robertj@tekgen.bv.tek.com (Robert Jaquiss) (05/13/91)
Index Number: 15517 This article is reprinted with the permission of Linda Helgerson, President of CD-ROM ENDuser, Disc Magazine, and CE-ROM End User. It is intended for the use in the CBFB magazine. Any other reprinting must be authorized by Ms. Helgerson. CD-ROM FOR THE VISUALLY IMPAIRED by Dr. Peter S. Gold Last weekend, I went to the Library of Congress in Washington, DC to help a friend research information on starting a small business. I was impressed with the enormous size of the facility and resources available, and I couldn't help but feeling a bit sentimental standing inside this great facility in our Nation's Capital. The library was equipped with the latest information systems technology for searching the literature, and the reference librarians were helpful and well informed. I was told that special arrangements were available for graduate students and others doing research; it was possible to place books on reserve, and even to be assigned a shelf where reference materials could be set aside for your work. I explained to one of the librarians that I wished to make arrangements to check out books so I could read them on my low vision reading system I had at my home. I was informed that materials could not be checked out from the Library of Congress. The only option I had available was to contact a public library and arrange to have materials transferred, where I could then check them out. I realized that having books transferred between libraries was impractical, as it would take several weeks before I received the materials. I was also informed that there was equipment for the blind available in the library. As I informed the librarian, "but I'm not blind," I realized that the Library of Congress had no means for providing access to their resources to the partially sighted, a category which includes many elderly persons. Some of you are wondering if I am aware that there is a section of the Library of Congress devoted to the blind and reading impaired. The Library does have a special section which contains selected books and materials recorded on tape. However, throughout the Library, there was not one closed circuit low vision reading system for the partially sighted or reading impaired, to provide access to the majority of library facilities. The point of my story is that it is important for the partially sighted, blind and reading impaired to have information access capabilities equivalent to those available to persons with normal vision. Access to information in terms of one's professional career, personal growth and overall quality of life is, and should be considered, as important for persons with visual limitations as it is for members of the rest of society. The potential appears to exist for CD-ROM technology to improve not only information access for those with normal vision, but also offer very attractive solutions for the visually impaired. To promote such an effort, I will attempt to provide an understanding of the world of the visually impaired, describe advances in technology that have already been made for aiding low vision and provide an introduction for future articles which will examine in detail what, in the long term, the CD-ROM industry can contribute toward this effort. I expect that the long term results will be astoundingly gratifying. There are over two million people in the United States who are unable to read standard newspaper print without the aid of special low vision equipment. These individuals have visual limitations that are not fully correctable with ordinary eye glasses. Their reduced vision is generally the result of defects in structure and function of the eye, visual pathways, or visual centers of the brain. Ordinary eye glasses correct refractive errors and cannot completely compensate for these types of problems. Contrary to popular misconceptions, these individuals do not all fall into the same category in terms of their visual limitations. There are several classifications of sight impairment including partially sighted, legally blind, functionally blind, visually impaired and partially sighted and legally blind. Persons are considered partially sighted if their corrected visual acuity does not exceed 20/70, but they have more than light perception. Persons are legally blind if their visual acuity in their better eye with correction does not exceed 20/200, or if the maximum diameter of their visual field does not exceed 20 degrees. The category of functionally blind applies to persons who are either totally blind or able to determine the direction of a light source. The term visually impaired includes persons that are either functionally blind or partially sighted. Persons are considered partially sighted and legally blind if they are legally blind but not functionally blind. Myths that people who are legally blind cannot see anything at all or that they might as well prepare themselves to be blind are unfounded. Most people who are legally blind have quite a bit of usable vision, and can learn to use their remaining vision with the aid of appropriate low vision devices. Most can move about safely and can successfully handle important daily living tasks. The majority of individuals who are legally blind will continue to have useful eyesight, and have a very small chance of becoming functionally blind. The partially sighted also do not all fall into the same category in terms of their requirements for accessing printed materials. Actually, there is a wide range of visual limitations within this population and a variety of requirements for accessing information. In order to read effectively, the visually impaired require that printed materials such as textbooks, magazines, newspapers and journals, as well as pictures and graphics be transcribed into a format they can readily access. Accessible formats include large print, braille, raised letters and graphics, readers, and recorded media. Several methods are available for transcribing printed materials into one of these formats. These are electronic processing, optical enhancement, reproduction of original materials and recorded media. Electronic processing includes closed circuit television reading systems for creating enlarged images of printed materials, tactile devices for producing raised letters and braille characters and speech synthesizers which output printed materials in the form of synthesized speech. Low vision optical devices for reading text include magnifying lenses and telescopic devices mounted in eyeglass frames and high power hand held magnifiers. Braille and recorded materials can be reproduced from the original text by a number of methods including the reverse process used in manufacturing microfilm, photocopier machines that enlarge images, and the combination of laser and braille printers and software and printer languages which output large print and braille characters. Printed materials can also be read aloud by readers, and recorded on tape. Low vision technology has improved dramatically during just the past few years. Each of the methods described above is effective in providing the visually impaired access to printed materials. The choice of formats and methods employed for transcribing printed materials are determined primarily by the type and degree of visual impairment, perceptual strengths of each individual and objectives. For each individual, there is generally not a single method that is best for all low vision requirements. These individuals should not be required to choose a single low vision option on which their education and future depends, based on financial constraints of agencies which regulate these funds. Although each of these methods is effective in transcribing printed materials, significant problems still remain with accessing information. Limitations in current methods and low vision technology exist in terms of timeliness, speed in which information can be accessed, ease of use of equipment, user fatigue, distraction caused by use of the device itself, adaptability of the equipment to very specific low vision requirements and accessibility at a variety of locations, including institutional and public libraries, job sites and schools. For example, the ability to access and use information in a timely and efficient manner is just as important as having the means for creating a usable format. Currently, large print, braille and recorded materials may require several months to be reproduced, and arrive too late to be of real benefit. As I described earlier, another example of this problem was the time required to transfer printed materials between the Library of Congress and a public library. Limitations in low vision technology also contribute to the problem of accessing information in a timely fashion. For example, use of a closed circuit reading system requires that printed materials be moved back and forth underneath a television camera for each line of text. This movement adds significantly to the time required to read text. In contrast, equipment utilizing CD-ROM technology could display printed materials using a graphical user interface in a variety of large font sizes, character spacing, line spacing and text and background colors. Automatic reformatting and set column width would allow an entire line of text to be displayed at one time, by using multiple lines of text to accommodate larger font sizes. The introduction of CD-ROM and current microcomputer technology could eliminate many of the current limitations in low vision equipment and processing printed materials. CD-ROM offers the means of moving data not just to personal computers, but through PCs and into machines developed specifically for the visually impaired, such as braille writers and speech synthesizers. Books and materials on CD-ROM could be made available at institutional and public libraries, and distributed to individuals at relatively low cost. The use of CD-ROM could provide immediate access to information in journals, textbooks, newspapers and magazines, and provide the ability to the visually impaired to easily access and search through large volumes of information. Summary In summary, current technology has made it possible for sight impaired individuals to access standard reading material. The next step in the evolution of this technology is to make the information as easily accessible to these individuals as it is for the majority of people with normal vision. CD-ROM technology may well represent the avenue by which these advances can be achieved. The use of CD-ROM technology in the development of low vision equipment will introduce a new client base of over two million people to the CD-ROM industry. The easiest and fastest way for these capabilities to be realized is to have the CD-ROM industry contribute to this effort. Peter S. Gold, Ph.D., is a Computer Scientist for an agency of the Federal Government in Washington, DC.