Providing low vision services is rewarding, and complex. Low Vision Beyond the Clinic is a podcast and community for vision rehabilitation practitioners across disciplines. Host Erika Andersen Ko, a certified low vision therapist with over 20 years of multidisciplinary practice, sits down with clinicians, researchers, and lived wisdom experts to hear their stories of change and growth. Whether you're an optometrist, occupational therapist, educator, orientation and mobility specialist, social worker, or mental health specialist, you'll find fresh perspectives, practical strategies, and inspiration for the hard days. Welcome to Low Vision Beyond the Clinic. You belong here.
Low Vision Beyond The Clinic
Claim This Podcastby Erika Andersen Ko
4.0(3 reviews)
3 episodes
Updated Daily
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17
Podcast Authority
BetaPoorBased on show quality, social media presence, reviews, charts, and more
Quality22
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YouTube0
Engagement31
Podcast Overview
Providing low vision services is rewarding, and complex. Low Vision Beyond the Clinic is a podcast and community for vision rehabilitation practitioners across disciplines. Host Erika Andersen Ko, a certified low vision therapist with over 20 years of multidisciplinary practice, sits down with clinicians, researchers, and lived wisdom experts to hear their stories of change and growth. Whether you're an optometrist, occupational therapist, educator, orientation and mobility specialist, social worker, or mental health specialist, you'll find fresh perspectives, practical strategies, and inspiration for the hard days. Welcome to Low Vision Beyond the Clinic. You belong here.
Language
🇺🇲
Publishing Since
5/8/2025
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Recent Episodes
May 26, 2026
Mentorship from Afar: Dr. Fletcher Models Challenging Clinical Assumptions
<h4><strong>Mentorship from Afar: Dr. Fletcher Models Multidisciplinary Collaboration</strong></h4><p>Access to mentorship in low vision rehabilitation isn't always readily available. Mentorship from afar can make a lifelong impact on a clinician's practice despite a lack of proximity.</p><p>In this episode of Low Vision Beyond the Clinic, host Erika Andersen Ko sits down with retinal disease ophthalmologist Dr. Donald Fletcher to talk about what nearly 40 years and 35,000 low vision patients have taught him about multidisciplinary vision rehabilitation, clinical humility, and asking thoughtful questions.</p><p>Dr. Fletcher calls himself "a salesperson for the team": using his physician credibility to elevate the work of occupational therapists, orientation and mobility specialists, physical therapists, vision rehabilitation counselors, and even Buddy the security guard at the front desk. His humility extends to challenging his own clinical assumptions, including once incorrectly believing that patients with age-related macular degeneration didn't have mobility problems; a belief overturned through conversations with orientation and mobility specialists at the Smith-Kettlewell Low Vision Rehab Study Group.</p><p>Dr. Fletcher's advice to any clinician who wants to grow: ask thoughtful questions, and make friends with a researcher.</p><p>A conversation for low vision practitioners, vision rehabilitation therapists, occupational therapists, orientation and mobility specialists, ophthalmologists, optometrists, and anyone interested in multidisciplinary approaches to age-related macular degeneration and vision loss.</p><h4><strong>Topics explored in this episode:</strong></h4><p><strong>TIMESTAMPS</strong></p><p><strong>TOPICS</strong></p><p>00:05 "If I make it into heaven, it's because I push the team approach"</p><p>01:05 Welcome and host introduction</p><p>01:35 Thank you to CAER for the relaunch microgrant</p><p>02:14 A 2006 Envision moment: the ruler, the Likert scale, and an unknowing mentor from afar</p><p>04:32 40 years, 35,000 patients, and the friend who first suggested the team approach</p><p>07:30 "My role is to be a salesperson for the team"</p><p>08:38 Buddy the security guard and why first contact matters</p><p>10:26 An assumption Dr. Fletcher was wrong about: AMD and mobility</p><p>12:18 Trekking poles, AMD, and meeting clients where they are</p><p>14:11 Origins of the Smith-Kettlewell Low Vision Rehab Study Group</p><p>16:12 "What have you learned this past year?"—the democratizing opener</p><p>17:52 Priya Parker, gatherings, and designing for the outcome</p><p>19:17 Spicy discussions, bridging clinicians and researchers</p><p>21:12 "Make friends with a researcher"—and Art Jampolsky on asking the right questions</p><p>24:58 A pitch for "So What" groups at the Envision Conference</p><p>25:42 Erika's reflections: servant leadership and what's ahead this season</p><p><strong>Thanks to Dr. Donald Fletcher for being on the show!</strong></p><p>Dr. Fletcher is an acclaimed ophthalmologist and longtime advocate for team-based low vision care, currently practicing at Envision in Wichita, Kansas. He co-founded and continues to lead the Low Vision Rehab Study Group at the Smith-Kettlewell Eye Research Institute, where clinicians and researchers gather each February to share difficult cases, fresh ideas, and the occasional spicy debate. After nearly 40 years and more than 35,000 patients, he remains curious, humble, and impactful.</p><p><strong>Thank you to CAER:</strong></p><p>A big thank you to <strong>CAER</strong>, the Colorado chapter of the Association for Education and Rehabilitation of the Blind and Visually Impaired, for the microgrant that supported the relaunch of this podcast. A small grant with a meaningful message: asking questions about how we grow as practitioners is inherently valuable.</p><h4><strong>References and resources mentioned in this episode:</strong></h4><p><strong><u><a href="https://envisionus.com/" rel="noopener noreferrer" target="_blank">Envision (Wichita, Kansas)</a></u></strong> One of Dr. Fletcher’s clinical homes and an example of the team-based low vision rehabilitation model discussed throughout the episode.</p><p><strong><u><a href="https://envisionconference.org/" rel="noopener noreferrer" target="_blank">The Envision Conference</a> </u></strong> The annual interdisciplinary low vision conference, where Erika is co-facilitating a “So What” small-group discussion with Dr. Fletcher on central field loss. The 2026 conference includes a dedicated small-group track with CE, plus virtual gatherings continuing post-conference.</p><p><strong><u><a href="https://www.ski.org/" rel="noopener noreferrer" target="_blank">Smith-Kettlewell Eye Research Institute</a></u></strong> Home of the Low Vision Rehab Study Group Dr. Fletcher co-founded with Drs. Ron Cole and August Colenbrander roughly 20 years ago.</p><p><strong><u><a href="https://www.penguinrandomhouse.com/books/319055/the-art-of-gathering-by-priya-parker/" rel="noopener noreferrer" target="_blank">The Art of Gathering</a></u></strong> Parker, P. (2018). The Art of Gathering: How We Meet and Why It Matters. Riverhead Books. Referenced for its approach to designing meaningful, intentional gatherings—starting with the outcome you want and working backward.</p><p><strong><u><a href="https://pubmed.ncbi.nlm.nih.gov/38187128/" rel="noopener noreferrer" target="_blank">The EFFECT Study</a></u></strong> Rubin, G. S., Crossland, M. D., et al. (2023). Eccentric Viewing Training for Age-Related Macular Disease: Results of a Randomized Controlled Trial. Ophthalmology Science, 4(2), 100422. The trial that sparked the “spicy discussions” at the study group and helped catalyze Erika’s evolving approach to central field loss—covered in the prior pilot episode interviewing Dr. Michael Crossland.</p><p>Note: Several people referenced in conversation—Stan (Dan) Wineapple, Drs. Ron Cole and August Colenbrander, Dr. Walter Wittich, and Smith-Kettlewell founder Art Jampolsky (“the key to good research is asking the right questions”)—are part of Dr. Fletcher’s personal and professional history rather than linked resources.</p><h4><strong>Connect with the podcast:</strong></h4><p>Have a story of clinical growth—a piece of research or an insight that helped you pivot in your practice? Erika would love to hear it. Reach her through the contact form at <strong><u><a href="https://www.lowvisionbeyondtheclinic.com/contact" rel="noopener noreferrer" target="_blank">lowvisionbeyondtheclinic.com</a></u></strong><u><a href="https://www.lowvisionbeyondtheclinic.com/contact" rel="noopener noreferrer" target="_blank">.</a></u></p><p>If this episode was useful, share it with a colleague, send Erika a note, or write a review.</p>
May 22, 2025
Eccentric Viewing Training: Should It Still Be Standard Practice? | Dr. Michael Crossland on the EFFECT Study
<p>Is eccentric viewing training still a valuable tool in low vision rehabilitation?</p><p>Today’s episode explores the findings of the EFFECT study—the first randomized control trial evaluating eccentric viewing training. Erika Andersen Ko sits down with Dr. Michael Crossland, one of the study’s lead authors, to unpack the surprising results, why no significant outcomes were found across groups, and what it means for clinical practice. They also delve into the broader implications of progressive vision loss, therapeutic alliance, and how we can better identify patients who will truly benefit from this intervention.</p><p>Dr. Michael Crossland is a prolific researcher, optometrist, and professor who brings both clinical wisdom and warmth to this discussion. When not leading major studies, he’s walking through London’s parks listening to 99% Invisible after school drop-off.</p><p>Topics explored in this episode:</p><p>[07:50] The structure and goals of the EFFECT (Eccentric Fixation From Enhanced Clinical Training) study</p><p>[14:30] What PRL and TRL training involve—and how they differ</p><p>[23:10] Why the study showed no significant improvements in any group</p><p>[11:15] The role of therapeutic alliance and “connective labor” in outcomes</p><p>[30:10] Mental health challenges tied to progressive vision loss</p><p>[28:00] How clinicians are rethinking selection criteria for EV training</p><p>[21:55] The link between fixation stability and real-world functional tasks</p><p>[44:30] New directions in low vision research and digital accessibility tools</p><p>Thanks to Dr. Michael Crossland for being on the show!</p><p>Learn more about his research: <a href="https://profiles.ucl.ac.uk/6705-michael-crossland/publications" rel="noopener noreferrer" target="_blank">https://profiles.ucl.ac.uk/6705-michael-crossland/publications</a></p><p>Erika Andersen Ko is a certified Low Vision Therapist with over 20 years of experience. A recognized leader in the low vision community, she has contributed through speaking, writing, and national leadership roles. Her work emphasizes interdisciplinary collaboration with professionals in optometry, ophthalmology, occupational therapy, orientation and mobility, and education. Her areas of expertise include low vision driving, PRL training, optical devices, wearable tech, driving retirement, and the impact of vision loss on mental health.</p><p>To learn more about Erika’s work, visit her Low Vision Beyond the Clinic website:<a href="https://www.lowvisionbeyondtheclinic.com/" rel="noopener noreferrer" target="_blank"> https://www.lowvisionbeyondtheclinic.com/</a></p><p>A message from Erika:</p><p>“I have helped thousands of people with vision loss and visual impairment do more in their daily lives and feel more supported, hopeful, and confident. My coaching services combine evidence-based and holistic practices to create a safe space to heal from grief and loss while learning the skills needed to live well with low vision and making room for joy.”</p><p>Produced by Story On Media - https://www.storyon.co/</p>
May 8, 2025
Welcome to Low Vision Beyond The Clinic | Trailer
<p>Welcome to Low Vision Beyond the Clinic, the biweekly podcast for low vision professionals seeking nuanced discussions on clinical care.</p><p>Hosted by Erika Andersen Ko, a dedicated low vision therapist, this show goes beyond routine care to explore the heart of modern vision rehabilitation. Each episode brings you thoughtful conversations on interdisciplinary collaboration, mental health integration, and the evolving tools and practices shaping the field.</p><p>You’ll hear from leading researchers, clinicians, and individuals with lived experience — all sharing insights that challenge, inform, and inspire.</p><p><br></p><p>Plus, connect beyond the audio through our virtual and in-person gatherings, and be part of a growing community focused on holistic, impactful care.</p><p><br></p><p>Subscribe today and visit <strong>LowVisionBeyondTheClinic.com</strong> to join the community.</p>
3 total episodes available
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