Low-Vision Telephone Dialing Aid*

Low-Vision Telephone Dialing Aid*

295 NOTES, CASES, I N S T R U M E N T S LOW-VISION TELEPHONE DIALING AID* J. Ε. BLAYDES, M . D . AND J. ELLIOTT BLAYDES, JR., M . D . Bluefield, W...

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295

NOTES, CASES, I N S T R U M E N T S

LOW-VISION TELEPHONE DIALING

AID*

J. Ε. BLAYDES, M . D . AND J. ELLIOTT BLAYDES, JR., M . D . Bluefield, West Virginia

T o dial an ordinary telephone many lowvision individuals require the add t o n a l aid of

a magnifying glass. This is something

that is not always at hand when needed, and an unhappy reminder o f the visual limitation when it is. T o aid these individuals, a telephone dial plate (fig. 1) with enlarged numerals was designed by us and constructed by the Blue-

Fig. 2 (Blaydes and Blaydes). New enlarged dial plate compared with the conventional one.

phone

Company o f the

Southeast.

It

has

been applied to the Automatic Electric T y p e 80

telephone instrument,

but

with

slight

modifications this plate will fit almost any telephone in the United States. Figure 2 compares the new enlarged dial

field, W e s t Virginia, office of General Tele-

plate with the

conventional dial plate.

A

• Presented at the 68th annial meeting of the American Academy of Ophthalmology and Otolaryn­ gology, New York, October, 1963.

ing success. T o determine the value for a

number o f our low-vision patients are n o w using these new instruments with

gratify­

Fig. 1 (Blaydes and Blaydes). Telephone dial plate for use of persons with low vision. (Actual size.)

N O T E S , CASES, I N S T R U M E N T S

296

particular low-vision patient one might use

ments. It has also been used with varying

the scaled dial plate (fig. 1) in the office.

degrees of success in cases o f benign and

T o facilitate the ease o f obtaining mate­

malignant tumors o f the retina.'

rial, a plastic supplier was contacted by the

Angiomatosis retinae, or the angiomatosis

local telephone company. This supplier^ like­

of V o n Hippel-Lindau, may respond favor­

wise assumed an interest in the project by

ably to photocoagulation. This report de­

agreeing to print the enlarged dial plates and

scribes some experiences in the treatment of

supply them with the plastic covers at cost.

a patient with this disease and presents pho­

Refer to stock number G P 5100 (dial num­

tographically

ber

achieved.

plate and

dial

number

plate

cover).

Specify the make and type instrument on which they will be used. T h e cost of the set is approximately fifty cents. D o not attempt to apply these plates your­ self. T h e time required for an experienced installer to place them is about five minutes. Installation

by

an

inexperienced

person

could easily result in damage to the instru­ ment, since the cover and dial must be re­ moved. T h e co-operation received from our local telephone office leads us to believe that any telephone

company would w o r k

with

an

ophthalmologist in simplifying the problems experienced by a subscriber with l o w vi­ sion. A personal visit to your local manager with the information in this article should brings some results. 107 Federal

Street.

t Gladwin Plastics, Inc., P.O. Bo.x 13817, Station K, Atlanta 24, Georgia.

PHOTOCOAGULATION TREATMENT

OF

ANGIOMATOSIS RETINAE* IRVING BARAS, M . D .

STANLEY HARRIS, M . D . AND MILES A . GALIN,^ M . D . New York

Ocular

photocoagulation, introduced

Meyer-Schwickerath, has been

by

particularly

valuable in treating retinal holes and detach* From the Department of Surgery (Ophthal­ mology) of the New York Hospital-Cornell

the

results

which

may

be

CASE REPORT R. M., a 19-year-old white girl, was seen in The New York Hospital-Cornell Medical Center Ophthalmology Clinic because of neurologic and ocular complaints commencing at the a.ge of 12 years. These included headache, nausea, unsteady gait and decreased vision in the right eye. At that time diagnoses of Iiemangioblastoma of the cere­ bellum and angiomatosis retinae were made. Upon completion of neurologic studies, surgery for re­ moval of the cerebellar tumor was attempted. Op­ eration revealed an irremovable Iiemangioblastoma of the vermis. \ ventriculostomy to relieve block­ age of the third ventricle was performed, and this was followed by a course of radiation. Six months later, because of the onset of nausea and vomiting, another course of radiation was given. Since that time, the patient has had no recurrence of neurologic symptoms. In October, 1959, eye examination revealed a noncorrectible visual acuity of finger counting in the right eye, and 20/40 in the left eye correctible to 20/25 with a - 1 . 2 5 D . sph. Ζ -1-0.25D. cyl. ax. 90° lens. Pupillary responses, motility and external ex­ amination were normal. Ophthalmoscopic exam­ ination of the right eye revealed that the disc was partially obscured by a mass of glial tissue. In the equatorial region, seven moderately large angiomas were present. A few small vascular buds were scattered throughout the fundus. In the left eye, the disc, blood vessels and macular area were normal save for one small angioma in the superior temporal quadrant. When the photocoagulator became available, decision was made to employ it in treating tiiis patient. Therapy was directed to the more in­ volved right eye and five of the seven large angiomas were treated. The lesions were first surroimded by photocoagulation, and the angiomas then treated directly. Two weeks later, one of the lesions was completely replaced by a chorioMedical Center. This study was aided by grant B-3010 from the United States Public Health Service and a grant from the National Council to Combat Blindness. t Career scientist. Health Research Council, New York City.