Video diversion during fundoscopic examination in children: a randomized controlled trial

J Child Neurol. 2014 Jul;29(7):882-6. doi: 10.1177/0883073813483363. Epub 2013 Apr 10.

Abstract

Fundoscopy is an important aspect of a neurological examination but can be challenging in uncooperative children. This study explored whether viewing a video during examination improves the success, duration, and ease of pediatric fundoscopy. This single-practitioner, randomized study involved 60 patients aged 1 to 8 years. Patients were randomized (by eye examined) to the treatment group (video-assisted) or control group (no video). A caregiver and the practitioner ranked the level of difficulty of each examination. There was a 28% improvement in the success rate of visualizing the optic disc (P < .001). Further analysis showed a 48% improvement in the success rate in children aged 1 to 4 years (P < .001) but no difference in children aged 5 to 8 years (P = .23). Time needed to visualize the optic disc also improved (Δ16.3 s, P < .001). Improvement in the ease of examination (P < .001) was noted by both the practitioner and caregiver. This simple adjunct has the potential to improve the efficacy of this aspect of the pediatric neurological examination.

Keywords: clinical examination; fundoscopy; optic disc; video.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Child
  • Child, Preschool
  • Eye Diseases / diagnosis*
  • Female
  • Humans
  • Infant
  • Male
  • Ophthalmoscopes*
  • Outcome Assessment, Health Care
  • Pediatrics
  • Video Recording / instrumentation
  • Video Recording / methods*