Video Diversion Improves Success Rate of Fundoscopic Examination in Children

Overview

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.

Full Title of Study: “Video Diversion Improves the Success Rate of Fundoscopic Examination in Children: a Prospective Multi-clinic, Multi-practitioner, Randomized Controlled Trial”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Primary Purpose: Diagnostic
    • Masking: None (Open Label)
  • Study Primary Completion Date: June 2014

Detailed Description

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.

Interventions

  • Other: Video diversion
    • The intervention is playing a video on a computer or iPad (using www.youtube.com) while performing fundoscopy.

Arms, Groups and Cohorts

  • Other: Study Arm A
    • Right eye examined first with video diversion then left eye examined without video diversion
  • Other: Study Arm B
    • Right eye examined first without video diversion then left eye examined with video diversion
  • Other: Study Arm C
    • Left eye examined first with video diversion then right eye examined without video diversion
  • Other: Study Arm D
    • Left eye examined first without video diversion then right eye examined with video diversion

Clinical Trial Outcome Measures

Primary Measures

  • Success rate of visualizing the optic disc within 60 seconds
    • Time Frame: 60 second

Secondary Measures

  • Time required to visualize the optic disc
    • Time Frame: 60 seconds
  • Ease of performing fundoscopy
    • Time Frame: 60 seconds

Participating in This Clinical Trial

Inclusion Criteria

  • patient aged 1 to 4 years of age (inclusive) with 2 examinable eyes Exclusion Criteria:

  • Patients who were blind, younger than 1 year of age, or older than 4 years of age

Gender Eligibility: All

Minimum Age: 1 Year

Maximum Age: 4 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • University of British Columbia
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Ash Singhal, Dr., Principal Investigator, The University of British Columbia

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