Article Text

Common visual problems in children with disability
  1. Alison Salt,
  2. Jenefer Sargent
  1. Neurodisability Service, Great Ormond, Street Hospital for Children, London, UK
  1. Correspondence to Dr Alison Salt, Neurodisability Service, The Nurses Home Building, Great Ormond, Street Hospital for Children, Great Ormond Street, London WC1N 3JH, UK; alison.salt{at}gosh.nhs.uk

Abstract

Children with disability are at a substantially higher risk of visual impairment (VI) (10.5% compared with 0.16%) but also of ocular disorders of all types, including refractive errors and strabismus. The aetiology of VI in children with disability reflects that of the general population and includes cerebral VI, optic atrophy, as well as primary visual disorders such as retinal dystrophies and structural eye anomalies. VI and other potentially correctable ocular disorders may not be recognised without careful assessment and are frequently unidentified in children with complex needs. Although assessment may be more challenging than in other children, identifying these potential additional barriers to learning and development may be critical. There is a need to develop clearer guidelines, referral pathways and closer working between all professionals involved in the care of children with disability and visual disorders to improve our focus on the assessment of vision and outcomes for children with disability.

  • Neurodisability
  • Ophthalmology
  • Paediatric Practice

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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