Background Vision plays an important part in orienting, maintaining and directing attention.
Aim To survey the prevalence of vision/Eye problems in children and adolescents with ADHD attending follow up clinics. No current UK based published data exists.
Method Method 1: The audit department searched the hospital data over five years preceding the commencement of the survey to identify any case records of children/adolescents with ADHD with vision/eye problems.
Method 2: Prospective, Clinic based randomised survey, based on parent recorded information using a structured clinical questionnaire was done between June 2016 and September 2016 in patient attending the Light House Child Development Centre Data collected using Microsoft XL and analysed using SPSS.
Results 1: Hospital records identified only one child with ADHD with vision/eye problems.
Results 2: Total number of patients enrolled −50, Age range 4.11–14.4 years, M: F 46:4
ADHD 23, ASD 2, Tics 1, others 24
Vision problems identified in 24/50 (10 with ADHD and 14 without ADHD)
83% needed prescription glasses (near vision 4/10 vs. 9/14, distant vision 2/10 vs. 3/14
Squints were identified in six children. (01 ADHD vs 5 non ADHD)
Colour vision anomalies were identified in 4. (Type not known)
Limitation of the study Sample size small
Non ADHD group involved children who did not yet have a diagnosis
The degree of visual impairment not quantified
Conclusion Visual problems are common in children attending clinics at the Light House CDC. (24/50). The data needs to be evaluated further to identify how many more non ADHD group has ADHD once the diagnostic process in completed.
Recommendations Disseminate findings to improve the awareness of visual problems in children with neurodevelopmental disorders.
Share the data to improve awareness of visual problems in ADHD.
Consider a survey monkey audit to measure general awareness among the clinicians
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