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1342.12 Companion
July 12, 2017
Page 59
Visual Impairment including Blindness Eligibility Guide
“Visual Impairment including Blindness” is an impairment of vision that, even with correction, adversely
affects a student’s educational performance. Term includes both partial sight and blindness.
Required Assessments
Observation; review of existing school educational and health records; current Ophthalmology Report;
Functional and Vision Assessment; Orientation Mobility Assessment; educational impact analysis.
The CSC must gather the necessary information to meet the eligibility criteria.
Recommended Assessments to assist the CSC to meet eligibility criteria
Formal and/or informal measures of academic achievement supported by teacher reports, group
achievement test scores, report cards, learning media assessment, etc. After review of all records, the
CSC determines if there is a need to obtain additional assessments (e.g., medical, developmental history,
cognitive, language).
Criteria
There is documentation of a visual impairment (check all that apply):
☐
A student with blindness has (check all that apply):
o
☐
Visual acuity in the better eye with best possible correction of 20/200 or less at
distance or near;
or
o
☐
Visual field restriction in the better eye of remaining visual field of 20 degrees or less.
☐
A student with a visual impairment demonstrates the following (check all that apply):
o
☐
Visual acuity better than 20/200 but worse than 20/70 at distance and/or near;
or
o
☐
Visual field restriction in the better eye of remaining visual field of 70 degrees or less
but better than 20 degrees.
The CSC will list and/or describe.
AND/OR
The student has any of the conditions, which may in the future, have an adverse effect on educational
performance, or a functional vision loss where field and acuity deficits alone may not meet the
aforementioned criteria (check all that apply).
Oculomotor apraxia
Cortical visual impairment
A progressive loss of vision
Other: __________________________
The CSC will list and/or describe.
AND
Due to the identified Visual Impairment including Blindness, the student is educationally
impacted and requires specially designed instruction. The CSC will list and/or describe.