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Brandon Filling Out CVI Resolution Chart transcript

Sara:
The CVI Resolution Chart can be a quick reference guide to use when developing the IEP to accommodate and support a student's current visual functioning. Following the directions at the bottom of the chart, we will draw an "X" through boxes that represent resolved visual behaviors, use a highlighter to outline boxes describing current visual functioning, and draw an "O" or circle in boxes that describe visual skills that may never resolve due to coexisting ocular conditions. The boxes highlighted correspond with the scores given on Rating II of the CVI Range.

For Brandon's CVI Resolution Chart, in the first row, "Color," we would draw an "X" through the first box, since Brandon is able to look at items that are red, blue, pink, and sometimes responds to green and even multicolored items. The next box, "Has 'favorite' color," is the one we highlighted to describe Brandon's visual behavior. Highlighting the next box seemed too big a jump. Due to Brandon's coexisting ocular condition of optic nerve atrophy, he may have difficulties with color vision, so this may not resolve. We drew a circle in Ranges 5 to 6, 7 to 8, and 9 to 10.

Lynne:
In the second row, "Need for movement," we put an "X" in the first box, since Brandon was able to look at some objects that did not have movement or reflective properties. The second box, "More consistent localizations, brief fixations on movement and reflective materials," seemed to describe Brandon's visual functioning the best, so we highlighted that box.

In the third row, "Visual latency," we highlighted the first box, Range 1 to 2, since Brandon continues to need extra time to respond to a variety of items. This seemed to best describe his visual behavior: Brandon was able to look more quickly at favorite items in familiar routines as well as novel red items, backlit or spotlighted items, and shiny, reflective items.

Sara:
The fourth, "Visual field preferences," presented one of those situations in which, due to retinal detachment in the right eye, the characteristic will not resolve. We highlighted the first box, Range 1 to 2, "Distinct field dependency." We drew an "O" in all the rest of the boxes in this row. Also, due to optic nerve atrophy, Brandon may never be able to use his peripheral vision as well in his left eye.

In the fifth row, "Difficulties with visual complexity," we put an "X" through the description in the first column, Range 1 to 2, since Brandon, though he is generally distracted by any other sensory input, he does occasionally continue to use his vision with slight environmental noise. The next box, Range 3 to 4, was the one we highlighted.

Lynne:
In the sixth row, "Light-gazing and nonpurposeful gaze," we put an "X" through the first column because we saw Brandon looking at objects, though not faces, for longer than brief periods, and because he is somewhat distracted by or attentive to lights, but it is not a huge problem. We marked Range 3 to 4 with a highlighter because Brandon can be redirected to targets that are not light sources.

In row seven, "Difficulty with distance viewing," we put an "X" in the first box because Brandon noticed items that were beyond his near space, though most items were still very close and he leaned in to get even closer for a better view. Column 2 was highlighted since Brandon noticed some things that were large or moving from a little ways off. We drew a circle in the rest of the boxes because, due to the blurred vision/reduced acuity that accompanies optic nerve atrophy, Brandon's distance vision may be affected and not resolve.

Sara:
In the eighth row, "Atypical visual reflexes" we put an "X" in the first column because Brandon did blink in response to being touched at the bridge of his nose. He did not blink when presented with a visual threat, so he definitely is not functioning in the third box. We highlighted the second box, "Blinks in response to touch, but response may be latent," since it seemed to best describe Brandon's visual behavior.

In the ninth row, "Difficulty with visual novelty," we noticed that Brandon was able to look at new items fairly quickly, especially if they had attributes of familiar items or were of a favored color. Certain items he took longer to look at, but these neither resembled anything we saw him responding to in familiar routines nor were they similar to items mentioned in the interview. He was able to look at unfamiliar items without first looking at familiar items. We highlighted the fourth column, "Selection of objects less restricted, one to two sessions of "warm up" time required."

Lynne:
In the tenth row, "Absence of visually guided reach," we put "Xs" in the first and second boxes, since we did observe Brandon looking and touching at the same time in certain circumstances, and highlighted the third box, "Visually guided reach used with familiar objects or 'favorite' color" since we saw him looking and touching simultaneously with novel red items and with his familiar blue button. Also, his parents reported that Brandon positions his head straight while reaching. We assumed that items at home are pretty familiar.