Interest of an ophthalmological consultation dedicated to the children presenting autism spectrum disorders

Abstract

AbstractPurpose The children presenting Autism spectrum disorders (ASD) often present ophthalmological disorders. This is why, we plan an ophthalmological consultation dedicated to the children ASD with a partnership between the ophthalmology’s department and the “Centre Ressource Autisme” (CRA).Methods The conditions of set up the consultation were: ‐ Training took place at the orthoptist’s formation and with the residents in ophthalmology to educate ‐ Some modifications in the ophthalmological consultation were performed : ‐ An adaptation of the consultation‘s site. ‐ Schedules of dedicated consultations ‐ An increased time of consultation with 2 examinations: first orthoptic and after, ophthalmologic. Every step of the exam is announced, the used equipments are gradually brought to the children who can watch and also touch them before the examination. ‐ A preparation for the consultation with the child may take place through the use of specific visual medias. ‐ The second or the third examination could be proposed if necessaryResults Fifteen children were examined in one year (year 2013) for whom an orthoptic examination, measurement of the objective refraction, the slit lamp examination and fundus were performed. Refractive errors and strabismus were detected or confirmed and a bilateral cataract was diagnosed and treated.Conclusion This medical network allows to dedramatize of the ophthalmological examination of the children with ASD both the families and the medical professionals. It also has an interest in the training of orthoptists and residents. This type of care could develop and allow a better pathology’s detection.