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Common visual problems in children with disability.
Alison Salt1, Jenefer Sargent1
1Neurodisability Service, Great Ormond, Street Hospital for Children, London, UK.
Children with disabilities face a significantly higher risk of visual impairment (VI) and other eye conditions. Early and thorough vision assessments are crucial for identifying and addressing these challenges to support their development.
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Area of Science:
- Ophthalmology
- Pediatrics
- Developmental Disabilities
Background:
- Children with disabilities have a 10.5% risk of visual impairment (VI), significantly higher than the general population (0.16%).
- They are also prone to various ocular disorders, including refractive errors and strabismus.
- The causes of VI in this group mirror the general population, encompassing cerebral VI, optic atrophy, retinal dystrophies, and structural eye anomalies.
Purpose of the Study:
- To highlight the elevated risk of visual impairment and ocular disorders in children with disabilities.
- To emphasize the frequent underdiagnosis of VI and correctable eye conditions in children with complex needs.
- To advocate for improved assessment strategies and interprofessional collaboration for better vision care outcomes.
Main Methods:
- This study is a review and synthesis of existing literature on visual impairment in children with disabilities.
- It analyzes the prevalence, etiology, and diagnostic challenges of ocular disorders in this population.
- The authors identify gaps in current care pathways and propose areas for improvement.
Main Results:
- Children with disabilities are disproportionately affected by visual impairment and other ocular conditions.
- Many potentially correctable vision problems remain unrecognized in children with complex needs.
- Assessment can be challenging but is critical for identifying barriers to learning and development.
Conclusions:
- There is a critical need for enhanced vision screening and assessment protocols for children with disabilities.
- Improved guidelines and referral pathways are necessary to ensure timely diagnosis and intervention.
- Closer collaboration among healthcare professionals is essential to improve vision outcomes for children with disabilities.

