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Blind and Visually Impaired Community

Full History - 2019 - 05 - 06 - ID#blaq4p
17
My son got diagnosed with rod-cone dystrophy but we've been given no information. Help? (self.Blind)
submitted by BobIsAFineName
Hi, I'm new on here. My son got diagnosed with severe bilateral rod-cone dystrophy but they gave us no information about it at all. Just referred us on to the eye hospital, and it will likely take months for that to happen.

Google doesn't really help because it's just medical practitioners and not people with it, commenting.

Is anyone willing to share what it's like to have it, and what to expect?

My son is 9m, has very poor night vision and needs to sit at the front of class, but can still see pretty ok in daylight.

EDITED TO ADD: we're UK based. I want to be his advocate so that he grows up to be confident and independent. He's also in the process of being diagnosed for high functioning autism and dyspraxia, so that may complicate things a little.

Bobjr wants to be a YouTuber (don't they all?!) when he grows up, and enjoys doing RPG (table top role-playing games) and playing board games.

We just bought a tandem bike so he's learning to ride on the back of that with me steering.
BaginaJon 7 points 4y ago
Get him services in the school. If it’s the US, you’ll get a teacher of the visually impaired. Rod cone dystrophy is degenerative. I would get into the eye doctor as soon as possible. Make sure your son knows he needs to sit up front, and to be aware of his own visual limitations in the meantime.

Most likely he will be trained to use a white cane from mobility specialists. He may only need it at night, so don’t fret. As he gets older the loss could be significant so it’s important to see a doctor annually and keep track and to also have a teacher of the visually impaired (tvi) to work with him throughout his education. The doctor will give you more info.

I would begin researching parenting and low vision stuff so you can go to the doctor with more than a baseline of zero knowledge and ask more informed questions. You’re gonna want to ask about braille, orientation and mobility, etc. Ask the eye doctor if there are any low vision specialists in town.

As far as I know, rods allow you to see in the dark. Cones help with color. He could be experiencing color blindness and night vision loss.
jrs12 3 points 4y ago
Rods are also responsible for peripheral vision and cones are responsible for sharp central vision. Depending on the type of cone-rod dystrophy he has, one or the other might go first. He might experience vision loss, but his visual acuity might remain the same. The low vision doctor will know to check for all of this stuff. I would try your hardest to go to one. Also, it's important to note your son's condition is degenerative, but we can't predict when or if he will lose more vision. Factor that into your decision making. While braille is important to learn, especially for children who cannot read print, he may spend multiple hours a day learning this code and missing other things in class only to find out that he keeps good functional vision for all of his educational career. When you make decisions for his education as a youth with a visual impairment, constantly be thinking about the adult you want him to become. Picture big dreams for the adult version of your son. He can achieve if you expect him to achieve and setting high standards now is very important in that process. You will be his greatest advocate for helping to push him to succeed or for making excuses for why he will always fail. Pick the first option. Make choices based on the first option.
BobIsAFineName [OP] 5 points 4y ago
Straight after we got the diagnosis, I decided that I wasn't going to parent to let him be a victim. I've seen how that hurts children and makes them think they can't do anything. I've told him that if he wants to do something, we'll say yes and then figure out how (...unless it's illegal!)

I've got pretty poor sight myself (-13 myopia and not great night vision) and it's not stopped me doing very much.

We like board gaming and RPG (table top role-playing games). I'm currently busying myself thinking about how we adapt games to be more tactile and have more colour contrast. And how to make our church more visually impaired friendly.

If there's better things to be looking at, let me know.

He's academically bright and devours books in hours. I'm not sure yet whether he's going to need to learn braille, but I'd hate for him to lose the ability to read for himself by not letting him learn?
CloudyBeep 2 points 4y ago
It can't hurt to learn braille, and he can decide for himself as he grows up whether he'd prefer to use print, braille or ideally both. Employment outcomes are much higher for people who know braille, but I guess that doesn't matter quite so much if he wants to become a YouTuber.
BobIsAFineName [OP] 1 points 4y ago
I'd like him to learn braille if it'd be useful...as for being a YouTuber, we've told him that he needs to have another job to fall back on. I think most kids his age want to be YouTubers....like most kids wanted to be train drivers etc when I was little
fluffernutter59 1 points 4y ago
You sound like a freaking awesome parent. If only more parents of disabled kids thought the way you did about independence, we wouldn't have such a disgracefully high unemployment rate among the blind, or have nearly so many people needing constant assistance just to live their everyday lives.
BobIsAFineName [OP] 2 points 4y ago
Thanks. It's the rods that are going first. He's got very poor night vision and needs to be guided, but has pretty good daytime vision.

I think having a cane at night would be really helpful as he's scared of going outside when it's dark. We're UK based and no idea how the system works here.
theawesomeaquarist 2 points 4y ago
I'm from the UK I am about to go through the process of learning to use a cane for nighttime is your son registered visually impaired if he is. Your local orientation and mobility officer should get in touch with you to asses his needs (going to a center for vi or a home visit) I have a home visit nearly every two years.

They can give you advice equipment training ect.
sarahluvsjoy 3 points 4y ago
I work for a low vision specialist in the US and what everyone is saying here is great advice. We have the same issue here with trying to connect patients to the best resources and doctors for their specific conditions. I agree that seeing a low vision specialist is the right move because until surgical treatment becomes an option, your son will need to explore visual aids and assistive devices that will help him maintain independence. We make bioptics (telescope glasses) for low vision and have UK contacts for specialists if you need any help!

​

Personally, I think it would be great if your son became a youtuber (I'm a mom of a 10yo who loves to watch youtube!) because it would help others relate and connect to someone with similar vision loss. You sound like awesome and supportive parents that are doing exactly the right things to help your son "grow up to be confident and independent!" I just published a blog post on our website of an interview I did with a low vision patient in his early 30s and he talks about the pivotal role his parents played in helping him grow to be independent, successful and confident that he could do anything he had a passion for - he plays volleyball and golfs and has a fitness blog, so, YAY to supportive parents like yourselves!!!
BobIsAFineName [OP] 1 points 4y ago
Wow volleyball and golf! Well that's really inspiring 🙂

The local council sent a vision specialist in to the school to see him. She wants to get him touch typing lessons while he can see. And is going to get someone from the mobility team in to see him about getting him some aids for low light conditions.

His school haven't moved him to the front of class yet, despite saying they would last week....so I'll be in tomorrow morning to make sure that happens. (We had a bank holiday on Monday so today was the first day back in)
BobIsAFineName [OP] 2 points 4y ago
Hi again, they've moved him to the front of class for everything, so he's no longer having to ask people what's on the board.

And they're getting him referred to the mobility team for his night vision.
sarahluvsjoy 1 points 4y ago
Hopefully they moved him to front of the class! keep us posted on his progress!
SpikeTheCookie 2 points 4y ago
$1 is a wonderful organization, they have lots of info and support for you and your son, and they even have a helpline where you can talk to a real person.

The most common form of rod-cone dystrophy is Retinitis Pigmentosa, and there's a ton of research and advancements.

You'll want to pursue genetic testing to identify the gene so that your aware of when treatments become available.

Everyone has provided really good advice here.

I'd just also point you to $1 discussing when might we expect a cure (or should we).

While you want to be pragmatic and adapt, there is also great hope. So adapt, find a wonderful life regardless, and also know a world of medical researchers are working on real solutions for the future.

The best thing you can do for him is give him a wonderful childhood where education is loved and he's surrounded by friends he can grow up with.
BobIsAFineName [OP] 2 points 4y ago
Thank you. I'm just off to read your other post. I've been referred to the eye hospital too because of the concern that it may be genetic (my night vision isn't great).

Whether he has retinitis pigmentosa or not, some kind of cure for that , or a way to mitigate it would be wonderful.
blindnessandbees 2 points 4y ago
Might be a bit late but I’m 17F with Retinitis Pigmentosa, a form of rod-cone dystrophy. I see very little (legally blind), and know I’ll be completely blind in a few years. I’m not sure how this will be for your kid, though. I started losing sight at 14 and was diagnosed a few months later at 15. It’s been a weird journey. I attend a school for the blind, which has been great. I just did my first final today, so I should be graduating soon :) I’m in the process of getting a guide dog and moving out in two months. I play goal ball, and also love tabletop RPGs! I play in a DnD party every month and it’s the highlight of my month! I’m planning on studying English when I finish secondary school. I’m honestly pretty okay with my blindness at the moment. It’s never easy but you will adjust.
BobIsAFineName [OP] 1 points 4y ago
Thank you for sharing. It's really great to hear how positive you are and it gives me a lot of hope about how things are going to be for Bobjr. We don't know what type he has yet. Or how bad it is etc.

So glad to hear that RPG is accessible....I'd hoped it is. He has also started GMing very short scenarios and would like to GM more as he gets older. We don't always use actual miniatures, often just use the "theatre of the mind", which I think works better.
blindnessandbees 1 points 4y ago
Theatre of mind is the way to go when the GM is visually impaired, yeah! I use a set of dice that’s a lot bigger than a standard set, which I can just about read. A fully blind friend of mine also plays at this party, and uses braille dice. We both use an Ipad for our character sheets. I simply use a google docs document and zoom in so I can read, he has his braille display connected to his Ipad so he can read with out using a screen reader that makes a lot of noise. RPG is 100% doable when blind or VI, you just gotta make sure everyone in your group is willing to help you out :)
BobIsAFineName [OP] 1 points 4y ago
I've just ordered some slightly bigger dice. Which ones do you recommend? It's great to hear that he'll be able to GM even as he loses more vision. And we're thinking he's going to need an ipad. Also, what's a braille display? Sounds very handy!
blindnessandbees 1 points 4y ago
I’m not sure which dice I got, but I think they were called jumbo dice or something. Ipads are great for stuff you normally do on a smartphone for fun. Because it’s way bigger it takes less energy. I also use mine for my school books. A braille display is a little machine that you connect to a laptop (or Ipad) that will translate any text on screen to braille. It’s a great tool for people in school or work places because you can use your computer silently!
JackEsq 2 points 4y ago
My 4 year old daughter was diagnosed at 4 months old, so I completely understand the overwhelming feeling coupled with a lack of information and guidance.

I would second the recommendation of Foundation Fighting Blindness or a similar organization. It is invaluable to meet and connect with people who know what you are going through. I believe that organization is mainly US based, but after a quick google search I found $1 which seems to be similar.

Absolutely get him services through the school which should include braille instruction, in my opinion.

As for board games you are already doing table top RPGs which are very easily adapted. $1 is a new site and podcast that talks about accessibility in board games so you can get some ideas about how to adapt your favorite board games. $1 also sells kits that made board games accessible.

Let me know if you have any questions.
BobIsAFineName [OP] 1 points 4y ago
Thank you that's really helpful. I'll look those up!
jrs12 2 points 4y ago
A vision teacher needs to evaluate him. You can request this through the school if you are in the U.S. As a parent you also need to take him for a low vision exam at the doctor's. A low vision specialist will be able to tell you more about the diagnosis. Rod-Cone dystrophy is an extremely encompassing diagnosis. You may find they narrow it down more as he gets older which may help give you more of an expected direction regarding what may happen with his vision.
BobIsAFineName [OP] 1 points 4y ago
Thanks. Should have said that we're UK based. We've got a referral to the eye hospital but that'll take a while. He had an ERG at the local hospital which is when they diagnosed him. I think it's the not knowing that's hardest right now.
peanutnoods 2 points 4y ago
If you're in the U.S. does he have an IEP?
BobIsAFineName [OP] 2 points 4y ago
Hi, we're in the UK. He's just got a diagnosis/referral letter from the local hospital to the eye hospital.
saharacanuck 1 points 4y ago
You’ve gotten some really good answers here. I am unable to address your question directly, but will say this: if your kid has any interest in sports, the UK has a really well developed network of sports for people with visual disabilities. Totally worth taking advantage of it. From downhill skiing to tennis, to team sports like Goalball and football. There are options. I am a high partial and Sports gave me a lot of confidence growing up.
BobIsAFineName [OP] 1 points 4y ago
👍
PolariChat 1 points 4y ago
What Ross253 said. If you contact the RNIB helpline. They will put you in contact with a support network in your area. There are a bunch of services in the UK.
Ross2503 1 points 4y ago
Hi
I have the same condition, I'm 22 and also in the UK. I think a good thing to do is get yourself involved with a charity of some sort which will connect you to other parents in your situation.

I volunteer for RNIB and they have Facebook groups dedicated to each county and many more things besides.

Also I'm in a Facebook group full of people with the same condition.

I can point you in the right direction if any of this helps.
BobIsAFineName [OP] 1 points 4y ago
Thanks that's helpful. I hadn't thought of Facebook groups. And I didn't know there were local ones. Part of me is mentally holding back until we know exactly what he's facing....maybe I'm just sticking my head in the sand for a bit though, too?
Ross2503 1 points 4y ago
Well whatever you decide to do, this is a good service to Connect with others and will lead you to the county Facebook groups - https://www.rnib.org.uk/rnibconnect

And I saved this Facebook post a few weeks ago, it's like a blind and partially sighted persons directory - https://m.facebook.com/groups/493947154275684?view=permalink&id=868695733467489
BobIsAFineName [OP] 1 points 4y ago
Those are great resources, thank you.
OakCityAmaretto 0 points 4y ago
There are several foundations who provide support for newly diagnosed people/families. My favorite is Foundation Fighting Blindness, blindness.org.
BobIsAFineName [OP] 1 points 4y ago
Thanks. I've got no idea where to get help for us as a family, so that's really helpful. We're UK based, I don't know if that makes a difference?
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