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Newsletter Articles
Guides Newsletter (2011) 16 (6): 7–11.
Published: 01 November 2011
... of the impairment rating of the visual system by, at most, 15 points (ie, less severe than the total loss of one eye). The ability to rate visual impairment requires significant knowledge and education, and therefore a physician trained in ophthalmology should perform the visual examination and visual system...
Newsletter Articles
Guides Newsletter (1999) 4 (2): 3–4.
Published: 01 March 1999
... in the home. A physical examination should focus on the eyes, nose, lungs, and skin and should exclude obstructive sleep apnea. A thorough medical evaluation always is required, and assessment of immunologic sensitization involves diagnostic allergy skin testing or laboratory assessment. Although...
Newsletter Articles
Guides Newsletter (2011) 16 (5): 7–8.
Published: 01 September 2011
... the usual over-view of the structure of the eye but extends and expands into the different types of vision with comparisons. It seems as if he brings into play the many structured ophthalmic medical personnel courses and ties them smoothly to the assessment and measurement of Visual loss. Chapter 2...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 9–17.
Published: 01 January 2021
... evaluations, functional evaluations, and even for academic research. © 2021 American Medical Association. All Rights Reserved. 2021 American Medical Association Eye Ophthalmology Vision Visual System EDITORIAL COMMENT This article provides insights into the intricacies involved...
Newsletter Articles
Guides Newsletter (1998) 3 (4): 5.
Published: 01 July 1998
... disfigurement such as a depressed orbital rim, frontal bone, or nasal bone. Class 3 indicates loss of a normal anatomic part or area of the face, eg, an eye. A facial disfigurement so severe that it precludes social acceptance is a Class 4 impairment. © 1998 American Medical Association. All Rights Reserved...
Figures
TABLE 1.: Calculation of the Impairment Rating for the Visual System
Published: 01 January 2021
TABLE 1. Calculation of the Impairment Rating for the Visual System Note that the prefix visual is used when the score refers to each eye. The prefix functional refers to the estimated performance of the individual. The term vision score combines visual acuity and visual field estimates (... More
Newsletter Articles
Guides Newsletter (2021) 26 (1): 18.
Published: 01 January 2021
... visual acuity; however, should I also assess visual fields, eg, Goldmann-type testing? ANSWER: It depends on the injury and the context. A corneal abrasion is a lesion in which there is trauma to the corneal epithelium. This common eye injury usually heals quickly, within hours or days. The patient...
Newsletter Articles
Guides Newsletter (2011) 16 (6): 1–6.
Published: 01 November 2011
... be modified, either through medical and surgical interventions or through rehabilitation. Two important intermediary steps are: “How do the EYES function?” and “How does the PERSON function?” To describe how the eyes function we can measure various visual functions , such as visual acuity, visual field...
Newsletter Articles
Guides Newsletter (2022) 27 (2): 13.
Published: 01 March 2022
... of facial sweating (anhidrosis). It results from disruption of the sympathetic nerve supply to the face, including the eye. The neural disruption can be caused by many different diseases and injuries, both congenital and acquired, and some cases are idiopathic. The AMA Guides to the Evaluation...
Newsletter Articles
Guides Newsletter (2001) 6 (5): 5–7, 10.
Published: 01 September 2001
... are the result of objective changes in the patient's visual acuity and/or visual field. Visual acuity describes the ability of the eye to perceive details (photopic vision). Visual acuity loss will manifest itself in inability to perform detail-oriented tasks, such as reading and face recognition. A lay...
Newsletter Articles
Guides Newsletter (2019) 24 (1): 3–14.
Published: 01 January 2019
... of the basilar membrane underlying the sensory apparatus Thickening of the capillaries of the stria vascularis (the source of endolymph) Degeneration of the spiral ligament 3 As with the eye, changes in the auditory system are both anatomical and physiological. Anatomical changes include...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 13–17.
Published: 01 March 2021
... with the person's eyes closed permits the best results on examination. Using a wisp of cotton for light touch perception, explain to the patient what you will be doing. For example, tell the patient: “When I touch your leg with this cotton, I want you to tell me if you feel that touch by saying either ‘left...
Newsletter Articles
Guides Newsletter (2018) 23 (2): 3–8.
Published: 01 March 2018
... of such total disability. Loss of both hands, or both arms, or both feet, or both legs or both eyes, or of any two thereof shall, in the absence of conclusive proof to the contrary, constitute permanent total disability. In all other cases permanent total disability shall be determined in accordance...
Newsletter Articles
Guides Newsletter (2010) 15 (5): 1–11.
Published: 01 September 2010
...: (1) Arm lost, 312 weeks' compensation. (2) Leg lost, 288 weeks' compensation. (3) Hand lost, 244 weeks' compensation. (4) Foot lost, 205 weeks' compensation. (5) Eye lost, 160 weeks' compensation. (6) Thumb lost, 75 weeks' compensation. (7) First finger lost, 46 weeks' compensation...
Newsletter Articles
Guides Newsletter (2002) 7 (3): 6–7.
Published: 01 May 2002
... loss of vision in both eyes Brain impairment that, in respect of an accident, results in a score of 9 or less on the Glasgow Coma Scale, according to a test administered within a reasonable period of time after the accident by a person trained for that purpose, or a score of 2 (vegetative) or 3...
Newsletter Articles
Guides Newsletter (1996) 1 (2): 1–3.
Published: 01 November 1996
... rating. An example from the vision chapter is helpful. A patient with left eye vision of 20/12 and right eye vision of 20/18 does not have a right eye vision impairment. Vision in the right eye is normal, although it is less normal than the left. Similarly, a patient with normal median nerve...
Newsletter Articles
Guides Newsletter (2000) 5 (1): 9.
Published: 01 January 2000
... of rating was recommended in multiple injuries where parts of the body serving identical functions were involved (e.g., both arms, both legs or both eyes). Hand dominance is not routinely considered to affect impairment. Table 1 Canadian WCB Impairment Rating Schedules 1 Jurisdiction Primary...
Newsletter Articles
Guides Newsletter (2000) 5 (4): 4–8.
Published: 01 July 2000
... and perhaps percusses an area of reported pain. Most examinees with true pain will, if possible, watch the physician's palpation hand. Examinees with nonorganic pain may close their eyes. The physician may repeat the palpation while distracting the examinee with conversation oriented to their personal lives...
Newsletter Articles
Guides Newsletter (2006) 11 (6): 11–15.
Published: 01 November 2006
... range for a DRE category, the rating physician would include the effect of spinal pain on sleep when considering how symptoms impact activities of daily living. My patient lost an eye due to an injury. She has a significant facial deformity. How do I rate her? Both the facial...
Newsletter Articles
Guides Newsletter (2015) 20 (1): 3–8.
Published: 01 January 2015
... abnormality is relative slowing of one nerve compared to another nerve in the same person, but latencies and conduction velocities are normal, based on Appendix 15-B. This is sometimes used as a criterion for diagnosis or treatment. However, this is comparable to saying visual acuity with the left eye is 20...