LLow Vision and Job Accommodations on Such A Site
This information is straight from the Job Accommodation Network (JAN) and is
focusing on Low Vision and Job Accommodation. It also gives information about
who is considered to have low vision. At the end there are snippets of stories
about people with low vision who sought accommodations under the ADA.
Accommodation and Compliance: Low Vision
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About Low Vision
·
Low Vision and the Americans with Disabilities Act
·
Accommodating Employees with Low Vision
Questions to Consider:
Accommodation Ideas:
Situations and Solutions:
·
JAN Publications & Articles Regarding Low Vision
Publications
Articles
·
Events Regarding Low Vision
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Other Information Regarding Low Vision
External Links
Organizations
About Low Vision
Vision impairments result from conditions that range from the presence of some
usable vision, low vision, to the absence of any vision, total blindness. Low
vision is a term that describes a person with a vision impairment that cannot be
improved by correction but has some usable vision remaining. Legal blindness is
defined as 20/200 or less in the better eye with the best possible correction.
Errors of refraction, diseases of the eye, and other vision-related conditions
are usually the cause of vision loss. Each of these categories includes more
specific disorders, which are described below.
• Common Errors of Refraction
Myopia
(Nearsightedness): Close objects look clear while distant objects appear
blurred.
Hyperopia (Farsightedness): The ability to see objects clearly at a
distance while close objects appear blurry.
Astigmatism: Due to the irregular curvature of the cornea, vision is
blurry for both near and far objects.
Presbyopia: The eye lens becomes less elastic (associated with aging) and
produces blurred vision when focusing on near objects.
• Common Diseases of the Eye
Cataracts:
Clouding of the eye’s lens that causes loss of vision.
Glaucoma: Pressure inside the eye is elevated and can cause damage to the
optic nerve, which results in damage to peripheral vision.
Macular Degeneration: There is a disturbance of blood vessels in the eye
resulting in progressive loss of central vision.
Retinitis Pigmentosa: There is a degeneration of pigment in the eye that
is needed to absorb light and create visual images, leading to “tunnel vision”
and night blindness.
Retinopathy (due to Diabetes): Retinopathy typically affects the blood
circulation of the retina, which causes blotchy vision.
• Other Vision Related Conditions
Night Blindness: Night blindness results from pigmentary degeneration of the
retina, which leads to difficulty seeing in low light.
Color Vision Deficiency: A color vision deficiency occurs when cone cells of
the retina, which provide daylight and color vision, are affected and there is
difficulty distinguishing among colors. Typically, this only involves certain
hues, for example a red–green deficiency; total color blindness (achromatic
vision) is rare.
Lack of Depth Perception: A lack of depth perception is often caused by the
loss of sight in one eye, resulting in difficulty with foreground/background
discrimination.
Floaters: Floaters are small specks or clouds moving in the field of vision.
Low Vision and the Americans with Disabilities Act
The ADA does not contain a list of medical conditions that constitute
disabilities. Instead, the ADA has a general definition of disability that each
person must meet. A person has a disability if he/she has a physical or mental
impairment that substantially limits one or more major life activities, a record
of such an impairment, or is regarded as having an impairment. For more
information about how to determine whether a person has a disability under the
ADA, see How
to Determine Whether a Person Has a Disability under the Americans with
Disabilities Act Amendments Act (ADAAA).
Accommodating Employees with Low Vision
People with low vision may develop some of the limitations discussed below, but
seldom develop all of them. Also, the degree of limitation will vary among
individuals. Be aware that not all people will need accommodations to perform
their jobs and many others may only need a few accommodations. The following is
only a sample of the possibilities available. Numerous other accommodation
solutions may exist.
Questions to Consider:
1.
What limitations is the employee experiencing?
2.
How do these limitations affect the employee and the employee’s job
performance?
3.
What specific job tasks are problematic as a result of these limitations?
4.
What accommodations are available to reduce or eliminate these problems?
Are all possible resources being used to determine possible accommodations?
5.
Has the employee been consulted regarding possible accommodations?
6.
Once accommodations are in place, would it be useful to meet with the
employee to evaluate the effectiveness of the accommodations and to determine
whether additional accommodations are needed?
7.
Do supervisory personnel and employees need training?
Accommodation Ideas:
·
By Limitation
·
By Work-Related Function
By Limitation
By Limitation
·Accessible
Mobile Phones
·Accessible
Telephones
·Apps
for Individuals with Vision Impairment
·External
Computer Screen Magnification
·Head-mounted
Magnifiers
·Large
Button Phones
·Large
Visual Display for Telephone
·Lighted
Reading Glasses
·Low
Vision Office Supplies
·Magnification
(Hand or Stand)
·Optical
Character Recognition (OCR) Systems - Scan
·Portable
Video/Electronic Magnifiers
·Screen
Magnification and Screen Reading Combined
·Screen
Magnification Software
·Sewing
Aids for Individuals with Vision Impairment
·Tactile
Timepieces/Watches
·Talking
Alarm Clocks
·Talking
Bar Code Scanner/Reader
·Talking
Blood Glucose Monitors
·Talking
Blood Pressure Monitors
·Talking
Cash Register
·Talking
Color Detector
·Talking
Copier
·Talking
Money Identifier
·Talking
Scales
·Talking
Telephones
·Talking
Watches
Learn more about this limitation
By Work-Related Function
By Work Related Function
·Flexible
Schedule
·Ridesharing/Carpooling
·Telework,
Work from Home, Working Remotely
·Transportation
Assistance
Learn more about this work related function
·Flexible
Schedule
·Telework,
Work from Home, Working Remotely
Learn more about this work related function
By Limitation
By Work-Related Function
Situations and Solutions:
A freezer operator with low vision had difficulty reading visual notifications,
both electronic and in print.
The employee was accommodated with handheld portable magnifiers.
Read more
A buyer for a department store has low vision.
A buyer for a department store has low vision and was accommodated with a CCTV
magnification device for reading paper documents and screen magnification
software for her computer.
Read more
A claims representative for an insurance agency was having difficulty reading
files due to a vision impairment caused by multiple sclerosis.
His employer purchased a stand magnifier and added task lighting to his
workstation.
Read more
A technician/educator with a school system had low vision and was having
difficulty viewing information from a computer screen.
Because the employee benefited from magnification, an inexpensive screen
magnification software package was purchased.
Read more
A computer programmer with Addison's disease was dealing with progressive vision
loss.
He was accommodated with magnification and software to enlarge his computer
screen.
Read more
A paralegal with Marfan syndrome was experiencing fluctuating vision, therefore
she was having trouble viewing her computer screen.
The employer noticed her having a hard time and purchased screen reading
software which allowed her to continue performing her computer tasks.
Read more
A custodian with low vision in a public school setting was having difficulty
viewing the carpeted area he was vacuuming.
A lighting system was mounted on the custodian's industrial vacuum cleaner and
the custodian was provided a headlamp.
Read more
A data entry clerk with diabetes was having problems with vision.
Her employer installed additional lighting in the file room and purchased a
glare filter for her computer monitor to reduce eyestrain.
Read more
A typist with low vision was having some difficulty distinguishing among certain
character keys.
She was provided with a glare guard for the computer monitor and large print
keyboard labels, which significantly enhanced accuracy.
Read more
A customer service representative for a financial institution had long-term
blurry vision from a stroke and could no longer read his computer screen.
The employer provided screen reading software for his computer so that
information present on the screen and information inputted into the system would
be read back to him.
Read more
An assistant for a disability program had complete loss of vision in one eye and
low vision in the other.
The assistant was having problems reading printed paper copies. A portable
magnifier and a CCTV were used to magnify materials.
Read more
An investigator was having problems balancing between reading text and his
computer screen due to diabetic retinopathy.
Accommodations were made so he could use task lighting, a glare filter for
computer monitor, and closed circuit television with a split screen to view text
and the computer monitor at same time.
Read more
An assistant manager for a nonprofit had complete loss of vision in one eye and
low vision in the other due to a stroke.
The individual was having problems reading printed paper copies and emails. A
portable magnifier, stand magnifier, and a closed-circuit television (CCTV) were
used to magnify materials.
Read more
An employee working as a law office clerk was having trouble reading the text on
the memos she has being given by the lawyers in her office.
She disclosed that she had low vision due to albinism and requested that the
memos be provided in large print. The employer made a policy that memos must be
written in a minimum of 18 point font and also provided a stand up magnifier to
assist in reading hand-written items.
Read more
A worker in a manufacturing plant had color vision deficiency and used
corrective lenses that helped her to distinguish color during day-to-day tasks.
Unfortunately, they did not fit well under the safety goggles that she was
required to wear at work. She requested that her employer provide prescription
eye goggles with the same type of lenses for use at work. The employer provided
her with customized prescription goggles to wear at work.
Read more
A social worker with Type 2 diabetes was experiencing vision loss. The
individual requested a reduced workload.
The employer contacted JAN looking for alternatives to lowering productivity
standards. JAN suggested stand magnification equipment for reading print
materials and screen magnification software for reading from the computer
screen.
Read more
A preschool teacher needed to read books aloud to students during circle time.
She had difficulty describing and talking about the pictures in the books
because of her color vision deficiency. She wanted to be able to describe the
pictures accurately in order to help the children learn their colors. She was
sometimes able to get help from a teaching assistant, but wanted a more
independent solution. A JAN consultant discussed free and low-cost apps for
identifying colors and suggested that she use an app to familiarize herself with
the colors used on various pages in advance. The teacher also made index cards
with notes about the pictures that she wanted to describe and taped them to the
back cover of each book while reading.
Read more
A dental office hired a receptionist with a vision impairment to work in the
front office.
The new employee had acquired a service animal, but did not yet have accrued
vacation time that could be used for service animal training. The employer
allowed the receptionist to take unpaid leave to attend service animal training.
Read more
An engineer with color vision deficiency needed to work on multiple projects.
The engineering firm where he worked printed materials related to each project
on a different color of paper in order to help everyone stay organized. The
engineer was not able to distinguish colors, and did not find the system useful.
A consultant from JAN discussed numerous accommodation ideas including
organizing the paperwork differently, handwriting the color or first letter of
the color in the upper right corner of the master copy so that it would be there
on all photocopies, and providing a handheld color identifier to the engineer so
that he could use it identify the color of each paper on his own. The employer
provided a high-end handheld color identifier.
Read more
A health care worker with lupus had low vision.
She was having difficulty viewing her computer screen and paper copies. The
individual was accommodated with a large monitor, screen magnification software,
hand/stand magnifier for paper copies, and a closed circuit television system.
Read more
A maintenance director at a residential building had color vision deficiency and
needed to repaint and touch up the paint in various rooms.
He had particular difficulty distinguishing between white paint and light green
paint. As a result, he sometimes found it hard to choose the correct shade of
paint for touchups and noticing when he had missed a spot while painting. A JAN
consultant provided information about handheld color identifiers and apps for
smart phones that could help with color identification. The consultant also
discussed that a coworker might be able to help the maintenance director
identify the correct can of paint before starting a task and could also help
with checking for spots that he may have missed. The employer chose to
restructure the maintenance director's job to reduce the amount of painting for
which he was responsible, and also allowed him to seek assistance from a
coworker to ensure use of the correct shade of paint and to check for missed
spots.
Read more
JAN Publications & Articles Regarding Low Vision
Publications
Accommodation and Compliance Series