart phone into head mounted display device with low cost cardboard goggles

Assistive tech (AT): what the OD needs to remember to do What is the resultant total magnification when using AT?

RDM x mag of the AT

What's a cool braille device to know?

Refreshable Braille *you can read any book, like the Harry Potter series, on that one small device

Electronic magnification: These come in all different ___ And ____

Size and shapes *the second from the left is usually the most popular

Tablets can be used as AT - which has similar features to __________

Smartphones

Artificial intelligence in AT AI allows for improvements with AT's ____ and _____

Speed, accuracy

Assistive tech (AT): what the OD needs to remember to do What "magnification" is similarly obtained from the AT system? (2)

TM or RSM

Assistive tech (AT): what the OD needs to remember to do Why is it important to think about RDM and proper correction for pts when trying to clear the eye to screen distance?

To minimizes the amount of magnification needed form the AT system

Electronic magnification: What is this type of EM called?

Transformer *type of wearable EM

Prescribing AT for our patients True or false: AT demonstration and education is an essential part of low vision rehab

True

True or false: Assistive technology (AT) allows people with impairments or disabilities to enhance their independence, comfort, and general quality of life - its been a game changer for people with all types of impairment/disability

True

True or false: Media players record voice and media with built in microphone or line in - with built in wireless networking capability

True

True or false: NVDA is a free and open source screen reader for windows

True

True or false: clearing the eye to screen distance allows a clear image and minimizing the amount of magnification needed form the AT system

True

True or false: evolution of technology over the years has played a huge role in assistive technology - our phones can do a million tasks compared to an older corded phone

True

True or false: features included in smartphones allow for magnifcaiton, photo Capture, GPS with voice navigation, illumination changes, and more

True

True or false: media players allow the blind and visually impaired to have easy access to over 36,000 web radio stations - wireless access to rich media content

True

True or false: smartphones are becoming an important tool for pts with visual impairements

True

True or false: the availability and development of accessibility features enable people with visual impairments or blindness to use technology like any other people

True

True or false; NVDA is a free screen reader which enables blind and visually impaired people to use computers. It reads the text on the screen in a computerized voice. You can control what is it read to you. By moving the cursor to the relevant area of text with a mouse or the arrows on the keyboard. NVDA can also convert the test into braille if the computer user owns a device called a braille displayed

True

Wearable electronic magnification True or false: wearable EM can be just the use of video or digital camera to enlarge images or there can be an added on streaming and voice assistive AI component

True

True or false: In addition to assistive technology, the pt may have impairments that dont allow the person to interact with them, so they need special need or access tools

True e.g. mounting products

True or false: though there is a cost to AT, it is MANDATED through ADA/ACA and IDEPs

True!! **meaning the employer is mandated to pay for AT for the employee with a condition (e.g. RP) in almost all cases

Which braille replaced the English Braille American edition inthe US in 2016?

Unified English brailed (UEB)

What is the name of a "smart cane" which: - detects obstacles at the level of the head and chest - gives turn by turn and clockwise navigation - navigates to all nearby bus stops and access bus timetables - learn what's around you like popular places, pubs, cafes?

We walk

Examples of note taker/digital organizers of the BrailleNote

With refreshable braille

Nothing to memorize on this slide but just see how many accessible apps came out and are making AT so much more affordable and accessible

Yay

Computer Adaptation: enlargement (visual) and speech (non visual aka hearing) can be built in accessibility or added programs What is ONE Visual (enlargement) app to be familiar with?

Zoom Text $ *comes with keyboard for easier accessibility to features

What is Zoom Text? Is it free or paid?

Zoom test is an ENLARGEMENT accessibility feature It is not free

What is a product that COMBINES Zoom text with non visual (aka screen readers)?

Zoom text fusion

Examples of Artificial intelligence in AT

asking an app/device to read a menu: - in the past, the menu was read from start to finish but now with AI, it can summarize the menus and answer questions about prices, dietary restrictions, drink options etc If you're vegetarian and only want the vegan options read, it'll do that

Prosthetic vision OrCam MyEye - acts as OCR

be familiar with this name