Steps to a VIP eval (3)
Comprehensive exam -> BV eval -> VIP eval
3 component model of vision
Visual pathway integritry (comprehensive exam)
Visual efficiency (BV eval)
Visual information processing
Psychoeducational evaluation
Psychologist
Learning specialist
Evaluate a discrepency in the child’s aptitude and level of achievement
Memory
Visual perceptual skills
Auditory perceptual skills
Cognitive testing
Math, reading, writing
Child’s learning style, type of instruction that would be successful, and history of previous instruction
Intelligence quotient (IQ)
How well a child will advance in the standard instructional setting
Standard score = 100
1 standard deviation = 15
Therefore “normal” is 85-115
Intelligence quotient (IQ) -example of a test
Wechsler intelligence scale for children 4 (WISC-IV)
Acheivement testing
Determine achievement levels in all academic areas (standardized)
1 - decoding (able to recognize words, apply analysis strategies)
2 - comprehension
Emotional or personality testing
Clinical interview
Aka projective
Sentence completion tests (e.g. “when I grow up I want to be…”) and drawing interpreation (e.g. Rorschach)
Administration of tests
Administered to all pts
Administered when necessary (to refine dx)
VIP disorders
-4 areas
Visual-spatial dysfunction
Visual-analysys dysfunction (motor reduced)
Visual-motor dysfunction
Auditory-visual dysfunction
VIP disorders
-visual spatial dysfunction (3)
Bilateral integration
Laterality
Directionality
VIP disorders
-visual analysis dysfunction (5)
Visual discrimination + spatial relations
Visual closure
Figure groud
Form constancy
Visual memory
VIP disorders
-visual motor dysfunction (2)
Visual motor integration
Fine motor skills
VIP disorders
-auditory visual dysfunction (1)
Auditory visual integration
Observations: cognitive style
Work slowly, few errors
Work quickly, more errors
Scoring and test results
-Z scores
—describe
—positive vs negative
Distance of an individual’s raw score from the mean
+ above average
- below average
Scoring and test results
-scaled vs standard scores
Scaled = 10 mean
Standard = 100 mean, standard deviation of 15
Scoring and test results
50th = 10 scaled or 100 standard
Represents raw score that’s statistically characteristic of a particular age in a normative sample
Analysis of VIP test results
15th-50th percentile
A score is significanly low if the pt score below the 15th percentile on any given test (>1 standard deviation)
Goals of optometric intervention
Dx and tx of underlying vision problems
ODs do not directly tx a reading/learning problem
Should be specific or problem-oriented
Optometric intervention
-may provide (3)
Comprehensive dx services
Management/tx services - refractive correction, VT
Info to assist educator in devising a more suitable educational experience