Retina NZ Summer Newsletter, No. 28, February 2006.

 

In this issue:

 

1.                  Editorial.

 

2.                  From the President's Desk.

 

3.                  Talking Books.

 

4.                  From Analogue to Digital.

 

5.                  Audio Books.

 

6.                  Coping.

 

7.                  Research.

 

8.                  Vision Loss and Depression.

 

9.                  Unbidden Sounds

 

10.             Changing Gears

 

11.             Book Reviews.

 

12.             Branch News & Snippets.

 

 

 

1.         FROM THE EDITOR

 

Summer is such a wonderful time of the year, warm relaxing days, a glass of wine and some lovely music outside on a balmy evening, time to spend with friends, quick and easy meals.  I have been enjoying my patio, the trees in the park, and the lovely strawberries, tomatoes, and other fresh vegetables from my new garden.  I have had my first holiday for three years, a week on the Kapiti Coast, and have found returning to writing and producing the newsletter a little difficult when the outside beckons so enticingly!

 

As the editor I have now taken over the layout of the newsletter using MS Publisher.  I am experiencing a few small problems coming to grips with some of the finer points of the programme so please bear with me, practice makes perfect they say!  I welcome feedback on any of the layout changes I have made. Retina NZ is combining with another consumer group, Parents of Visually Impaired Children, to print our newsletter in Hamilton using their new printer. 

 

 

Please note, on page 2, that the deadlines for submission of articles has changed.  This will ensure that you receive your newsletter in the month it is published.

 

Talking books are the focus of this newsletter.  Decisions are still being made by the Foundation's library regarding the purchase of new formats and equipment.  Modern technology offers individuals a variety of ways to access talking books, some of these are examined along with websites where books can be accessed free of charge as well as purchased.

 

A new implant to help people with retinitis pigmentosa heads the research section which includes a very unusual birth notice.  Kaye Newton describes her experience when receiving new hearing aids, and safe driving when age and vision make this a stressful experience is discussed.

 

The snippets I included in the last newsletter were very well received, particularly the humour, therefore I have included several funny experiences this time.  If you have had similar experiences that you feel would be suitable to include in future newsletters please feel free to forward them to me.  In order to take advantage of every inch of space in the newsletter I have also included some short quotes I hope you will appreciate.

 

Susan Mellsopp/Editor

Phone: 07 8533 612

Email: editor@retina.org.nz

108B Comries Rd, Hamilton

 

 

 

2.         FROM THE PRESIDENT'S DESK 

 

Welcome to 2006. I have spent all of January thinking about what I would like to get done this year, but have been rather slow to actually start anything.  Partly, because I have had to ease into 2006 slowly after having surgery on my spine, just before Christmas.  Just getting back to my usual fitness is an early priority.

 

How long is it since you had your eyes checked?   If you are over 50 it is recommended you see an optometrist or eye doctor every two years.  Having a retinal condition does not exclude you from getting other eye conditions that become more prevalent with age such as glaucoma, cataracts or macular degeneration. 

 

Some time ago a woman contacted me who had RP (retinitis pigmentosa).  She mentioned that she lost the sight in one eye about 5 years ago, then the other eye a couple of years ago.  This didn't sound like RP to me, so I asked her when she last saw an eye specialist.  She said her eyes were examined thoroughly seven years ago, so she was satisfied that she had lost her sight due to RP.  How does she know she hasn't developed cataracts since then, or macular degeneration?

 

Also, some treatments have changed in that time.  If you think you have something you were told some time ago they could do nothing about, it is a good idea to keep in touch with your eye specialist.  Low vision aids may be recommended which were not appropriate some years earlier.

 

I would like to thank Petronella Spicer and Elizabeth East who have continued to operate the 0800 peer support phone line.  The rest of us have been having a break over the summer, but the phone line never closes.

 

Hopefully you have kept your sunglasses and hats on while enjoying summer.  Sometimes I have been inclined to leave summer outside, at least during the middle of the day, but it is nice to have the choice.

 

As always we welcome feedback.

Kaye Newton  president@retina.org.nz   Phone 03 3795 807

 

SNIPPET

Retaane has been approved in Australia to treat wet AMD.  It is believed Retaane suspension can provide retinal specialists with a unique new therapy.  This drug is an angiostatic cortisone that inhibits the abnormal growth of blood vessels, a process known as angiogenesis.  It is administered every six months via cannula behind the eyeball.

 

 

 

3.         TALKING BOOKS

RNZFB and HumanWare to Pilot Internet Distribution of Talking Books

 

HumanWare (formerly PulseData) has been engaged by the Royal New Zealand Foundation of the Blind to assist with a pilot project to evaluate the distribution of Digital Talking Books (DTB) via the internet.  HumanWare will design and develop the prototype internet‑capable digital talking book players and assist the RNZFB to conduct trials of the technology among its existing talking book clientele.

 

The trial's main objective is to find out whether a DTB player and service solution can be designed to replace the postal system with internet delivery of books and magazines for user of its library who are not computer literate.  Like many blindness organizations, RNZFB faces the enormous challenge of evolving its talking book library from audiotape to digital media.   The project is expected to be completed by 2008.

 

Mary Schnackenburg, Divisional Manager of RNZFB's Adaptive Support Division, said: 'this is a major step forward for us, and we are being extremely careful and methodical to ensure we get it right.  Clearly the internet is the future, and it will be the most economical distribution method of delivering books and magazines to print disabled people.  The hardware, or digital download box, has to be simple and easy to use'.

 

HumanWare has designed and commercialized digital talking book players since 1999 under the Victor Reader product line. They offer the widest choice of both hardware and software playback devices and adapted solutions for students, professionals, and the elderly, with the Victor Reader Classic family.  In March 2005  the National Library Service for the Blind and Physically Handicapped (NSL) ‑the world's largest provider of audio material to the print disabled‑appointed HumanWare as a member of a consortium to design and develop the next generation of digital talking book players.

 

Reproduced with the permission of the RNZFB.   

 

QUOTES

 

"The only things worth learning are the things you learn after you know it

all"‑  Harry S. Truman

 

"Opportunity is missed by most people because it is dressed in overalls and looks like work"‑ Thomas Edison

 

Every problem is a possibility in disguise

 

 

 

4.         FROM ANALOGUE TO DIGITAL THE RNZFB LIBRARY IN TRANSITION

 

By Mary Schnackenberg: Divisional Manager Adaptive Support: Royal New Zealand Foundation of the Blind  

 

The Royal New Zealand Foundation of the Blind has been providing a library service almost from its beginnings in 1890. Initially books were in Braille only, and were bought or received as gifts almost exclusively from the Royal National Institute of  the Blind in the United Kingdom.  Some Braille was produced for the children at the Foundation's school.  Not until 1930 and the founding of the Wellington Braille Club did the library begin to access Braille for adults published in New Zealand.  In 1937 the Foundation began to circulate talking books. In 1966 the Foundation opened its own studios and commenced recording New Zealand published materials.

 

The Foundation's library is at a crossroads, both in technology and materials selection.  The compact cassette the library currently uses will be phased out beginning in 2008. The cassette will be replaced by a format chosen later this year.  The move from recording in analogue to digital has opened up the possibility of sourcing more titles from more sources more quickly.

 

We face a number of questions as we stand on the brink of a very exciting, information rich future.  The RNZFB is a charity. Charities exist to provide services the community does not provide.  Yet public libraries distribute talking books, so why does the Foundation remain in this business?

 

Public libraries around the world source their talking books from commercial publishers.  The commercial talking book publisher makes his or her profit by selling the greatest number of copies for each title produced so as to recover the high cost of producing the master recording.  That recording must recover royalty payments to the author, the narrator, and to the creators of any and all graphical work associated with the print.  The costs of the studios and high speed duplication facilities, including all corporate overheads, must be recovered.  Then the audio book has to be packaged attractively and marketed appropriately to libraries and bookstores.

 

If you have ever explored the talking book shelves in a large retailer or public library, you can only conclude that the New Zealand market is not big enough for a commercial producer to sell and make a profit on New Zealand published talking books. A large New Zealand importer of commercial talking books told me if he sold 30 copies of a title that was a bestseller for him. Commercial publishers aim to sell more than 400 copies of each title.

 

When choosing a title to narrate, the commercial publisher must not only sell sufficient copies, but must ensure the title will present well as a sound recording. The commercial publishers narrate the 'start to finish' print books, such as novels by bestselling authors.  These are the titles that are listened to from page 1 until the end.  The listener is very likely doing something else at the same time‑driving a car, ironing, cooking the evening meal.

 

Blindness libraries, like that run by the Foundation, focus on producing talking books the commercial providers will not produce; in the Foundation's case, unabridged New Zealand materials including magazines, non‑fiction that is not start‑to‑finish reading, and less popular overseas publications.  We rarely if ever read abridged titles.

 

Less that 5%, some argue less than 3% of what is published in print, is converted to an accessible format. Last year Auckland City Libraries website told us that 18% of their talking book collection was non‑fiction; about 40% of the Foundation's collection is non‑fiction; more than 90% of print is non‑fiction.

 

Blindness libraries continue to hone another skill not needed by commercial talking book publishers.  We verbalise graphics.  "A picture is worth a thousand words" goes the adage.  Each time we come across a photograph, chart, diagram, map or other graphic we first ask whether that graphic is adequately described in the surrounding text.  If not, how much should we say about the graphic?  If we describe the graphic, can we do so in less than a thousand words using a style in keeping with the author's text and intent?

 

The DAISY format (digital accessible information system) allows books and magazines to be structured as print materials are. DAISY playback software lets the listener skip around the text from chapter to chapter, page to page, from the index to the relevant page, and so on.  The listener can add book marks, even textual notes just as sighted people sometimes handwrite in their margins.  Although we are still distributing our new titles on compact cassettes, the Foundation's library has been structuring its recording in the DAISY format since August 2002.  Later this year we will choose the best format to use for distributing DAISY titles.   Blindness libraries generally distribute their books by post. Talking books are becoming available for purchase over the internet.  It is possible to download books from the internet on to your home PC's.  So is it possible for the Foundation to send talking books to its users across the internet?  Potentially yes, but at present there is not an inexpensive player suitable for use by blind and low vision people.  HumanWare is working with the RNZFB to pilot just such a player.

 

Commercial talking book publishers and blindness libraries are almost all recording using the digital format.  It is technically possible to access thousands of talking books recorded digitally.  The most significant remaining barrier is copyright. The World Blind Union is lobbying the World Intellectual Property Organisation to ask member countries to introduce enabling legislation to remove this remaining barrier.

 

Please support the RNZFB's library because we record or import talking books that commercial publishers cannot make available for the reasons given above.  This year we are adding more new titles than in previous years.  If you cannot find what you are looking for we can assist you by finding something equally suitable or better in the collection.  Alternatively we may be able to interloan it for you.  Talk to our library team on 0800‑243‑333 or email  library@rnzfb.org.nz   Look at our online public access catalogue on the web at http://www.rnzfb.org.nz/library 

 

 

 

5.         AUDIO BOOKS:

 

As Mary suggests, there are a growing number of ways that audio books can be obtained.  Public libraries have audio books on cassette and CD available to borrow, often waiving the fee for blind or vision‑impaired patrons.  Many of these books are unabridged and have a high standard of narration.  Public library catalogues are on the internet and can be searched for audio books to interloan.  Hard copy lists are often available, particularly of new or popular titles. Library staff will always offer assistance to people unable to search the catalogue themselves.  The National Library of New Zealand operates a print disability collection and service.  You can borrow audio books through this service via your own public library. Titles can also be sourced at www.natlib.govt.nz/en/using/4talkingbook.html#book 

 

Talk to your local library staff about the types of audio books you wish to read and see how they can help.

 

The above information was supplied by Greg Morgan/Auckland City Libraries

 

International libraries for the blind have online catalogues from which talking books can be interloaned by the RNZFB library. Vision Australia, the Canadian National Institute for the Blind and the Royal National Institute for the Blind are examples.

 

Books no longer under copyright are available for free download from several websites.  Camera Obscura (follow the link from the RNZFB site) has e‑text archives, reference works, and a wide range of literature from history through to philosophy, law and classics available.  The site links to other virtual libraries and online catalogues, international newspapers and news services. Bartleby.com offers unlimited access to great books online such as fiction classics, Shakespeare, poetry and Bibles.

 

Purchasing Audio Books:

There are several online companies which offer a large number of audio books in a variety of formats.  The most reliable of these are amazon.com and audible.com.   Amazon has books on tape and CD as well as in digital format, but be aware that books on CD can be large and expensive.  Bill Clinton's autobiography uses 41 CD's.  Audible.com has a wide range of categories and you can order books yet to be released.  The average price of books listed on their website is $US25.  Bookshare.org has 25,000 books listed on their website.  United States copyright laws make it difficult for overseas members to download books, but a limited selection is available for purchase via an annual subscription.  

 

BookPort:

MP3 players and iPods offer keen readers the opportunity to store and read a huge range of books.  BookPort, which is distributed by the American Printing House for the Blind in Louisville, Kentucky www.aph.org is becoming popular. The BookPort is the size of a panadol packet and has 18 buttons, 12 arranged like a telephone pad and 2 extra rows.  It has a socket into which earphones or a speaker can be plugged, and a USB port allowing connection to a computer.  Data is stored on a flashcard available from any computer or camera shop, although one is supplied with the machine.  BookPort runs on 2 AA batteries which makes it portable.

 

Books can be downloaded from the internet via the computer in two basic formats.  Text to speech books are read using the unit's own synthesizer, the speech and pitch of this can be altered to one's own preference.  Secondly, books can be downloaded as audio files, that is, read by a narrator, they take up more memory and space.   Any books available in MP3 format from audible.com or other sites can be purchased and read on BookPort.

 

An on‑board instruction manual includes an extensive list of sites from which books can be purchased.  BookPort costs $US395, although import duty may have to be paid bringing the cost to approximately $NZ550.   If you wish to order the BookPort from New Zealand you will need to phone the American Printing House for the Blind at 001 502 895  2405

 

This information was kindly supplied by Don McKenzie

 

 

 

6.         COPING   TIPS FOR TRAVELLING

 

Make travel arrangements well in advance. If you require assistance inform the travel agent or airline when you purchase your ticket.  Define what sort of assistance you need as this will help to avoid confusion and frustration during your trip.

 

If you will be travelling with a service animal make this known when you purchase your tickets.  This will allow an appropriate space to be reserved for both you and your dog. 

 

Individuals with a visual impairment often find that sitting in the aisle seat allows them to be more aware of what is happening on a plane or train, and to communicate more easily with staff.  You can request an aisle seat when you make your reservations, please confirm this several days prior to travelling.

 

On the day you are travelling arrive early!  If necessary identify yourself and state the assistance you have booked.  Boarding prior and leaving after other passengers is standard procedure.   Please be patient!

 

Mark your luggage with something bright and visible to help you locate your luggage in the baggage claim area.  Purchasing an unusual type of luggage can also help.

 

If you are staying in a hotel, or motel, inform the reservation staff of your particular needs and the type of accommodation you require‑for example on ground level, or with grass nearby for a guide dog.

 

When taking taxis or shuttles state your destination clearly.  You do not have to pay for your guide dog to be transported in a shuttle.   

 

Remember to be flexible and willing to adapt to situations which present themselves.  Don't stress.

 

 

 

7.         RESEARCH

 

NEW TECHNIQUE DELIVERS GROWTH

FACTOR TO EYES WITH RETINITIS PIGMENTOSA

 

A new implant that delivers encapsulated growth factor producing cells into the eyes of retinitis pigmentosa (RP) patients appears to be safe and has even produced minor improvements in vision, according to early results announced at the annual meeting of the Association for Research in Vision and Ophthalmology.

 

The device remained in the eyes of ten patients for six months with no apparent ill effects.   The patients, who were in the advanced stage of the disease, showed a one‑line improvement in their visual acuity scores from the treatment reported Dean Bok, PhD, Professor of Ophthalmology at the Jules Stein Eye Institute at the University of Los Angeles.  He said:  "this is remarkable because they had very advanced RP".

 

In a phase 1 safety trial vitreoretinal surgeons implanted the NT‑501 device (Neurotech) in one eye of ten legally blind patients with RP by making a 2.0mm scleral incision, inserting it with a metal loop, and suturing the device in place.  Each month following implantation the researchers tested the patients'  visual field, visual acuity, and performed electroretinograms.  After six months, the surgeons extracted the device from the patients' eyes.  One month and

one year follow‑up examinations did not find any serious complications from the procedure with the exception of one patient with ciliary detachment.  Though the study was not an efficacy trial, the patients' eye examinations showed a moderate improvement of their visual acuity.  This improvement is not usually considered clinically significant but provocative; the patients did not receive the treatment long enough to firmly establish if it could rescue photoreceptor cells from dying.  The safety trial's results clear the way for a Phase 2 efficacy trial that will test if treatment can really prevent the progressive vision loss in RP patients.

 

More than a decade of advances in basic science research, gene therapy and biotechnology created the foundation for this ingenious idea for treating retinitis pigmentosa.  Research confirmed that CNTF slows photoreceptor cell degeneration in 12 different inherited retinal disorders in four different animal species.  Injecting the protein into the eye of human patients was deemed to be an unworthy invasive treatment because the patients would need to be injected repeatedly for the rest of their lives.  Additionally, the blood‑retina barrier limits the possibility of administering the protein orally.  To overcome the drug delivery problems a small device produced by the French biotechnology company Neurotech which uses Encapsulated Cell Technology (ECT) was used. In ECT, retinal pigment epithelial cells carrying a virus that had been genetically manipulated to overproduce CNTF are loaded into a semi‑permeable plastic polymer basket that can be injected into the eye.  The plastic device protects the CNTF‑releasing cells from immune attacks, yet its semi‑permeability allows the cells to release the CNTF into the eye tissue.  It enters the gel‑filled cavity of the eye, percolates between the cells of the retina and bathes them in the CNTF which keeps the photoreceptors alive.

 

The Phase 2 trials will evaluate other neurotrophic factors and agents that can be used with ECT for treating other retinal diseases.  Patients selected for the Phase 2 trials will have less  advanced stages of the disease so vision changes can be detected faster.  The patients will need to retain the implant for at least two years to determine if it can interfere with apoptosis.

 

This article was downloaded from Retina International at www.retina‑international.org 

 

 

 

8.         VISION LOSS AND DEPRESSION

A number of studies demonstrate that people experiencing vision loss are significantly more likely to suffer from clinical depression than the general population.  In a recent study conducted by Lighthouse International, one third of visually impaired participants had clinically significant depressive symptoms.  Clinical depression means experiencing symptoms which last for two weeks or more, and are so severe that they interfere with daily living.  

 

This is hardly surprising, as vision loss has emotional and psychological aspects as well as unexpected challenges.  These include relationship pressures, early retirement, loss or limitation of daily activities, and the need to think more about the ageing process in general.  All of these can contribute to feelings of loss, lowered self esteem, dependency, isolation and despair.

 

 

Someone receiving the diagnosis of age‑related macular degeneration needs to be prepared for the psychological impact of this condition.  People who experience gradual vision loss are at the most risk of depression as they live with the daily fear of waking up to a further deterioration in their sight.   Depression can make their vision loss seem worse than it really is.   Clinical depression can be dealt with using a variety of treatments including medication, psychotherapy, counseling; or a combination of these.  These therapies may even improve visual functioning. For many AMD patients it is critical to get help with coping.

 

This information was downloaded from AMD Alliance International www.amdalliance.org

 

BIRTH ANNOUNCEMENT 

 

After several years wait, Dr Marion Maw and her team are very pleased to welcome the arrival of Frodo, a very special mouse. Frodo, and her descendants, will provide an animal model for a novel retinal disorder that affects a large New Zealand family.  A subtle alteration in a calcium channel gene is responsible for the disorder. Genetic engineering techniques were used to introduce the same subtle alteration into the mouse version of the calcium channel gene.  This modification was done using cultured embryonic stem cells.  The stem cells were injected into early mouse embryos and the embryos returned to a female mouse for the remainder of the pregnancy.  A few of the resultant baby mice contained a proportion of genetically modified cells.  Breeding from those few mice then resulted in the birth of Frodo, a mouse that contains 100% genetically modified cells.  Funded by an AUD $40,000 grant from Retina Australia, this highly specialist work was carried out by a commercial provider of genetically modified mice.  While Marion and her colleagues are very excited by the birth of Frodo, her significance is not immediately obvious to all: when informed that "we have a mouse", one individual's immediate reaction was to offer Marion some rat poison to take care of the problem!

 

BRAILLE ON STAMPS

 

2006 is the year of the dog, and to celebrate New Zealand Post has issued a special series of stamps recognizing the contribution dogs make to our lives.  The 45 cent stamp which spells out the number 45 in Braille depicts the Labrador Retriever, a breed frequently used as a guide dog.  Stamps General Manager Ivor Masters said that dogs play an essential role in helping New Zealand communities function effectively.  He said they were particularly

delighted to acknowledge the crucial work of New Zealand's guide dogs.  The other stamps feature a German Shepherd, Jack Russell Terrier, Golden Retriever and a Huntaway.  The stamps and first day covers are available at all New Zealand Post outlets or from the NZ Post stamps website. 

 

 

 

9.         UNBIDDEN SOUNDS BY KAYE NEWTON

 

After her audiology appointment she finds it is raining so she calls a cab to get back to work rather than walk.  The wipers of the taxi squeak against the windscreen, the rhythmic click click of the indicator while waiting to turn at the traffic lights is so noticeable.  Regular like a tick tock.

 

The automatic glass doors at the entrance to her work building rattle open. Ping!  Startled, she realizes she has never before heard the beep signaling the arrival of the lift.  The lift doors clink open.  Inside the lift she turns to face the doors like everyone else.  She read once that if you walk onto the lift and remain facing the other people in the lift it makes them turn also.  But she doesn't have the nerve to try it.  Maybe one day in another city.  The people behind her sound so close, conversing gently among themselves.  So close, yet so indecipherable, yet snatches of phrases make sense.

 

Reaching her floor, she pushes the swing doors open and they keep swinging back and forth, unable to stop themselves.  Going to collect a cup of tea from the tearoom, the zip bubbles after pouring some hot water.  Her cup rattles on the saucer as she carries it back to her office, it seems to be a loose fit.  It is quite a relief to reach her own office.  The heels of her shoes clang against the metal legs of her chair as she sits down.  The swivel office chair creaks whenever she leans on its back, something she does often when stretching her arms up straight then out sideways, pulling her shoulders back.  They say that OOS (or maybe you know it as RSI) starts with tension in the neck and shoulders. Ring, ring, ring, ring‑that telephone sounds so close‑but it isn't hers, the light is not flashing.

 

Her computer beeps often.  Hadn't noticed that before.  The keys of the keyboard make tapping sounds.  The hum of the fan in the hard drive box sounds alarmingly rattly, but it must be alright, it was replaced not long ago.  The air‑conditioning hums like the drone of bagpipes, it won't be stopping until 5.35pm when it shuts down for the night.  She reaches into her lunch bag which she had parked under her desk.  Does fiddling with a paper bag and breaking open a disposable plastic container really make that much noise?  "Maybe I should wait until lunch time after all"!

 

In the toilet the trickle sounds like water splashing from a great height like a small waterfall.  Someone blows her nose in the next cubicle, she hears the air forced through the nostrils in excruciating detail.  The person next door obviously has a cold and a blocked nose.  The air towel sounds like a machine doing more than just blowing hot air over wet hands.

 

Later, at the gym, the rowing machine makes so much noise.  Maybe it needs oiling to reduce friction, but it wouldn't provide resistance and exercise to the rower.  Other machines make rhythmic sounds of metal sliding against metal.  They sound too close.

 

Outside again at last.  Clip clop.  High heels on the pavement.  The cars sound like trucks.  She walks home through the Square as she does every day.  That aeroplane approaching sounds low‑no it is a bus.  Rush hour traffic roars in all directions.  The pedestrian buzzer at the lights sounds much deeper than she expected.  Home again, home again, jiggety jig. Stopping inside her front door she is relieved to switch off her new hearing aid.  The cacophony recedes immediately.  She doesn't even notice the cat meowing.  Peace at last!     

 

QUOTE

Life is a measure to be filled

Not a cup to be drained

 

 

 

10.       CHANGING GEARS IN LATER YEARS ‑ A DRIVERS GUIDE

 

Kapiti Coast District Council has published a guide to help older drivers remain safe on the road, or to help them make the decision to retire from driving.  Many older drivers voluntarily limit or regulate their driving to compensate for deteriorating skills and abilities.  Planning is the key to ensure that life after driving is as rich and fulfilling as before. 

 

The earlier you consider the prospect of retiring from driving, the longer you have to put in place long term strategies, particularly now the 80+ test will no longer exist.  It will become more important than ever that we monitor our own driving performance to ensure our safety and that of our passengers, and other motorists.

 

A number of medical conditions and associated treatments can affect your fitness to drive.  These can include vision status, strokes, Alzheimer's, diabetes and arthritis.  Age brings a loss of spatial perception, decision making ability, reaction time and hearing and concentration. 

 

Extending your driving life may entail considering choosing a car suited to an older driver, having a driving lesson to update your skills, and keeping up to date with the road code.  Drivers should have regular eye and health check‑ups, exercise regularly, become aware of and compensate for risk factors associated with age and driving.  Attend a safety with age refresher course which will familiarize you with local hazards and conditions and put you in touch with other people in a similar situation.

 

You can extend your driving life by only driving during the day, planning your trip, using intersections controlled by traffic lights, avoid travelling at peak hours, and check that your glasses are suitable for driving.

 

Changing your car may extend your driving life.  An automatic transmission may make it easier to drive, as may a car with power steering and ABS brakes. Additional mirrors to help with blind spots, adjustable controls and airbags are good safety features.  If you lack confidence when driving, ride the brake, lose concentration, signal incorrectly, hit curbs, or are becoming increasingly agitated or irritated when driving it may be time to consider giving up.  Other warning signs are a failure to notice traffic signals, relying on a co‑pilot, bad judgment while making right hand turns, near misses, and comments by family and friends.  

Many options are available for people who have had to give up driving.  These include bus services, taxis, trains, community transport, the total mobility scheme and mobility scooters.  

 

RIO SOCKS:

 

Rio men's socks are available at the Warehouse and selected supermarkets.  Black, dress cotton, and in packs of 5, the socks have different coloured heels which make them particularly useful for people with a vision impairment who have difficulty matching pairs of socks.  A 5 pair pack costs $14.99.     

 

Rio have donated thirty pairs of these socks, some with coloured heels and some with a narrow coloured stripe on the side to Retina New Zealand to give to our members.  They will be given away on a first come first served basis.  If you would like a pair of these socks please contact Elizabeth East, telephone 04 299 1801 or by email at  peersupport@retina.org.nz   You will need to indicate whether you want size 6‑10 or 11‑13, and provide your postal address.  Male members as well as female members who fold their husband's washing are welcome to apply as Rio do not as yet produce similar colour coded socks for women.      

 

 

 

11.       BOOK REVIEWS:

 

First Book Review:

 

Vegetables for Vision: Nature's Supplements for Eye Health by Professor Ian Grierson, Indigo Creative Marketing, 2005.

 

Professor Grierson, head of the Department of Ophthalmology at Liverpool University, said he collected and adapted the recipes included in this book over many years for his own family.  "They are intended as a stimulus to eat more vegetables and other AMD food.  They do not follow any cooking style or fad, but are for fun" says the author.

 

Information on diet, eye health and macular degeneration is included in this book. 'Vegetables for Vision' will be of interest to anyone concerned about improving their eye health through good nutrition.  It has been published in large print, is spiral bound, and is suitable for partially sighted people.  Professor Grierson has also written  'The Eye Book and Eye Problems Explained'.  Both these books are available through www.amazon.co.uk or can be ordered through your local bookseller or Borders Bookstore in Auckland.    

 

Second Book Review:

 

Coping With Vision Loss: Maximising What You Can See and Do by Bill Chapman, Hunter House, 2001.

 

This book has been recommended and reviewed on several AMD websites.  Beginning with an explanation of visual acuity and the anatomy of the eye the first section also explains how we see, describes the retina, the functions of peripheral vision and conscious versus unconscious vision.  The impact of emotional issues such as depression and grief on loss of vision is discussed.

 

The role of optometrists, ophthalmologists and low vision specialists in helping with vision loss and maximising remaining sight is explored, along with in‑depth explanations of cataracts, diabetic retinopathy, glaucoma, macular degeneration and retinitis pigmentosa.

 

Coping techniques discussed in the book include sitting closer, scanning, using lights, contrast, large print products and magnification.  The book also lists aids for computer users, driving, watching television and differentiating between money.  

 

 

 

12.       BRANCH NEWS

KAPITI VIP SUPPORT GROUP/Heather Tofts:

 

The November meeting of the Kapiti VIP Support Group was attended by 12 people.  Informal discussion on issues concerning members such as the speed cyclists travel on footpaths were on the agenda.  Gael Hambrook is to bring this to the attention of local schools this year. A cup of tea and a social chat saw the meeting conclude at 3.30pm.

 

A Christmas lunch was held in the Kapiti Community Centre on the 5th of December.  The 20 people who attended enjoyed the good food and excellent company.

 

CHRISTCHURCH BRANCH/ Kaye Newton:

 

Christchurch members gathered on the 26th of November for their usual end of year meal.  Members brought along a huge variety of salads and other dishes.  Due to some late apologies there were fewer people than usual (about 22), but those attending enjoyed a relaxed meal.  Thank you to those family members who were roped in to help, and Petronella's baby grandson who was in great demand for a hug. 

                    

QUOTE

Kindness is a language that the deaf can hear and the blind see

 

SNIPPETS:

 

My neighbours think I cope very well with my vision loss.  They all laughed the night of our right‑of‑way Christmas party.  I headed for what appeared to be a plate of muscatel raisins on a plate (remember those wonderful treats) to discover it was a plate of black stones with some old rather worse for the wear tinsel laid on top.  I keep hoping they will bring me some real muscatels!!

 

Staying with a friend, she asked me to check the recipe she had used for a fat‑free cream.  Agreeing she had followed it to the letter there was a pause ‑ freeze the milk ‑ she had frozen the beater!

 

Her husband then told of a batch of vegetable soup with an unusual ingredient ‑ a used tea bag‑my friend could not understand why her family refused to eat the remainder of the soup.

 

Chocolat, my guide dog who never barks, barked incessantly one evening at something in the park when on her last toilet stop for the day.  Closer inspection of the offending 'problem' showed it to be a supermarket trolley left there due to renovations taking place at our local mall.  Nothing could persuade Chocolat to ignore the trolley while I was helpless with laughter.

 

DEADLINES FOR ARTICLES:

 

Deadlines for articles for the autumn, winter and spring issues are 30 April, 31 July, 31 October 2006 respectively.

 

PUBLICATIONS:

 

For inquiries regarding a list of publications which are  available from Retina NZ,  please contact Janet Palmer, the  National Secretary on  telephone  (04) 299-1801, write to The National Secretary, Retina NZ Inc., P.O. Box 17-242, Wellngton 6033 or email secretary@retina.org.nz

 

MEMBERSHIP SUBSCRIPTIONS:

 

Annual membership subscriptions are due on the 1st of April each year. Subscriptions are $10 for unwaged people and $20 for waged.  Any person  interested in receiving this newsletter is welcome to subscribe.   Donations of $5 and over are tax deductible.

 

DO YOU NEED HELP OR ADVICE?

 

The Retina NZ Peer Support programme is a free and confidential service operating nationwide.  To make contact with one of Retina NZ's peer supporters telephone 0800 233-833.  All calls are treated in strict confidence.

Ring any of the following free‑phone numbers if you want to speak to a geneticist or genetic counsellor about your own diagnosis of RP, Macular Degeneration or other retinal degenerative disorders:

 

Auckland Genetic Hotline (Northern Regional Genetic Service)  0800 476 123

Wellington Genetic Hotline        0508 364 436

Christchurch Genetic Hotline    0508 364 436