Dataset Information

Eye examination testability in children with autism and in typical peers.

ABSTRACT:

Purpose

To compare testability of vision and eye tests in an examination protocol of 9- to 17-year-old patients with autism spectrum disorder (ASD) to typically developing (TD) peers.

Methods

In a prospective pilot study, 61 children and adolescents (34 with ASD and 27 who were TD) aged 9 to 17 years completed an eye examination protocol including tests of visual acuity, refraction, convergence (eye teaming), stereoacuity (depth perception), ocular motility, and ocular health. Patients who required new refractive correction were retested after wearing their updated spectacle prescription for 1 month. The specialized protocol incorporated visual, sensory, and communication supports. A psychologist determined group status/eligibility using DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) criteria by review of previous evaluations and parent responses on the Social Communication Questionnaire. Before the examination, parents provided information regarding patients' sex, race, ethnicity, and, for ASD patients, verbal communication level (nonverbal, uses short words, verbal). Parents indicated whether the patient wore a refractive correction, whether the patient had ever had an eye examination, and the age at the last examination. Chi-square tests compared testability results for TD and ASD groups.

Results

Typically developing and ASD groups did not differ by age (p = 0.54), sex (p = 0.53), or ethnicity (p = 0.22). Testability was high on most tests (TD, 100%; ASD, 88 to 100%), except for intraocular pressure (IOP), which was reduced for both the ASD (71%) and the TD (89%) patients. Among ASD patients, IOP testability varied greatly with verbal communication level (p < 0.001). Although IOP measurements were completed on all verbal patients, only 37.5% of nonverbal and 44.4% of ASD patients who used short words were successful.

Conclusions

Patients with ASD can complete most vision and eye tests within an examination protocol. Testability of IOPs is reduced, particularly for nonverbal patients and patients who use short words to communicate.

SUBMITTER: Coulter RA

PROVIDER: S-EPMC4274340 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature

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Publications

Eye examination testability in children with autism and in typical peers.

Coulter Rachel Anastasia RA Bade Annette A Tea Yin Y Fecho Gregory G Amster Deborah D Jenewein Erin E Rodena Jacqueline J Lyons Kara Kelley KK Mitchell G Lynn GL Quint Nicole N Dunbar Sandra S Ricamato Michele M Trocchio Jennie J Kabat Bonnie B Garcia Chantel C Radik Irina I

Optometry and vision science : official publication of the American Academy of Optometry 20150101 1

<h4>Purpose</h4>To compare testability of vision and eye tests in an examination protocol of 9- to 17-year-old patients with autism spectrum disorder (ASD) to typically developing (TD) peers.<h4>Methods</h4>In a prospective pilot study, 61 children and adolescents (34 with ASD and 27 who were TD) aged 9 to 17 years completed an eye examination protocol including tests of visual acuity, refraction, convergence (eye teaming), stereoacuity (depth perception), ocular motility, and ocular health. Pat ...[more]

PMID: 25415280

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Dataset Information

Eye examination testability in children with autism and in typical peers.

Purpose

Methods

Results

Conclusions

Publications

Eye examination testability in children with autism and in typical peers.

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