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Fundoscopy is an important component of the neurological examination as it can detect pathologies such as high intracranial pressure. However, the exam can be challenging in uncooperative children. This study looked at whether playing a video during eye examination, improves the success, duration and ease of pediatric fundoscopy.
Fundoscopy is an important component of the neurological examination as it can detect pathologies such as high intracranial pressure. However, the exam can be challenging in uncooperative children. This study looked at whether playing a video during eye examination, improves the success, duration and ease of pediatric fundoscopy. The authors plan to recruit from 4 different clinical care settings for a total of 101 subjects. Success rate is defined as visualizing the optic disc within 60 seconds from commencement of fundoscopy. The ease of examination is determined by using a 10 point likert scale.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study Arm A | Other | Right eye examined first with video diversion then left eye examined without video diversion |
|
| Study Arm B | Other | Right eye examined first without video diversion then left eye examined with video diversion |
|
| Study Arm C | Other | Left eye examined first with video diversion then right eye examined without video diversion |
|
| Study Arm D | Other | Left eye examined first without video diversion then right eye examined with video diversion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Video diversion | Other | The intervention is playing a video on a computer or iPad (using www.youtube.com) while performing fundoscopy. |
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| Measure | Description | Time Frame |
|---|---|---|
| Success rate of visualizing the optic disc within 60 seconds | 60 second |
| Measure | Description | Time Frame |
|---|---|---|
| Time required to visualize the optic disc | 60 seconds | |
| Ease of performing fundoscopy | 60 seconds |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ash Singhal, Dr. | The University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BC Children's Hospital | Vancouver | British Columbia | V6H 3V4 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29681489 | Derived | Yang MMH, Singhal A, Hengel AR, Kerr JM, St-Pierre GH, George S, Muir K, Thiessen P, Enarson P. Video Diversion Improves Success Rate of Fundoscopic Examination in Children: A Prospective Randomized Controlled Trial. Pediatr Neurol. 2018 Jun;83:32-37. doi: 10.1016/j.pediatrneurol.2017.09.008. Epub 2017 Sep 14. |
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