Turkiye Klinikleri Journal of Ophthalmology

.: REVIEW
Az Görme Rehabilitasyonunda Işık ve Filtre Kullanımı
Using of Light and Filters in Low-Vision Rehabilitation
Deniz ALTINBAYa, Aysun MERDOĞAN İDİLb
aSerbest Hekim, Adana, TÜRKİYE
bGöz Hastalıkları Kliniği, Ankara Üniversitesi Vehbi Koç Göz Hastanesi, Görme Araştırmaları ve Az Görme Rehabilitasyonu Birimi, Ankara, TÜRKİYE
Turkiye Klinikleri J Ophthalmol. 2019;28(2):117-22
doi: 10.5336/ophthal.2018-61499
Article Language: TR
Full Text
ÖZET
 Yaşam süresinin artması ve dolayısıyla yaşa bağlı makula dejenerasyonu gibi nedenlerle az gören hastaların çoğalması ile birlikte göz hekimlerinin az görenlere yardım ve rehabilitasyona olan ilgisi artmıştır. Ancak; az görenlere yardım ve rehabilitasyon, teleskop veya büyüteç vermekten ibaret değildir. Rehabilitasyonun başarısında, hastaya reçete edilen az görme cihazının, hastanın yaşına, tanısına ve beklentisine uygun olması, bu cihazların eğitimi, varsa hastanın tercih ettiği retinal alanın stabilitesi ve lokalizasyonu, okuma sırasında kullanılan ışık miktarı ve Kelvin derecesi ile hastanın tanısına uygun filtre/filtrelerin seçilmesinin önemi büyüktür. Firmalar tarafından önerilen ışık miktarları, Kelvin dereceleri ve filtreler olmasına rağmen, mutlaka reçete edilecek olan ürünün hastaya denenmesi gereklidir. Bu çalışmada, az görme rehabilitasyonunda ışık ve filtre seçimi sırasında dikkat edilecek noktalar hakkında bilgi verilmesi amaçlanmıştır.

Anahtar Kelimeler: Aydınlatma; az görme; ışık; yaşa bağlı makula dejenerasyonu
ABSTRACT
 With the increase in the lifespan, the number of patients with low-vision due to reasons like age-related macular degeneration have also increased. Thus, the interest of ophthalmologists in helping and rehabilitating patients with low-vision has increased. Yet, such help and rehabilitation are not only prescribing telescopes and magnifying glass. The success of rehabilitation is dependent to prescribing low-vision device appropriate to patient's age, diagnosis and expectation, proper training, the stability and localization of the patient's preferred retinal field, the amount of light and Kelvin grade used during reading, and the selection of filter/filters suitable for the diagnosis of the patient. Although manufacturers suggest the amount of light, Kelvin grade, and filters, the product should be tested on the patient before prescribing. In this review, we aimed to give information about issues to be considered during light and filter selection in low vision rehabilitation.

Keywords: Lighting; vision low; light; macular degeneration
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