Ayomikun Dahunsi (OD)
To magnify means to increase, to enlarge, to
enhance, to expand and a lot more. In the context of low vision, Magnification
means to increase the retinal image size. This makes seeing an object easier
for people with visual impairment.
There are several ways of magnification for
patients with low vision;
●
Relative Size Magnification
●
Relative Distance Magnification
●
Angular Magnification
RELATIVE
SIZE MAGNIFICATION
In this case, the object is made twice the
size thereby making the image on the retina twice as large hence creates X2
magnification. For example, large prints book or television with large screen
size. This type of magnification because of the physical limitations of how
large you can make an object such as book look like, it is often limited to
about X2.5
M = New Object Size
Old Object Size
RELATIVE
DISTANCE MAGNIFICATION
In this type of magnification, we reduce the
distance of the object. That is half the distance of the object and the retinal
image becomes twice as large creating a X2 magnification.
When you view a television from 3m instead of
6m, you get a X2 magnification. It is also applicable for near distance where a
print placed at 40cm is moved closer to 10cm to give a X4 magnification. This
magnification is common among many children and young adults. They use
accommodation as a brand for this type of magnification. For older adults with
little or no accommodation (presbyopia), or young individuals with the
inability to sustain their accommodative need, though image on the retinal will
be magnified when object is closer, image will unfortunately be blurred.
M = Old Object Distance
New Object Distance
ANGULAR
MAGNIFICATION
This is also known as TELESCOPIC
MAGNIFICATION. Telescopes are the only optical aid for distance magnification.
However, when focused on a near target, they can also increase working
distance. Telescopes are very efficient In producing magnification and also
allowing the patient to stay at their chosen distance from a task like viewing
a blackboard or a large publicity banner. The limitation is a restricted field
of view and because of the space distortion and perception of movement, to walk
around while using it is quite difficult. To follow moving objects particularly,
their use needs quite a lot of manual practice, skill and handiness. This is
why distance telescopes are prescribed mostly at a follow up appointment since
it gives room for assessment of ability and motivation.
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