OC-53 Vision problems in children and adolescents with adhd – a preliminary survey

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Abstract

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

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.

Method

Results 1: Hospital records identified only one child with ADHD with vision/eye problems.

Method

Results 2: Total number of patients enrolled −50, Age range 4.11–14.4 years, M: F 46:4

Method

ADHD 23, ASD 2, Tics 1, others 24

Method

Vision problems identified in 24/50 (10 with ADHD and 14 without ADHD)

Method

83% needed prescription glasses (near vision 4/10 vs. 9/14, distant vision 2/10 vs. 3/14

Method

Squints were identified in six children. (01 ADHD vs 5 non ADHD)

Method

Colour vision anomalies were identified in 4. (Type not known)

Method

Limitation of the study Sample size small

Method

Non ADHD group involved children who did not yet have a diagnosis

Method

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.

Recommendations

Share the data to improve awareness of visual problems in ADHD.

Recommendations

Consider a survey monkey audit to measure general awareness among the clinicians

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