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How to help children with neurodevelopmental and visual problems: a scoping review.

Williams, C., Northstone, K., Borwick, Catherine ORCID:, Gainsborough, M., Roe, J., Howard, S., Rogers, S., Amos, J. and Woodhouse, Joy Margaret ORCID: 2013. How to help children with neurodevelopmental and visual problems: a scoping review. British Journal of Ophthalmology 98 (1) , pp. 6-12. 10.1136/bjophthalmol-2013-304225

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Children with visual impairment and a condition affecting their neurodevelopment (children with VND) may require extensive and specialised help but evidence on the most effective strategies for visual improvement is lacking. We defined a PICO format (Population, Intervention, Comparator, Outcome) for a scoping review and systematically searched 13 databases. Two reviewers assessed the abstracts for inclusion and a third arbitrated in cases of disagreement. We abstracted data from included studies. We found 4450 abstracts from which we identified 107 papers for inclusion. Of these, 42 related to interventions involving a change in visual input or function: 5 controlled trials, 8 before and after studies and 29 case reports. The strongest evidence supported the provision of spectacles to improve distance or near vision and the use of ultraviolet light as environmental modification for training. Less strong but suggestive evidence supported training/practice routines to improve acuity or oculomotor control. Interventions exist to help children with VND and current recommendations that they are assessed by a vision specialist are supported by the evidence. More information is needed on the effectiveness of training/practice programmes which may promote improved function, and of environmental modifications to facilitate engagement of children with VND with the surroundings.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Optometry and Vision Sciences
Subjects: R Medicine > RE Ophthalmology
Publisher: BMJ Publishing Group
ISSN: 0007-1161
Funders: NIHR Career Development Fellowship CDF-2009-02-35.
Date of Acceptance: 23 September 2013
Last Modified: 31 Oct 2022 10:45

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